Advertisement

Ergonomic Interventions for Computer Users with Cumulative Trauma Disorders

  • Glenn Goodman
  • Sharon Flinn
Chapter

Abstract

This chapter examines ergonomic interventions for computer users who experience cumulative trauma disorders (CTDs) in the workplace. The complex nature of these disorders demonstrates the need for holistic, comprehensive, and personalized evaluations. Examples of occupational therapy and other interventions for these disorders and their effectiveness are reported. Recommendations for occupational therapy practice and further research are provided.

Keywords

Computers Cumulative trauma disorders Ergonomics Musculoskeletal disorders 

Notes

Acknowledgments

The authors acknowledge Heidi Rost, S/OT, for literature searches and contributions to the case study.

References

  1. American Industrial Hygiene Association (2013) An ergonomics approach to avoiding workplace injury. https://www.aiha.org/about-ih/Pages/an-ergonomics-approach-to-avoiding-office-workplace-injuries-and-illnesses.aspx
  2. Amini D (2011) Occupational therapy interventions for work-related injuries and conditions of the forearm, wrist, and hand: a systematic review. Am J Occup Ther 65(1):29–36CrossRefPubMedGoogle Scholar
  3. Baker NA, Cidboy EI (2006) The effect of three alternative keyboard designs on forearm pronation, wrist extension, and ulnar deviation: a meta-analysis. Am J Occup Ther 60(1):40–49CrossRefPubMedGoogle Scholar
  4. Bernaards C, Ariens G, Knol D, Hildebrandt V (2007) The effectiveness of a work style intervention and a lifestyle physical activity intervention on the recovery from neck and upper limb symptoms in computer workers. Pain 132(1–2):142–153CrossRefPubMedGoogle Scholar
  5. Blatter B, Bongers P (2007) Duration of computer use and mouse use in relation to musculoskeletal disorders of the neck or upper limb. Int J Ind Ergonom 30(4–5):295–306Google Scholar
  6. Bohr PC (2000) Efficacy of office ergonomics education. J Occup Rehabil 10(4):243–255CrossRefGoogle Scholar
  7. Brewer S, Van Eerd D, Amick B III et al (2006) Workplace interventions to prevent musculoskeletal and visual symptoms and disorders among computer users: a systematic review. J Occup Rehabil 16(3):325–358PubMedGoogle Scholar
  8. Brigham Young University (2005) Ergonomics safety program. http://safety.byu.edu/docs/ErgonomicsSafetyProgram.pdf
  9. Bureau of Labor Statistics (2012) Nonfatal occupational injuries and illnesses requiring days away from work. http://www.bls.gov/news.release/osh2.nr0.htm
  10. Chetty L (2010) Physiotherapy and ergonomics for a work-related musculoskeletal disorder. Int J Ther Rehabil 17(2):84–91CrossRefGoogle Scholar
  11. Clemson University (n.d.) Clemson University ergonomics plan. http://www.clemson.edu/ehs/cehsp/CU%20Ergonomics%20Plan.pdf
  12. Collet C, Guillot A, Petit C (2010) Phoning while driving I: a review of epidemiological, psychological, behavioural and physiological studies, Ergonomics 53:589–601. doi:10.1080/00140131003672023CrossRefPubMedGoogle Scholar
  13. Cook AM, Polgar JM (2008a) Assistive technologies: principles and practice. Mosby, St. LouisGoogle Scholar
  14. Cook AM, Polgar JM (2008b) Cook and Hussey’s assistive technologies: principles and practice, 3rd edn. http://www.amazon.com/Cook-Husseys-Assistive-Technologies-Principles/dp/0323039073
  15. Cook C, Burgess-Limerick R, Chang S (2000) The prevalence of neck and upper extremity musculoskeletal symptoms in computer mouse users. Int J Ind Ergonom 26(3):347–356CrossRefGoogle Scholar
  16. Cook C, Burgess-Limerick R, Papalia S (2004) The effect of wrist rests and forearm support during keyboard and mouse use. Int J Ind Ergonom 33(5):464–472CrossRefGoogle Scholar
