Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Cumulative Trauma Disorders”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 883 records · Page 49Linked to original sources
PubMed1999

An ergonomic design and performance evaluation of pipettes.

This paper describes the results of an investigation of the differences in performance, postures, strains on hand-arm-shoulder musculature, and subjective ratings of three pipettes (models A, B, and C). Both models A and B were pipettes available on the market. Model C was developed for this study of an ergonomically designed pipette. The gripping posture of the three models was distinct both in the anatomical and in the functional sense. Working with models A and B required a four-finger grasp with a thumb operated plunger. Model C required a finger-palmar power grip and the plunger was operated by the fingers. Performance evaluation of the different pipettes in different tasks indicated that using the proposed model C resulted in a 2-3% lower fault rate, a 10% shorter completion time, and the highest subjective ratings among the three. Postural analysis results indicated that when using model C, the shoulder was the least abducted, the wrist was the least extended, and the wrist was the least radially extended. Model C appeared to provide the greatest opportunity for delicate adjustments of posture in response to the activity of the skin receptors and reduced the strains on the upper body musculature, justifying the ergonomic input into the design.

Adult↗
PubMed1999

Ergonomics evaluation of a manually operated cassava chipping machine.

A manually operated machine for chipping cassava was evaluated. Six farmers took part in the study, with physiological, postural, and subjective measurements being taken. Using the machine resulted in drudgery and postural discomfort. Following an iterative design process and using appropriate anthropometric measurements, an improved, adjustable prototype was developed. This was tested with the six farmers and six novice users. It was found to reduce discomfort and physiological strain, allowed a faster work-rate (with novice users) and was preferred by all users. The study demonstrated how ergonomics can play an important role in reducing drudgery and improving user satisfaction in technology development and transfer in developing countries.

Adult↗
PubMed2000

The relation between lower extremity strength and shoulder overuse symptoms: a model based on polio survivors.

OBJECTIVE: To determine the relation between lower extremity weakness and shoulder overuse symptoms among polio survivors. We predicted that individuals with moderate weakness in their leg extensor muscles would use their arms to help compensate for this weakness and would be at high risk for developing symptoms of shoulder overuse. DESIGN: A cohort study of polio survivors recruited from the Einstein-Moss Postpolio Management Program (Philadelphia), the community, and the surrounding region. SETTING: A research laboratory at Moss Rehabilitation Research Institute, Philadelphia, PA. PARTICIPANTS: One hundred ninety-four polio survivors. Demographic and medical history data, symptom data, and strength data were obtained for each. MAIN OUTCOME MEASURES: Presence or absence of shoulder symptoms and ratings of pain by visual analogue scale were recorded. Strength was measured using a hand-held dynamometer and manual muscle testing. RESULTS: Shoulder symptoms could be grouped into two distinct clusters based on the type of testing used for assessment. Symptoms elicited by palpation were present in 26% of the subjects and were strongly related to knee extensor strength and weight. These symptoms were more common among women than men (42% and 10%, respectively). Symptoms elicited by resistance tests were present in 33% of the subjects and were seen with equal frequency in both sexes. These symptoms were also related to lower extremity strength, but the specific relationship was not as clear as for the palpation-related symptoms. CONCLUSIONS: Lower extremity weakness predisposes individuals to shoulder overuse symptoms. Sex and body weight are contributing factors. These results may be generalized to other populations with lower extremity weakness, including the elderly.

Adult↗
PubMed2003

Effect of sensory discrimination training on structure and function in patients with focal hand dystonia: a case series.

