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Document ID (ISN)100801
CIS number 02-1666
ISSN - Serial title 0271-3586 - American Journal of Industrial Medicine
Year 2002
Convention or series no.
Author(s) Novak C.B., Mackinnon S.E.
Title Multilevel nerve compression and muscle imbalance in work-related neuromuscular disorders
Bibliographic information May 2002, Vol.41, No.5, p.343-352. Illus. 64 ref.
Abstract This article discusses work-related upper limb disorders and proposes a unifying hypothesis to explain the multiplicity of symptoms with work-related neuromuscular disorders. It takes into account physical, individual and psychosocial factors. Abnormal postures and positions may compress nerves or alter muscle length resulting in secondary compressive forces on nerves or in muscle imbalances. Evaluation should identify all nerve compression levels and muscle imbalance in the arm and cervicoscapular region. Patient management must address all contributing factors and include patient education, postural correction and an exercise programme that takes into account the multiple nerve compression levels and the muscle imbalance. Surgery should be reserved for those few patients with evidence of a specific diagnosis who have failed conservative management.
Descriptors (primary) occupational diseases; upper extremity disorders; neuromuscular disorders
Descriptors (secondary) relaxation exercises; symptoms; work posture; ergonomics; body mechanics; upper extremities; cervicobrachial syndrome; theoretical analysis; job study; diagnosis
Document type D - Periodical articles
Country / State or ProvinceUSA
Subject(s) Occupational pathology
Broad subject area(s) Occupational medicine, epidemiology
Browse category(ies) Diseases of the musculoskeletal system
Physical fitness programmes
Diseases of the nervous system