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Management of upper extremity cumulative trauma disorders.
AAOHN J. 1992 Mar; 40(3):118-28.AJ

Abstract

1. Elements critical to a successful medical management program include cumulative trauma disorder (CTD) surveillance, conditioning and rehabilitation programs, and familiarity with OSHA recordkeeping requirements, in addition to recognition, evaluation, and treatment. 2. Occupational health care providers (HCPs) can identify high risk departments, production lines, or jobs through the passive and/or active surveillance systems. 3. The HCP should perform a CTD evaluation of employees assigned to jobs with known ergonomic hazards or areas found to have CTD problems by the surveillance system. These evaluations should consist of a medical and occupational history, and a physical examination of the upper extremities. 4. The treatment algorithm emphasizes that a) symptomatic employees need follow up to determine the effectiveness of the prescribed treatments, b) employees with severe symptoms, positive physical findings, or disorders resistant to treatment need to be referred to a physician for further evaluation, and c) conservative therapy deserves an adequate trial before surgical intervention is contemplated.

Authors

Hales TR
No affiliation info available
Bertsche PK
No affiliation info available

MeSH

AlgorithmsAnti-Inflammatory Agents, Non-SteroidalArm InjuriesCumulative Trauma DisordersErgonomicsHand InjuriesHealth EducationHumansOccupational DiseasesPhysical Therapy Modalities

Pub Type(s)

Journal Article

Language

eng

PubMed ID

1550621

Citation

Hales, T R., and P K. Bertsche. "Management of Upper Extremity Cumulative Trauma Disorders." AAOHN Journal : Official Journal of the American Association of Occupational Health Nurses, vol. 40, no. 3, 1992, pp. 118-28.
Hales TR, Bertsche PK. Management of upper extremity cumulative trauma disorders. AAOHN J. 1992;40(3):118-28.
Hales, T. R., & Bertsche, P. K. (1992). Management of upper extremity cumulative trauma disorders. AAOHN Journal : Official Journal of the American Association of Occupational Health Nurses, 40(3), 118-28.
Hales TR, Bertsche PK. Management of Upper Extremity Cumulative Trauma Disorders. AAOHN J. 1992;40(3):118-28. PubMed PMID: 1550621.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management of upper extremity cumulative trauma disorders. AU - Hales,T R, AU - Bertsche,P K, PY - 1992/3/1/pubmed PY - 1992/3/1/medline PY - 1992/3/1/entrez SP - 118 EP - 28 JF - AAOHN journal : official journal of the American Association of Occupational Health Nurses JO - AAOHN J VL - 40 IS - 3 N2 - 1. Elements critical to a successful medical management program include cumulative trauma disorder (CTD) surveillance, conditioning and rehabilitation programs, and familiarity with OSHA recordkeeping requirements, in addition to recognition, evaluation, and treatment. 2. Occupational health care providers (HCPs) can identify high risk departments, production lines, or jobs through the passive and/or active surveillance systems. 3. The HCP should perform a CTD evaluation of employees assigned to jobs with known ergonomic hazards or areas found to have CTD problems by the surveillance system. These evaluations should consist of a medical and occupational history, and a physical examination of the upper extremities. 4. The treatment algorithm emphasizes that a) symptomatic employees need follow up to determine the effectiveness of the prescribed treatments, b) employees with severe symptoms, positive physical findings, or disorders resistant to treatment need to be referred to a physician for further evaluation, and c) conservative therapy deserves an adequate trial before surgical intervention is contemplated. SN - 0891-0162 UR - https://www.unboundmedicine.com/medline/citation/1550621/Management_of_upper_extremity_cumulative_trauma_disorders_ DB - PRIME DP - Unbound Medicine ER -