OBJECTIVE: To measure the effects of sensorimotor training based on the principles of neuroplasticity for patients with focal hand dystonia. DESIGN: Case series of 3 subjects with focal hand dystonia of the left hand, compared with age-matched normative controls. SETTING: Outpatient clinic. PARTICIPANTS: Three consecutive clinic patients-musicians with focal hand dystonia-who described a history of repetitive practice and performance (2 women; ages, 23 y and 35 y; 1 man; age, 24 y). INTERVENTION: Subjects were asked to stop performing the tasks that caused the abnormal movements, to participate in a wellness program (aerobics, postural exercises, stress free hand use), and to carry out supervised, attended, individualized, repetitive sensorimotor training activities at least once week for 12 weeks and reinforced daily at home. MAIN OUTCOME MEASURES: Standard tests documenting somatosensory hand representation, target-specific hand control, and clinical function. RESULTS: On the affected side, the 3 subjects improved an average of 86.8% on somatosensory hand representation, 117% on target-specific performance, 23.9% on fine motor skills, 22.7% on sensory discrimination, 31.9% on musculoskeletal skills, and 32.3% on independence. All 3 subjects improved 10% or more on 90% of the subtests with 20% improvement on 50% of the subtests. CONCLUSION: Individuals with focal hand dystonia who have a history of repetitive hand use can improve cortical somatosensory responses and clinical motor function after individualized sensorimotor training consistent with the principles of neural adaptation.

Adult↗
PubMed2004

Factors associated with prognosis of lateral epicondylitis after 8 weeks of physical therapy.

OBJECTIVE: To identify key factors associated with outcomes of patients who underwent 8 weeks of physical therapy (PT) for lateral epicondylitis. DESIGN: Multicenter prospective design with inception cohort of lateral epicondylitis patients commencing PT. Baseline clinical examinations were conducted by 1 physical therapist; self-report outcome measures were completed at baseline and 8 weeks later. SETTING: Nine private sports medicine clinics and 2 hospital outpatient departments in Ontario, Canada. PARTICIPANTS: Eighty-three patients with unilateral lateral epicondylitis identified by the treating physical therapists. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: The final scores of the Disability of the Arm, Shoulder and Hand (DASH) questionnaire and a vertical pain visual analog scale (VAS) were used as the dependent variables. RESULTS: The final prognostic model for the 8-week DASH scores included the baseline score (95% confidence interval [CI], 0.34-0.66), sex (female) (95% CI, 3.3-14.5), and self-reported nerve symptoms (95% CI, 0.8-13.8). The model for the 8-week VAS scores included the baseline score (95% CI, 0.01-0.37), sex (female) (95% CI, 0.4-18.2), and self-reported nerve symptoms (95% CI, 4.7-25.5). A subanalysis indicated that women were more likely than men to have work-related onsets, repetitive keyboarding jobs, and cervical joint signs. Among women, these factors were associated with higher final DASH and VAS scores. CONCLUSIONS: Women and patients who report nerve symptoms are more likely to experience a poorer short-term outcome after PT management of lateral epicondylitis. Work-related onsets, repetitive keyboarding jobs, and cervical joint signs have a prognostic influence on women.

Adult↗
PubMed1995

Intermittent pneumatic compression effect on eccentric exercise-induced swelling, stiffness, and strength loss.

OBJECTIVE: The purpose was to determine if intermittent pneumatic compression (IPC) affects muscle swelling, stiffness, and strength loss resulting from eccentric exercise-induced injury of the elbow flexors. We hypothesized that the compression would decrease swelling and stiffness. DESIGN: Repeated measures design with a before-after trial comparison within each day. SETTING: Conducted at a university Somatic Dysfunction Laboratory. SUBJECTS: Twenty-two college women students were studied. They had not been lifting weights or otherwise participating in regular arm exercise for the 6 months before the study. They had no history of upper extremity injury or cardiovascular disease. INTERVENTIONS: Subjects performed one bout of eccentric exercise at a high load to induce elbow flexor muscle injury. Uniform IPC was applied on the day of exercise and daily for 5 days at 60mmHg, 40 seconds inflation, 20 deflation for 20 minutes. MAIN OUTCOME MEASURES: Measurements of arm circumference, stiffness, and isometric strength were recorded before exercise, then before and after IPC for 5 days after exercise. Passive muscle stiffness was measured on a device that extends the elbow stepwise and records the torque required to hold the forearm at each elbow angle. RESULTS: Circumference and stiffness increased and strength decreased during the 5 days post-exercise (p < .05). IPC significantly decreased circumference and stiffness most notably on days 2 and 3 after exercise (p < .05). The strength loss was not affected by IPC. CONCLUSION: IPC is effective in temporarily decreasing the swelling and stiffness after exercise-induced muscle injury.

Adult↗
PubMed1996

Pushrim forces and joint kinetics during wheelchair propulsion.

