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Lookup NU author(s): Dr Stephen Tyrer
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Repetitive strain injury includes symptoms of pain, muscle weakness and tingling, with concomitant loss of strength in the muscles in the limb concerned. Although the term implies that repetitive movement is responsible for the condition, abnormal postures and prolonged periods of work are more important in leading to the syndrome than repetitive movements per se. There are few objective tests that can be used to identify abnormalities in this condition, although a reduced flare response to the application of capsaicin and an increased threshold to vibration have been reported. Although sudden increases in the incidence of this condition have been associated with changes in work practice and the attribution of these to injuries sustained in the course of such activities, the majority of sufferers from this condition do not have a primary psychiatric illness and are not seeking sickness benefit, compensation or other advantages of the sick role. Treatment involves the correction of abnormal postures and a graded programme of exercises. The circumstances of the activity that is thought to be responsible for the symptoms concerned should be investigated and alterations in work practice carried out if there are problems in ergonomic design.
Author(s): Tyrer SP
Publication type: Article
Publication status: Published
Journal: Pain Reviews
Print publication date: 01/07/1999
ISSN (print): 0968-1302
ISSN (electronic): 1477-0318
Publisher: Hodder Arnold Journals
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