PubMed · 11881622
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J S Ostendorf. 2000. Management evaluation tool.. https://pubmed.ncbi.nlm.nih.gov/11881622/
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The Health Council of the Netherlands has published its advisory report on Repetitive Strain Injury (RSI). The report provides clear information on the state of this syndrome, including the definition of the problem, the epidemiology, various hypothetical pathophysiological mechanisms, occupational and personal risk factors, and possible methods of treatment. The council states that with regard to the last aspect, too few data are available to draw any conclusion as to the most promising therapy. Nevertheless, patients should get consistent advice from their GP or company doctor. The council emphasises that encouraging physical exercise and eliminating any possible causative strain should be part of an integrated approach, embracing work-related psychosocial and personal issues. Of particular interest is the council's advice to prevent RSI by improving the physical condition and by selective training of muscle function. The report recommends that more research be carried out in order to provide insight into the effectiveness of the treatment of RSI.
In the Netherlands, work related upper-limb disorders are called Repetitive Strain Injuries (RSI). RSI is not a diagnosis but a catch-all term for symptoms and signs located in the neck, upper back, shoulder, arm, elbow, hand, wrist and fingers. These symptoms may include pain, stiffness, tingling, clumsiness, loss of co-ordination, loss of strength, skin discoloration and temperature differences. Each year, 8% of working Dutch citizens take time off work due to RSI symptoms. Although the number of people claiming disability benefit due to RSI is limited, this figure has risen consecutively over the last three years. There is consensus that repetitive work at a high frequency and possibly accompanied by exertion of force is accompanied by RSI symptoms. There are indications of a relation between visual display unit use and these symptoms. However, these relations have not been established in a longitudinal study of adequate quality. High perceived job stress and a high workload are thought to be related to RSI, and women report more symptoms than men. There is insufficient information available on the role of different coping styles, perfectionism and dealing with symptoms. There is little information on the underlying mechanisms in the development of RSI, the diagnostics, therapy and prevention. In view of the lack of clear diagnostic criteria, suggestions have been made for a standardised description of the symptoms involved in the syndrome. A multidisciplinary treatment is likely to have the most effect. In terms of prevention, an integrated approach aimed at improving the working posture, reduction of static load and job stress and at individual factors is assumed to be the most effective.
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