OBJECTIVE: To investigate pushrim forces and joint kinetics during wheelchair propulsion and to discuss the differences between inexperienced and experienced wheelchair users. DESIGN: Cohort study. SETTING: Human engineering laboratory at a state university. SUBJECTS: Four men who use manual wheelchairs for mobility and four nondisabled men who did not have extensive experience pushing a wheelchair; all subjects were asymptomatic for upper extremity pain or injury. METHODS: Subjects pushed a commonly used wheelchair fitted with a force-sensing pushrim on a stationary wheelchair dynamometer. Video and force data were collected for 5 strokes at one speed of propulsion. Pushrim forces and net joint forces and moments were analyzed. MAIN OUTCOME MEASURES: Pushrim forces, radial (Fr) and tangential (Ft), were analyzed and compared for both groups in relation to peak values and time to peak values and as ratios of overall forces generated. Net joint forces and moments were analyzed in a similar fashion. RESULTS: Pushrim forces and joint moments were similar to those previously reported, with radial forces averaging between 34 and 39N and tangential forces ranging on average between 66 and 95N. Tangential forces were higher than radial forces, and mean ratios of tangential forces to the resultant force were approximately 75%, whereas mean radial force ratios were approximately 22%. All subjects showed higher joint moments at the shoulder than at the elbow or wrist. A large component of vertical reaction force was seen at the shoulder. Significant differences (p < .05) were found between groups for peak tangential force and time to peak tangential and peak vertical forces, with wheelchair users having lower values and longer times to reach the peak values. CONCLUSIONS: Discrete variables from the force-time curves can be used to distinguish between wheelchair users and nonusers. The experienced users tended to push longer, used forces with lower peaks, and took longer time to reach peak values. This propulsive pattern may have been developed to reduce the chance of injury by minimizing the forces at the joints, as a means of maximizing efficiency or as a combination of these factors. More work investigating 3-dimensional forces and the influence of seating position and various conditions of propulsion such as speed changes, ramps, and directional changes on injury mechanisms needs to be completed.

Adult↗
PubMed1997

Ergonomics.

Ergonomics is the application of natural laws governing human work in order to maximize safety and efficiency in the workplace. Ergonomic assessment includes job analysis from the biomechanical, physiologic, and physical viewpoints. The three most commonly described categories of ergonomic intervention are worker training, worker selection, and job redesign. In the last analysis, workplace redesign, using both engineering and administrative methods, is likely to be the most effective intervention.

Biomechanical Phenomena↗
PubMed1997

Spinal cord injury rehabilitation. 5. Through the lifespan.

This self-directed learning module highlights new advances in this topic area. It is part of the chapter on spinal cord injury rehabilitation in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. This section explores the medical, psychologic, and social challenges facing an individual with an acquired spinal cord injury. Special emphasis is placed on the dynamic nature of these issues as one progresses through the lifespan.

Adolescent↗
PubMed1988

Bone scintigraphy in the assessment of spondylolysis in patients attending a sports injury clinic.

Thirty-three patients attending the Nottingham Sports Injury Clinic in whom a clinical diagnosis of a stress fracture of the pars interarticularis was made were evaluated with both radiography and bone scintigraphy. This was done in an effort to distinguish a recent stress fracture which would produce a positive scintigram from an established 'incidental' spondylolysis giving a normal scintigram. Nine patients demonstrated abnormal radiography with a normal scintigram. A further nine patients had a positive scintigram. Six were associated with a spondylolysis indicating a recent stress fracture but two had normal radiography suggesting a stress fracture in the 'sub-radiological' phase. One patient had increased uptake in relation to degenerative changes of the lower lumbar facet joints. Oblique views of the scintigram helped in localisation of the abnormal uptake to the pars interarticularis.

Adolescent↗
PubMedDate not supplied

Afflicted endoscopists.

Explore the source record for details and available documents.

Cumulative Trauma Disorders↗
PubMed1997

Anatomical factors predisposing to focal dystonia in the musician's hand--principles, theoretical examples, clinical significance.

