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Stress and work‐related upper extremity disorders: Implications for prevention and management

Stress and work‐related upper extremity disorders: Implications for prevention and management Background A causal link between stress and work‐related musculoskeletal disorders of the upper extremities (WRUEDs) has been established, but there is less evidence for a beneficial effect of stress reduction interventions on WRUED symptoms and incidence. Methods Searches of Medline, Ergonomics Abstracts, and Psychlit from 1990 to 2001 identified studies that either targeted stress and measured WRUED outcomes, or described other interventions with both stress and WRUED outcomes. Results Workplace interventions, including discrete improvements in technology, work organization and ergonomics, and more comprehensive approaches can reduce levels of stress. In a few studies, these interventions have been associated with decreases in WRUED symptoms. Similar effects are noted in stress‐related interventions targeting individuals before WRUEDs have appeared, and at several stages of these conditions. Conclusions Health care providers can recognize stress–WRUED interactions through careful, directed inquiry. Both individual as well as workplace‐targeted interventions, delivered in the primary care setting or workplace, may be helpful. Future research priorities include prospective studies of well‐defined interventions, with ample measures of subject, intervention and workplace characteristics that can impact outcomes, and adequate follow‐up to determine sustained effects. Am. J. Ind. Med. 41:443–455, 2002. © 2002 Wiley‐Liss, Inc. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Industrial Medicine Wiley

Stress and work‐related upper extremity disorders: Implications for prevention and management

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References (85)

Publisher
Wiley
Copyright
Copyright © 2002 Wiley‐Liss, Inc.
ISSN
0271-3586
eISSN
1097-0274
DOI
10.1002/ajim.10040
pmid
12071496
Publisher site
See Article on Publisher Site

Abstract

Background A causal link between stress and work‐related musculoskeletal disorders of the upper extremities (WRUEDs) has been established, but there is less evidence for a beneficial effect of stress reduction interventions on WRUED symptoms and incidence. Methods Searches of Medline, Ergonomics Abstracts, and Psychlit from 1990 to 2001 identified studies that either targeted stress and measured WRUED outcomes, or described other interventions with both stress and WRUED outcomes. Results Workplace interventions, including discrete improvements in technology, work organization and ergonomics, and more comprehensive approaches can reduce levels of stress. In a few studies, these interventions have been associated with decreases in WRUED symptoms. Similar effects are noted in stress‐related interventions targeting individuals before WRUEDs have appeared, and at several stages of these conditions. Conclusions Health care providers can recognize stress–WRUED interactions through careful, directed inquiry. Both individual as well as workplace‐targeted interventions, delivered in the primary care setting or workplace, may be helpful. Future research priorities include prospective studies of well‐defined interventions, with ample measures of subject, intervention and workplace characteristics that can impact outcomes, and adequate follow‐up to determine sustained effects. Am. J. Ind. Med. 41:443–455, 2002. © 2002 Wiley‐Liss, Inc.

Journal

American Journal of Industrial Medicine – Wiley

Published: May 1, 2002

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