repetitive strain injury

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Related to Repetitive strain: Overuse syndrome

repetitive strain injury

n. Abbr. RSI
Damage to tendons, nerves, and other soft tissues that is caused by the repeated performance of a limited number of physical movements and is characterized by numbness, pain, and a wasting and weakening of muscles.

repetitive strain injury

A work-related injury caused by overuse of a particular musculoskeletal group to perform a task that is repeated hundreds to thousands of times in day-to-day work; repetitive motion injury affects workers in the textile industry, meat-packers, keyboard operators and others.

repetitive strain injury

A disorder of motor function caused by any often-repeated activity that is persisted in beyond a particular threshold, especially if the activity involves an inherently awkward or uncomfortable position of the body. RSI particularly affects musicians, keyboard operators, cleaners, packers and machine operators. There is acute pain and cramp-like stiffness, and sometimes total inability to continue in the associated occupation. Initially, the condition explicitly, and by definition, excluded all disorders of known cause, but this led to many legal and other difficulties, and accounts now list numerous causes. RSI is, however, often stress-related and in many cases no muscular, tendon or neurological abnormality can be found, except that affected people often have raised thresholds for the appreciation of vibration. In some cases it appears analogous to WRITER'S CRAMP. Changes in the proportions of the different types of muscle fibres and an increase in the number of muscle cell MITOCHONDRIA have been described. The condition is usually managed by rest and rationed periods of work.

tenosynovitis

inflammation of tendon and synovial sheath
  • acute simple synovitis traumatic synovitis; due to over-/unaccustomed use causing tendon and synovial sheath inflammation; characterized by pain/crepitus on movement, local swelling and tendon warmth; treated by rest, appropriate padding and strapping, orthoses, shoe advice (especially for tenosynovitis of extensor hallucis longus)

  • acute suppurative synovitis infected synovitis due to puncture of the tendon sheath (e.g. a 'spike' injury of tendo Achilles) or breakdown of tissue deep to a persistent corn (e.g. overlying prominent extensor hallucis longus tendon; characterized by acute infection (see sepsis); treated as an infected lesion (see Table 1) with systemic antibiosis

  • chronic simple synovitis; repetitive strain injury; RSI chronic inflammation of tendon/sheath (due to repetitive overuse), together with subserved muscle weakness/wasting; treated as chronic inflammation; note: cause must be established and resolved to achieve permanent resolution

Table 1: Treatment of local sepsis
MnemonicRationaleTreatment modality
OOperateRemove the cause of the infection where possible, e.g. remove focal hyperkeratosis/foreign body/nail spike
CCleanseIrrigate area/cleanse cavity with Warmasol delivered under pressure from a sterile syringe
HHeatAssist drainage of pus/exudate by applying heat, e.g. immersion in a warm hypertonic NaCl bath
AAntisepticApply a liquid or powder antiseptic (e.g. Betadine)
DDressCover the lesion with a sterile dressing (e.g. sterile gauze; Lyofoam)
RRestImpose rest, e.g. deflective padding; shoe modification; walking cast; crutches, as necessary
AReappointArrange to review case in 24-72 hours
RReviewAt the subsequent appointment, review progress
If resolution has been initiated, continue to treat as above (O-A) and review weekly until healing is complete
If the infection has not improved, arrange for antibiosis, and continue to review and dress until healing is complete
RReferRefer for specialist review via GP: remember, slow-to-resolve infection can characterize undiagnosed diabetes, or other 'at-risk' patient category

Use all normal preoperative procedures; keep infected lesions covered until ready to treat; take a swab for pathology laboratory analysis of any exudate; use a sterile dressings pack; follow the OCH-A-DRARR treatment mnemonic.

'At-risk' patients presenting with infection or patients presenting with acute or spreading infection should be treated using the OCH-A-DRARR protocol, but provided with or referred for immediate antibiosis.

repetitive strain injury,

n a family of conditions characterized by pain, stiffness, numbness, and inflammation in joints and muscles; caused by chronic overuse. Also called
cumulative trauma disorders, CTD, or
repetitive motion injuries.

repetitive strain injury (RSI),

n a loose group of injuries that occur to muscles, nerves, and tendons as a result of repetitive movements of particular body parts. It is caused or aggravated by frequently repeated movements, such as computer strokes or the use of vibrating equipment. Symptoms include pain, tingling, or swelling of the affected body part. Also known as
overuse syndrome or
cumulative trauma disorder.
References in periodicals archive ?
According to OSHA, Repetitive Strain Injuries (RSIs) are the most common and costly occupational health issue, costing companies an estimated $20 billion dollars in workers' comp claims and lost productivity alone.
It can also be used to treat a large number of problems such as back pain, repetitive strain injury, sciatica and migraine to name but a few.
According to chiropractors, children using "tech toys" such as iPhones, iPads and hand-held games are complaining of repetitive strain injuries of the thumbs, wrist and elbows, stiff necks, headaches and sore shoulders, which are injuries usually associated with adults working with computers.
I think this makes me the only person in Britain currently with a repetitive strain syndrome due to over-use of a monocle" - Actor Michael Simkins, who wears a monocle in The King And I.
Her discussions include preventing injury by using proper body mechanics, creating strategies for different scenarios, repetitive strain and over-use injuries, the healing process, posture and stretching, utilizing the breath, yoga, nutrition, energizing chakras with food, and self-care.
A MEDICAL health organisation is calling on the Government to force West Midland's employers to improve working conditions following a sharp rise in repetitive strain injuries.
The Expo may seem costly, but the investment it could attract to Liverpool would eclipse that cost many times over, as long as we come home with tangible results, rather than repetitive strain injury from a lot of fruitless glad-handing.
PHYSIOTHERAPISTS called today for urgent action to protect workers from repetitive strain injury after a new report showed a "sharp increase" in the number of sufferers.
A typist with the RAF is to be paid almost half a million pounds because she developed repetitive strain injury from typing and it made her depressed.
The ergonomic wringer is utilized to combat Repetitive Strain Injuries, minimize bending, reduce fatigue, and decrease stress and strain on back, shoulders, and hands.
The strike is in protest at changes which the union claim will lead to excessive monitoring of staff, de-skilling of work and exposure to repetitive strain injury.
In our program, we emphasize getting yourself ready weeks before the work actually starts or you'll find it a pretty tough slog and dangerous in terms of repetitive strain injuries.

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