In this paper, anatomical interconnections between tendons, between tendons and their environment, and anatomical constraints on joint mobility are considered as possible causes of focal dystonia in the hand of the musician. By hypothesis, focal dystonias arise when the constraints on movement resulting from these anatomic limitations impede playing movements with sufficiently low energy expenditure. This hypothesis is modelled for connections between the deep finger flexors. The displacements, forces, stresses, and work per volume in the finger motors in some common piano playing movements are calculated. The results indicate that with mentioned connections, in certain movements the extensor and lumbrical, and in others the lumbrical and interossei are most strained, while the interossei may become the main power source in loaded instrumental movements. Also discussed are compensatory movements. The biomechanical principles of surgical and conservative treatment are summarised.

Cumulative Trauma Disorders↗
PubMed1998

Assessment of dynamic finger forces in pianists: effects of training and expertise.

Playing a musical instrument requires complex sensorimotor programming of hand and finger movements. During musical training motor programs are optimized to achieve highest accuracy with a minimum of effort. In the lack of handy measurement tools these rational assumptions of piano theorists did not undergo an experimental evaluation up to now. In the present pilot study we used a dynamic pressure measurement system with the pianoforte. Three finger exercises with increasing degrees of difficulty had to be performed by a group of musical amateurs and a group of expert players. From the dynamic force measurements we calculated (a) the mean pulse per touch and (b) the mean touch-duration for each exercise and each subject. To achieve the same tempo and the same loudness, amateurs applied significantly more and longer force to the keys, leading to higher mean pulses per touch. Pulse and duration values increased with higher demands on finger coordination in both, expert pianists and amateurs. The results show that dynamic force measurement systems can support music learners and teachers in training a relaxed piano technique and preventing musicians from overuse injuries.

Adolescent↗
PubMed2003

Overuse injuries in pediatric athletes.

Children can be seemingly invincible, with inexhaustible energy. Even the elite young athlete, however, may lack the experience to realize when his or her level of activity is increasing the risk of sustaining injuries related to overuse. Coaches, trainers, parents, and physicians need to monitor the activities of young athletes, modify factors that may place them at increased risk of injury, and enforce periods of "relative rest" when necessary. Factors that can increase the risk of overuse injuries can be identified and modified if possible. Environmental factors include the use of sport-specific equipment (ie, running shoes instead of cleats for running activities) and properly sized equipment. Children of the same age will be of different sizes; "one size fits all" is not a good enough policy in this diverse population. Training factors include magnitude, frequency, and intensity. Children should be asked if they are participating in more than one team or sport simultaneously. Also, because the child's interest may exceed his or her skill level, young athletes optimally should be taught sport-specific skills to prevent injuries related to improper biomechanics. Finally, anatomic factors should be assessed, including alignment, laxity, flexibility, and muscle balance. These factors cannot always be changed, but coaches can modify training regimens and suggest strength and flexibility training to counteract specific weaknesses. Young athletes have a long future of activity ahead of them. Even if they never reach the Olympics or compete in the National Basketball Association (NBA), the injuries that occur in young athletes can have significant repercussions long after they leave the competitive arena.

Adolescent↗
PubMed2003

Juvenile osteochondritis dissecans.

JOCD has better potential for healing than adult OCD, but several series have shown up to a 50% failure to heal with nonsurgical techniques. JOCD poses a therapeutic dilemma for the pediatric sports specialist because the healing potential is unpredictable at the disease onset. There are no controlled prospective studies on this condition to accurately gauge the effect of different treatments, or even if treatment affects the natural history of JOCD.

Adolescent↗
PubMed2000

The painful shoulder in the swimming athlete.

Given the popularity of swimming and the high risk of injury associated with the sport, many clinicians come into contact with the swimmer's shoulder. This article describes the mechanism of injury, diagnostic tools, and subtle signs of injury for swimmer's shoulder. It focuses on conservative treatment for the injury, including methods for stretching and strengthening and eliminating acute inflammation.

Cumulative Trauma Disorders↗
PubMed2002

Special issues and concerns for the high school- and college-aged athletes.

Increasing numbers of high school- and college-aged students are participating in sports. As sport participation and intensity increases, the frequency of associated heat related illnesses and acute and chronic overuse injuries will continue to become more prevalent. The sports medicine physician plays an essential role not only in the practice and treatment of injuries but also in educating athletes about safe and healthy exercise habits that will provide life long benefits.

Adolescent↗