Читать книгу Musculoskeletal Disorders - Sean Gallagher - Страница 25

Tendinopathy of the hand, wrist, and forearm has long been associated with performance of forceful and repetitive hand activities as potential causal factors (e.g., Armstrong, 1987). Studies assessing risk factors associated with hand‐wrist tendinopathy demonstrate that exposure to force, repetition, and non‐neutral postures all demonstrate positive associations; however, the combination of force and repetition demonstrate the strongest relationship with these hand‐wrist disorders (Armstrong, 1987; Barbe et al., 2013; Byström, Hall, Welander, & Kilbom, 1995; Kurrpa, Viikari‐Juntura, Kuosma, Huuskonen, & Kivi, 1991; Luopajärvi, Kuorinka, Virolainen, & Holmberg, 1979; Roto & Kivi, 1984). The study by Kurrpa et al. (1991) was prospective in nature and found that greater time on the job was associated with increased risk of hand‐wrist disorders, demonstrating temporality. Repetitive forceful activity of the thumb is often associated with the development of de Quervain’s syndrome (Freivalds, 2004).