Perfectionism and coping strategies as risk factors for the development of non-specific work-related upper limb disorders (WRULD)

Eijsden-Besseling, M.D.F van; Peeters, Frenk; Reijnen, J. A. W.; Bie, Rob A. de

doi:10.1093/occmed/kqh003

Cited by 37 publications

(30 citation statements)

References 14 publications

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“…Possibly this is the stimulus as to why computer workers with non-specific upper limb disorders and showing pain catastrophizing behavior, not only develop, but are "painfully" aware of their upper limb disorders. In our study the role of pain catastrophizing overruled the impact of neurotic perfectionism and anxiety, found in earlier studies as risk factors 9,10) . Contrary to the study of Hamberg-van Reenen et al 5) which showed inconclusive evidence for the relationship between low physical capacity and future musculoskeletal pain in a large prospective cohort study, we found an association between lower physical fitness and early non-specific WRULD.…”

Section: Discussionsupporting

confidence: 72%

“…A large cross-sectional study among bank employees showed that job stress was strongly associated with the development of upper limb disorders 8) . With respect to psychological risk factors, especially overcommitment 4,7) , psycho neuroticism and neurotic perfectionism 9) showed a relationship with the onset of upper limb disorders. In a study among PhD students with upper limb disorders it had been shown that a high score on the Trait Anxiety Inventory (STAI 2) was associated with sooner absenteeism from work and self-perceived disability 10) .…”

Section: Introductionmentioning

confidence: 98%

“…However, contrary to this, a recent longitudinal cohort study among office workers in the Netherlands showed that long duration of computer work did not predict the occurrence of upper limb disorders 4) . In general, previous research on existing associations between physical 4,5) , psychosocial 4,[6][7][8] and psychological 4,7,9) risk factors, and the development of upper limb disorders showed mixed results. Psychosocial factors, especially moderate to low reward and low task variation, appeared to have an association with the onset of upper limb disorders 4,7) .…”

Section: Introductionmentioning

confidence: 99%

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Pain Catastrophizing and Lower Physical Fitness in a Sample of Computer Screen Workers with Early Non-specific Upper Limb Disorders: A Case-control Study

et al. 2010

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In computer workers psychological factors and physical fitness may play an important role in the onset and course of non-specific work-related upper limb disorders (WRULD) beyond socio-demographic factors. Based on our experiences in daily practice we assumed that pain catastrophizing and other psychological variables such as perfectionism, anxiety state and trait, and low physical fitness, are possibly associated with the occurrence of WRULD. We aim to study the association between pain catastrophizing, perfectionism, anxiety (state and trait), physical fitness, sex and level of education and the occurrence of WRULD, controlling for age as a confounder. Eighty-eight computer workers with early non-specific WRULD, who had been recruited for an intervention study, were compared with 31 healthy computer workers (controls) recruited from different departments of a university. This cross-sectional case-control study examined the influence of aforementioned variables on WRULD by means of logistic regression analyses. Among the different predictor variables investigated, pain catastrophizing (OR=1.37; 95%CI 1.17-1.59) and lower physical fitness had a positive relationship with WRULD (OR=0.65; 95%CI 0.48-0.87). According to this study, pain catastrophizing and lower physical fitness seem to be associated with early non-specific WRULD in computer workers. Prospective studies are needed to unravel these relationships.

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Section: Discussionsupporting

confidence: 72%

Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

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Pain Catastrophizing and Lower Physical Fitness in a Sample of Computer Screen Workers with Early Non-specific Upper Limb Disorders: A Case-control Study

et al. 2010

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“…The muscle blood flow was then measured by analyzing the slope of the total hemoglobin signal, being the sum of the oxyhemoglobin and deoxyhemoglobin (in mL/min/100 mL). 30,31 Local muscle oxygen consumption was determined at baseline and at 10%, 20%, and 40% of MVC. The oxygen consumption was measured by inflating the blood pressure cuff to 250 mmHg.…”

Section: Discussionmentioning

confidence: 99%

“…This technique is described in detail elsewhere. [29][30][31] Briefly, this technique is based on the relative transparency of tissue for light in the near-infrared region and on the oxygen-dependent absorption changes of hemoglobin and myoglobin. As one cannot distinguish between myoglobin and hemoglobin, the combined effect of these 2 substances is studied.…”

