Ergonomic intervention in the treatment of a patient with upper extremity and neck pain.

BACKGROUND AND PURPOSE: Work-related musculoskeletal disorders are widespread among computer users and costly to the health care system. Workstation setup and worker postures contribute to upper-extremity and neck symptoms among computer users. Ergonomic interventions such as work risk analysis and...

Descripción completa

Detalles Bibliográficos
Publicado en:Physical Therapy Vol. 89; no. 4; pp. 351 - 361
Autor principal: Fabrizio P
Formato: case study questionnaire/scale tables/charts Journal Article
Publicado: Oxford University Press / USA Apr2009
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105495152&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 105495152
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        00319023
        PTH
      jtl: Physical Therapy
      issn: 00319023
      maglogo: N
    pubinfo:
      dt: Apr2009
      vid: 89
      iid: 4
      pid: 10398
      pub: Oxford University Press / USA
    artinfo:
      ui:
        105495152
        2010242590
        10.2522/ptj.20080209
        NLM19246558
        105495152
      ppf: 351
      ppct: 10
      formats:
        fmt:
          @attributes:
            type: P
      tig:
        atl: Ergonomic intervention in the treatment of a patient with upper extremity and neck pain.
      aug:
        au: Fabrizio P
        affil: Division of Physical Therapy, Georgia State University, Atlanta, GA 30302-4019, USA. pfabrizio@gsu.edu
      sug:
        subj:
          Ergonomics
          Neck Pain Rehabilitation
          Shoulder Pain Rehabilitation
          Checklists
          Combined Modality Therapy
          Female
          Male
          Occupational Health
          Pain Measurement
          Physical Therapy
          Questionnaires
          Range of Motion
          Visual Analog Scaling
          Female
          Male
      ab: BACKGROUND AND PURPOSE: Work-related musculoskeletal disorders are widespread among computer users and costly to the health care system. Workstation setup and worker postures contribute to upper-extremity and neck symptoms among computer users. Ergonomic interventions such as work risk analysis and workstation modifications can improve workers' symptoms. However, ergonomic interventions do not appear to be a common component of traditional physical therapy treatment. CASE DESCRIPTION: The patient was a 26-year-old woman with right upper-extremity and neck pain referred for physical therapy. A course of traditional physical therapy treatment was performed followed by an ergonomic intervention. OUTCOMES: Following 4 weeks of traditional physical therapy, the patient showed a 1.0-cm improvement in her resting pain level but no change in her pain level during exacerbations on the visual analog scale. An ergonomic intervention was performed following traditional physical therapy. At the conclusion of the full course of treatment (traditional physical therapy plus ergonomic intervention), resting pain level decreased by 4.6 cm and exacerbation pain level decreased by 3.2 cm. Improvements in Rapid Upper Limb Assessment and Workstyle scores also were realized. DISCUSSION: This case report demonstrates the importance of examining the work habits and work-related postures of a patient who complains of upper-extremity and neck pain that is exacerbated by work. Providing an ergonomic intervention in concert with traditional physical therapy may be the most beneficial course of treatment.
      pubtype: Academic Journal
      doctype:
        case study
        questionnaire/scale
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N