Cumulative Trauma Disorders

Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Upper limb repetitive strain injury is a common problem in western countries, causing human suffering and huge economical losses. Patients with prolonged pain associated with repetitive tasks in the work place can face both psychological and physical difficulties. Different treatment programmes, physical, psychological, behavioural, social and occupational treatments have been developed and used to help these patients.

Author(s): 
Karjalainen, K.
Malmivaara, A.
van Tulder, M.
Roine, R.
Jauhiainen, M.
Hurri, H.
Koes, B.
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Upper limb repetitive strain injury is a common problem in western countries, causing human suffering and huge economical losses. Patients with prolonged pain associated with repetitive tasks in the work place can face both psychological and physical difficulties. Different treatment programmes, physical, psychological, behavioural , social and occupational treatments have been developed and used to help these patients.

Author(s): 
Karjalainen, Kaija A.
Malmivaara, Antti
van Tulder, Maurits W.
Roine, Risto
Jauhiainen, Merja
Hurri, Heikki
Koes, Bart W.
Publication Title: 
Australian Family Physician
Author(s): 
Fildes, P. G.
Publication Title: 
The American Journal of Clinical Hypnosis

The study examined the effectiveness of behaviorally-induced vasodilation (hypnosis with biofeedback and autogenics) in the treatment of upper extremity repetitive strain injuries (RSI). Thirty patients with recent onset of upper extremity RSI symptoms were randomly assigned to 1 of 2 treatment conditions, i.e., hypnotically-induced vasodilation or a waiting-list control. Treatments were given on an individual basis, once a week for 6 weeks. Patients in the treatment condition showed highly significant increases in hand temperature between pre- and post-treatment.

Author(s): 
Moore, L. E.
Wiesner, S. L.
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Upper limb repetitive strain injury is a common problem in western countries, causing human suffering and huge economical losses. Patients with prolonged pain associated with repetitive tasks in the work place can face both psychological and physical difficulties. Different treatment programmes, physical, psychological, behavioural, social and occupational treatments have been developed and used to help these patients.

Author(s): 
Karjalainen, K.
Malmivaara, A.
van Tulder, M.
Roine, R.
Jauhiainen, M.
Hurri, H.
Koes, B.
Publication Title: 
Scandinavian Journal of Work, Environment & Health

The objective of this study was to determine the effectiveness of biopsychosocial rehabilitation for upper-limb repetitive-strain injuries among working-age adults. Studies were identified from electronic bibliographic databases, reference checks, and consultations with experts in rehabilitation. Four blinded reviewers selected randomized controlled and controlled trials. Two experts evaluated the clinical relevance of the findings. Two other reviewers extracted the data and assessed the main results and the methodological quality of the studies.

Author(s): 
Karjalainen, K. A.
Malmivaara, A. O.
van Tulder, M. W.
Roine, R. P.
Jauhiainen, S.
Hurri, H. O.
Koes, B. W.
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Upper limb repetitive strain injury is a common problem in western countries, causing human suffering and huge economical losses. Patients with prolonged pain associated with repetitive tasks in the work place can face both psychological and physical difficulties. Different treatment programmes, physical, psychological, behavioural , social and occupational treatments have been developed and used to help these patients.

Author(s): 
Karjalainen, Kaija A.
Malmivaara, Antti
van Tulder, Maurits W.
Roine, Risto
Jauhiainen, Merja
Hurri, Heikki
Koes, Bart W.
Publication Title: 
The Journal of the American Osteopathic Association

CONTEXT: Clinical studies have supported the efficacy of a variety of osteopathic manipulative techniques. However, an evidence base for the cellular mechanisms underlying these clinical findings is lacking. OBJECTIVE: To investigate human fibroblast proliferation and interleukin secretory profiles in response to modeled repetitive motion strain (RMS) and modeled indirect osteopathic manipulative techniques (IOMT). The authors hypothesized that the RMS model would increase fibroblast proliferation and proinflammatory interleukin secretion, while the IOMT model would reverse these effects.

Author(s): 
Meltzer, Kate R.
Standley, Paul R.
Publication Title: 
Journal of Bodywork and Movement Therapies

Despite positive clinical outcomes documented post-treatment with a variety of manual medicine treatments (MMT), the underlying cellular mechanisms responsible remain elusive. We have developed an in vitro human fibroblast cell system used to model various biomechanical strains that human fibroblasts might undergo in response to repetitive motion strain (RMS) and MMT. Our data utilizing this system suggest that RMS induces disruption of cell-cell and cell-matrix contacts, which appear are reversed when a modeled MMT is also added to the treatment protocol.

Author(s): 
Standley, Paul R.
Meltzer, Kate
Publication Title: 
Pain

Amitriptyline is sometimes used to treat arm pain related to repetitive use, but rigorous evidence of its benefit is lacking. This randomized controlled trial investigated whether amitriptyline provided greater pain relief or improved arm function than a placebo pill in adults with arm pain associated with repetitive use that had persisted for at least 3 months. Participants (N=118) were randomly assigned to receive 25mg of amitriptyline or a placebo pill for 6 weeks.

Author(s): 
Goldman, Rose H.
Stason, William B.
Park, Sung Kyun
Kim, Rokho
Mudgal, Sharmila
Davis, Roger B.
Kaptchuk, Ted J.

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