Section: Measuring Hemoglobin Oxygenationmentioning

confidence: 99%

Bilateral Changes in Forearm Oxygen Consumption at Rest and After Exercise in Patients With Unilateral Repetitive Strain Injury: A Case-Control Study

Brunnekreef

Thijssen²,

Oosterhof³

et al. 2012

J Orthop Sports Phys Ther

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Repetitive strain injury (RSI) is considered a nonspecific neck, shoulder, elbow, forearm, wrist, and/or hand-related overuse pain syndrome caused by sustained low-level static and/or repetitive muscle activity. This type of prolonged, low-intensity, and repetitive muscle activity induces local changes in skeletal muscle morphology and circulation, such as changes in the amount and distribution of muscle type I and IIA fibers, 13,[17][18][19][20] These local changes have been found in muscles affected by RSI and are believed to contribute to the clinical presentation of RSI complaints. Interestingly, RSI is also related to systemic problems such as reduced function of small and large sensory and sympathetic fibers.9 Moreover, a lower skin temperature was found in both arms of patients with unilateral RSI, which may be related to an underlying systemic change in the regulation of skin blood flow. 6,7,26 Nonetheless, previous studies have typically examined muscular or vascular adaptations of the affected side only.Recently, we found lower muscle oxygen consumption in forearm muscles affected by RSI.2 Whether changes in oxygen consumption are also present in the nonaffected arm of patients with unilateral RSI has not been investigated and may have important clinical implications. To date, treatment of RSI has often focused on local complaints only; however, if systemic changes are present in patients with RSI, optimal treatment may require a more systemic approach. For example, whole-body exercise training has well-established beneficial and systemic effects on the vasculature. 8,27T T STUDY DESIGN: Case-control study. T T OBJECTIVES:To investigate whether oxygen consumption and blood flow at rest and after exercise are lower in the affected arm of patients with repetitive strain injury (RSI) compared to controls, and lower in the healthy nonaffected forearm within patients with unilateral RSI. T T BACKGROUND:RSI is considered an upper extremity overuse injury. Despite the local presentation of complaints, RSI may be represented by systemic adaptations. Insight into the pathophysiology of RSI is important to better understand the development of RSI complaints and to develop effective treatment and prevention strategies. T T METHODS: Twenty patients with unilateralRSI and 20 gender-matched control subjects participated in this study. Forearm muscle blood flow and oxygen consumption were measured using near-infrared spectroscopy at baseline and immediately after isometric handgrip exercises at 10%, 20%, and 40% of the individual maximal voluntary contraction. T T RESULTS:Unilateral RSI resulted in a lower oxygen consumption and blood flow in the affected forearm at baseline and lower oxygen consumption after incremental handgrip exercises compared to controls (P<.05). In addition, exercise-induced blood flow and oxygen consumption in the nonaffected forearm in patients with RSI were similarly reduced. T T CONCLUSION:Blood flow and oxygen consumption after exercise are similarly attenuated in the affected and nonaff...

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Work-Related Musculoskeletal Disorders and Pain

Hernandez

Peterson

2012

Handbook of Occupational Health and Wellness

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Perfectionism and coping strategies as risk factors for the development of non-specific work-related upper limb disorders (WRULD)

Abstract: Alongside physical and psychosocial work-related factors, psychoneuroticism and neurotic perfectionism appear to be important risk factors for developing non-specific WRULD.

Cited by 37 publications

References 14 publications

Pain Catastrophizing and Lower Physical Fitness in a Sample of Computer Screen Workers with Early Non-specific Upper Limb Disorders: A Case-control Study

Pain Catastrophizing and Lower Physical Fitness in a Sample of Computer Screen Workers with Early Non-specific Upper Limb Disorders: A Case-control Study

Bilateral Changes in Forearm Oxygen Consumption at Rest and After Exercise in Patients With Unilateral Repetitive Strain Injury: A Case-Control Study

Work-Related Musculoskeletal Disorders and Pain

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