  17. Delisle A, Imbeau D, Santos B, Plamondon A, Montpetit Y (2004) Left-handed versus right-handed computer mouse use: effect on upper-extremity posture. Appl Ergonom 35(1):21–28CrossRefGoogle Scholar
  18. Ellis R, Hing W (2008) Neural mobilization: a systematic review of randomized controlled trials with an analysis of therapeutic efficacy. J Man Manip Ther 16(1):8–22CrossRefPubMedCentralPubMedGoogle Scholar
  19. Eltayeb S, Staal JB, Hassan A, de Bie RA (2009) Work related risk factors for neck, shoulder and arms complaints: a cohort study among Dutch computer office workers. J Occup Rehabil 19(4):315–322CrossRefPubMedCentralPubMedGoogle Scholar
  20. Fagarasanu M, Kumar S (2003) Carpal tunnel syndrome due to keyboarding and mouse tasks: a review. Int J Ind Ergonom 31(2):119–136CrossRefGoogle Scholar
  21. Flinn S, DeMott L (2013) Functional anatomy. In Cooper C (ed) Fundamentals of hand therapy: clinical reasoning and treatment guidelines for common diagnoses of the upper extremity, 2nd edn. Elsevier Mosby, St. Louis, pp 15–34Google Scholar
  22. Foye PM, Cianca JC, Prather H (2002) Industrial medicine and acute musculoskeletal rehabilitation. III. Cumulative trauma disorders of the upper limb in computer users. Arch Phys Med Rehabil 83(Suppl 1):S12–S15CrossRefPubMedGoogle Scholar
  23. Goodman G, Landis J, George C et al (2005) Effectiveness of computer ergonomics interventions for an engineering company: a program evaluation. Work 24(1):53–62PubMedGoogle Scholar
  24. Goodman G, Kovach L, Fisher A, Elsesser E, Bobinski D, Hansen J (2012) Effective Interventions for cumulative trauma disorders of the upper extremity in computer users: practice models based on systematic review. Work 42(2):153–172PubMedGoogle Scholar
  25. Greene B, DeJoy D, Olejnik S (2005) Effects of an active ergonomics training program on risk exposure, workers beliefs, and symptoms in computer users. Work 24(1):41–52PubMedGoogle Scholar
  26. Hamilton AG, Jacobs K, Orsmond G (2005) The prevalence of computer-related musculoskeletal complaints in female college students. Work 24(4):387–394PubMedGoogle Scholar
  27. Harvard University (2008) Computer workstation ergonomic training and evaluation program. http://www.ehs.harvard.edu/sites/ehs.harvard.edu/files/toolbox_talks_computer_ergonomics_english_0.pdf
  28. Husemann B, Von Mach C, Borsotto D, Zepf K, Scharnbacher J (2009) Comparisons of musculoskeletal complaints and data entry between a sitting and a sit-stand workstation paradigm. Hum Factors 51:310–320CrossRefPubMedGoogle Scholar
  29. Keller K, Corbett J, Nichols D (1998) Repetitive strain injury in computer keyboard users: pathomechanics and treatment principles in individual and group intervention. J Hand Ther 11(1):9–26CrossRefPubMedGoogle Scholar
  30. Lawler AL, James AB, Tomlin G (1997) Educational techniques used in occupational therapy treatment of cumulative trauma disorders of the elbow, wrist, and hand. Am J Occup Ther 51(2):113–118CrossRefPubMedGoogle Scholar
  31. Lee DL, Jacobs K (2001) Perspectives in occupational therapy: bridging computer ergonomics with work practice. Technol Special Interest Sect Q 11(4):1–4Google Scholar
  32. Lindegard A et al (2012) Perceived exertion, comfort, and working technique in professional computer users and association with the incidence of neck and upper extremity symptoms. BMC Musculoskelet Disord 13(38):1–8Google Scholar
  33. Loy B (2013) Accommodating people with cumulative trauma disorders. Job accommodations network. http://www.jan.wvu.edu/media/CTDs.html
  34. Mahmud N, Kenny D, Zein R, Hassan S (2011) Ergonomic training reduces musculoskeletal disorders among office workers: results from the 6 month follow up. Malaysian J Med Sci 18(2):16–26Google Scholar
