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The Journal of Bone and Joint Surgery 82:1314 (2000)
© 2000 The Journal of Bone and Joint Surgery, Inc.


Current Concepts Review

Repetitive Stress Injury: Diagnosis or Self-Fulfilling Prophecy?*

Robert M. Szabo, M.D., M.P.H.{dagger} and Kenneth J. King, J.D.{ddagger}

*One or more of the authors has received or will receive benefits for personal or professionaluse from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.
{dagger}Department of Orthopaedics, University of California, Davis, School of Medicine, 4860 Y Street, Sacramento, California 95817. E-mail address: rmszabo@ucdavis.edu.
{ddagger}Brobeck, Phleger & Harrison, 1633 Broadway, 47th Floor, New York, N.Y. 10019. E-mail address: kking@brobeck.com.


    Introduction
 
The vague definitions of so-called repetitive stress injuries are indicative of the fact that scientific studies have failed to show that repetitive motion causes injury.

Given the uncertainty about causation, work-related musculoskeletal disorders (WRMSDs) is a more readily accepted term to describe these phenomena.

There is little doubt that most ergonomic interventions increase comfort in the work environment, which is of great benefit to the worker.

Many proponents of ergonomics assert that the elimination of certain risk factors related to force, repetition, and posture can prevent or even cure work-related musculoskeletal disorders of the upper extremity. However, there is little scientific support for this position.

Undue reliance on ergonomics to treat musculoskeletal disorders, to the exclusion of proper diagnosis and attention to medical and health risk factors, can have adverse consequences for the patient.

Science rather than politics and public policy should determine what causes injury and disease.

The failure . . . [Full Text of this Article]


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