The Journal of Bone and Joint Surgery 82:1314 (2000)
© 2000 The Journal of Bone and Joint Surgery, Inc.
Repetitive Stress Injury: Diagnosis or Self-Fulfilling Prophecy?*
Robert M. Szabo, M.D., M.P.H. and
Kenneth J. King, J.D.
*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.
Department of Orthopaedics, University of California, Davis,
School of Medicine, 4860 Y Street, Sacramento, California 95817. E-mail
address: rmszabo@ucdavis.edu.
Brobeck, Phleger & Harrison, 1633 Broadway, 47th Floor,
New York, N.Y. 10019. E-mail address: kking@brobeck.com.
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Introduction
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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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