  35. Marcus M, Gerr F, Montelh C et al (2002) A prospective study of computer users. II. Postural risk factors for musculoskeletal symptoms and disorders. Am J Ind Med 41(4):236–249CrossRefPubMedGoogle Scholar
  36. Moraes B, Andrade V (2012) Implantation of an ergonomics administration system in a company: repot of an occupational therapist specialist in ergonomics. Work 41(12):2637–2642PubMedGoogle Scholar
  37. New Jersey Department of Health and Senior Services (2003) Cumulative trauma disorders in office workers. http://www.nj.gov/health/peosh/documents/ctdib.pdf
  38. Nieuwenhuijsen ER (2004) Health behavior change among office workers: an exploratory study to prevent repetitive strain injuries. Work 23(3):215–224PubMedGoogle Scholar
  39. Noack J (2005) Development of an employer-based injury-prevention program for office workers using ergonomic principles. OT Pract 10(7):1–8Google Scholar
  40. Olsen D, Cruz R, Izdebski K, Baldwin T (2004) Muscle tension dysphonia in patients who use computerized speech recognition systems. Ear Nose Throat J 83:195–198Google Scholar
  41. Omer S, Ozcan E, Karen A, Ketenci A (2004) Musculoskeletal system disorders in computer users: effectiveness of training and exercise programs. J Back Musculoskelet Rehabil 17:9–13Google Scholar
  42. Pascarelli EF, Hsu YP (2001) Understanding work-related upper extremity disorders: clinical findings in 485 computer users, musicians, and others. J Occup Rehabil 11(1):1–21CrossRefPubMedGoogle Scholar
  43. Putz-Anderson V (1998) Defining cumulative trauma disorders. In: Putz-Anderson V (ed) Cumulative trauma disorders—a manual for musculoskeletal diseases of the upper limbs. Taylor & Francis, BristolGoogle Scholar
  44. Robertson MM (2007) Health and performance consequences of office ergonomic interventions among computer workers. In: Dainoff MJ (Ed.) Ergonomics and health aspects, HCII 2007, LCNS 4566. Springer, Berlin, pp 135–143Google Scholar
  45. Trujillo L, Zeng X (2006) Data entry workers perceptions and satisfaction response to the “Stop and Stretch” software program. Work 27(2):111–121PubMedGoogle Scholar
  46. University of Connecticut Occupational and Environmental Health Center (n.d.) Cumulative trauma disorders and computer workstation problems. http://www.uchc.edu/srosen1/oehc/consultation_outreach/ergonomics.html
  47. University of Medicine and Dentistry of New Jersey (2011) Computer workstation design. http://rehs.rutgers.edu/office_safety_ergo.html
  48. U.S. Census Bureau (2013) Computer and internet use in the United States. http://www.census.gov/hhes/computer/
  49. U.S. Department of Labor (n.d.) OSHA ergonomics solutions: computer Workstations eTool-checklist. https://www.osha.gov/SLTC/etools/computerworkstations/index.html
  50. Waylett-Rendall J, Niemeyer LO (2004) Exploratory analysis to identify factors impacting return-to-work outcomes in cases of cumulative trauma disorder. J Hand Ther 17(1):50–57CrossRefPubMedGoogle Scholar
  51. Weiss PT, Chan CC (2008) Computers and assistive technology. In: Jacobs K (ed) Ergonomics for therapists, 3rd ed. Mosby, St. LouisGoogle Scholar
  52. Werner R (2006) Evaluation of work-related carpal tunnel syndrome. J Occup Rehabil 16(2):207–222PubMedGoogle Scholar
  53. Wilkens P (2003) Preventing work-related musculoskeletal disorders in VDT users: a comprehensive health promotion program. Work 24(2):171–178Google Scholar
  54. Young JG, Trudeau M, Odell D, Marinelli K, Dennerlein JT (2012) Touch-screen tablet user configurations and case-supported tilt affect head and neck flexion angles. Work 41:81–91PubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  1. 1.Occupational Therapy ProgramCleveland State UniversityClevelandUSA
  2. 2.Division of Occupational Therapy, School of Health and Rehabilitation SciencesThe Ohio State University Wexner Medical CenterColumbusUSA

Personalised recommendations