Repetitive strain injury syndrome

from Wikipedia, the free encyclopedia
Classification according to ICD-10
M77.9 Enthesopathy, unspecified
M76.9 Lower extremity enthesopathy, unspecified
ICD-10 online (WHO version 2019)

As Repetitive Strain Injury syndrome (short RSI , English repetitive strain injury , injury due to repeated strain / stress' ; colloquially secretaries disease , mouse arm ) is in the medicine refers to a disease in which non-specific symptoms such as neck, shoulder , Arm and / or hand complaints occur after repetitive activities. Particularly affected are people who are only exposed to low, but certain stresses (e.g. computer workstation). In the latter case, the frequent stereotypical movements when using a computer mouse or keyboard are sufficient to trigger these complaints. Exercise seems to help prevent RSI syndrome. A change in anatomical structures has not yet been proven. The clinical picture is distinguished from specific diseases such as carpal tunnel syndrome and tendinitis , which are summarized under the term cumulative trauma disorders (CTD).

causes

The causes of the RSI syndrome are controversial and have only been researched to a limited extent.

In the past it was thought to be an inflammation of the tendons , which is why the RSI syndrome is often diagnosed as tendonitis to this day . However, more recent research has shown that most patients with RSI do not have inflammation in the affected tissues . Instead, it is a degeneration of tendon tissue, triggered by chronic overload, a so-called tendopathy (English tendinosis ).

The constant overuse damages collagen fibers . If the body does not have enough time to regenerate, not enough collagen of sufficient quality is produced. The result is degeneration and lower resilience of the tendon, which causes the symptoms of RSI syndrome.

Prevention

To an RSI prevention , are a good sitting posture, an ergonomic workplace (especially office chair ) and regular work breaks and plenty of exercise is very important.

An ergonomic computer workstation includes, for example, an ergonomic, height-adjustable and rotatable office chair with armrests, an ergonomic keyboard (bent in a V-shape to achieve a natural and relaxed arm posture), possibly a hand rest in front of the keyboard, and a sufficiently large screen that is adjustable in height and viewing angle , an ergonomically designed mouse and enough space to stretch your legs. There are also numerous alternative input methods for the computer, such as language software , the roller bar mouse (English: barmouse ) or graphics tablets , which allow a more relaxed hand and forearm position than with a computer mouse. There are also various software products that are reminiscent of micro-breaks. Prolific writers are advised to enter program commands with key commands (e.g. Strg+ Cto copy or Strg+ Vto paste ) instead of using the mouse.

Recognition as an occupational disease

Insurance policies are recognized as such in a number of developed countries, including the US, Australia [not in source] and the UK. In Great Britain, a 2006 study found approx. 4 million people affected, triggered by SMS typing. In Australia and the US, RSI is now the number one occupational disease. The Netherlands and Denmark have initiated programs to effectively protect screen workers from RSI. In a Dutch clinic, intermittent vacuum therapy has been offered as a possible treatment method for RSI syndrome since the beginning of 2013 . In Germany at the end of 2006 the syndrome was still largely unknown even among doctors and orthopedists.

In Germany , the various forms of RSI do not automatically count as occupational diseases. The Administrative Court Göttingen , however, first recognized in 2006, tendonitis by mouse operation as an occupational disease. The Administrative Court of Aachen issued a similar judgment on August 14, 2011.

See also

literature

Web links

Individual evidence

  1. ↑ a b Alphabetical directory for the ICD-10-WHO version 2019, volume 3. German Institute for Medical Documentation and Information (DIMDI), Cologne, 2019, p. 748.
  2. ^ J. Petersen: VDU workplaces - an occupational medical evaluation . In: Dtsch Arztebl. 2006; 103 (30), pp. A 2047-A 2052. Online version
  3. ↑ EM Lacerda et al .: Prevalence and associations of symptoms of upper extremities, repetitive strain injuries (RSI) and 'RSI-like condition'. A cross sectional study of bank workers in Northeast Brazil. In: BMC Public Health. 2005; 5, p. 107, PMC 1282577 (free full text)
  4. ↑ Evelyn Bass: tendinopathy: Why the Difference Between tendinitis and tendinosis Matters . In: International Journal of Therapeutic Massage & Bodywork . tape 5 , no. 1 , March 31, 2012, ISSN  1916-257X , p. 14-17 , PMID 22553479 , PMC 3312643 (free full text).
  5. ↑ tendinosis vs. Tendonitis - Elite Sports Therapy - Calgary Physiotherapy . In: Elite Sports Therapy - Calgary Physiotherapy . ( elitesportstherapy.com [accessed August 26, 2017]).
  6. ↑ Misdiagnosis: when tendinosis is dismissed as tendinitis . In: Ergopax . June 29, 2017 ( ergopax.de [accessed August 26, 2017]).
  7. ↑ Alina Brack: A roller mouse for healthy posture. In: Swiss IT Magazine . January 2014, accessed June 30, 2014.
  8. ↑ a b c IG Metall ITK: Mausarm - An Avoidable Evil. December 12, 2006.
  9. ↑ Federal Institute for Occupational Safety and Health, literature collection on the RSI syndrome from August 2002.
  10. ↑ theregister.co.uk
  11. ↑ rsi-kliniek.nl ( Memento of the original from November 12, 2013 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. @1@ 2Template: Webachiv / IABot / www.rsi-kliniek.nl
  12. ↑ Decision VG Göttingen, AZ 3 A 38/05 of August 22, 2006: "Civil servants' care: Recognition of tendinitis as an occupational disease"
  13. ^ Judgment of the VG Aachen from August 14, 2011, AZ 1 K 1203/09