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Note: This item is split on the basis of references to a few basis points of the upper extremity MSD / CTD and promote the implementation of preventive measures. There are significant quantities of articles on this topic for more details, but get a proper diagnosis, prevention, and recovery MSD / CTD, please consult a physician.

Most of us suffer from some form of CTD / MSD (single or combination of disabilities) as a result of some predisposing factors that we do not know. It grows with age and that we increasingly to factors risks. ASEAN (including Malaysia) most often experience long hours and feel appropriate practice, and therefore increase the CTD / MSD. .

What is a CTD / MSD

definition is: the affections of the nerves, muscles, tendons and bones, which are caused, precipitated or aggravated by her repeated efforts or movements of the body. They are professionals and related also caused / increased by factors of life. Two broad categories:

i throat disorders – disorders of pain syndrome, thoracic outlet syndrome (OCD), cervical spondylosis

ii nerve compression syndromes – S. .. ex Carpal tunnel syndrome is the most common compression neuropathy in the upper end – by repetitive flexion and extension of the wrist caused by the fingers bent affecting the wrist and hand

unique combination or any disease can exist in patients and a CTD / MSD may affect the other. patients understand the pathogenesis of their condition, understand the issues of rehabilitation and prevention.

1.1 cause and factors

(work, study and work) ergonomics blends features of the man with the living and working environment, shows that edentary type of work, workplace biomechanical stress, malnutrition, metabolic and endocrine disorders, chronic infection s, causes of bad practice or an increased risk of CTD / MSD.

This means that as we deal with – the work ethic at work / computer, sleeping position, carry things, the use of tools – strong vibrations, long-term continuous seating and moving, driving ergonomics and posture car. Job Stress (anxiety and tension) and the repetitive nature of many jobs in modern industry to CTD, not to mention the frustration of the employment. The most important physical forcing factors, increased repetition, vibration, posture and ergonomics, the cold, the risk for most diseases and predisposing factors that cause or aggravate the symptoms. Overweight or obesity is a serious risk factor, not only increases the risk for health problems, but also CTD / MSD. Women have a higher risk in most cases (especially those with underlying factors) – caused birth defects, hormonal problems (including thyroid problems), bone formation / shape, etc. vascular

1, 2 treatment and rehabilitation – based on the specific injury / illness and possibly on the basis of patient status

These are provided with medical advice on the correct diagnosis of the disease. It is recommended by experts for second opinions if necessary. Usually some or all of these are necessary: –

surgery in certain situations and / or injection / inflammatory Physiotherapy – stretching / exercise program (Therapeutic Yoga, swimming, etc.), heat / ice, ultrasound, electrical stimulation, Massage at Work – suitable position and posture (ergonomics) to stress, reduce burdens on the shoulders and neck, in improving the posture, exercise and adequate rest, the use of personal protective equipment Support Tools / (PSA) such as braces and backrest / brackets etc.

say 1.3 motivation for rehabilitation / recovery

motivation for the restoration (rehabilitation) needs the function. Desire to obtain and often also affect the ability to go well. Motivation for recovery may not have direct impact on how the patient reacts to this disturbance. It can perform his attitude and lifestyle – and life is what are about.Most all rehabilitation patients motivated to recover and do most rehabilitated, if they know what it means to rehabilitation is to be understood. They are the ones who will not return to work or be deterred by such factors that prevent health care rehabilitation efforts. However, if the patient plays a passive role, it is assumed that the recovery is paid to him if he fails uninterested or uninformed, then surely all attempts to rehabilitate him.

2.0 Carpal tunnel syndrome (CTS) and thoracic outlet syndrome (TOC)

Hands

have special meaning, because its function is so complex and to livelihoods. The proper functioning of the hands are needed to enable us to touch, feel, kiss, caress, lift, grasp, things, food, bath and keep out other routine activities dialysis. Your ability to feel and touch your family or friends, and daily tasks will be affected if you easy CTD / MSD. In most of the CTD / MSD is the hand of the most affected upper extremity.

CTS affects the wrist and hands and the most common compression neuropathy in the upper end – by repetitive flexion and extension of the wrist with fingers flexed causes.

signs and symptoms of CTS – root / stiffness, pain, numbness or numbness, tingling, heaviness, changes in temperature. The predisposing factors for carpal tunnel syndrome (CTS) are inflammatory, trauma, tumors, deposits of biosynthetic product, abnormal vascularization and the conditions for any other system. Women are at higher risk are much smaller than the size of their carp than men. Physical factors increase the risk: force (keyboard by hard, hard or keyboards), repetition (continuous input and click), vibration (car and other vibrating tools or equipment vibration control underweight), posture / ergonomics (seating wrong seat design /, Workstation and the seat height in relation to etc, a different angle / turn the computer in relation to the attitude of the individual), cold weather. Cold weather affects dexterity of fingers per hand can cause numbness

avoid poses risk: –

long term sitting, standing or repetitive shoulder scapular motion and poor posture of the back and neck / bad seat the position of the wrist and hand, which influence and Repetitive Strain Injury (ITR) at the wrist, hands, back, neck, shoulders. This can lead to nerve compression syndromes and TOC. Head forward, rounded shoulder posture predisposing factor for the development of thoracic outlet syndrome (OCD), which coexists with generally CTS in some people. sits cross-legged among the others and on one elbow while using the computer because it eliminates ergonomic support and strengthen the likelihood of MSD / CTD. suspension of the hand on the top of the wheel of a car for a longer period.

3.0 Prevention and Rehabilitation CTD / MSD

See DOSH guidelines for the seats and the use on the screen, and other references at the end of this article primarily to “carpal tunnel syndrome exercises” and “physical activity for all “for the prevention of CTD / MSD

good posture and work habits. Break between work – exercise of work, for example, after 30 minutes with the computer to interrupt at least 20 minutes for regular exercise: Perform second 3-5 hours a week moderate endurance training OR -3 Hours a week of intense aerobic exercise and muscle work internal reinforcements – two times a week. Preventing overweight and obesity.

4.0 Conclusion

Finally, I want to share my advice to the community and the public and private employers.

– to public and private sector and individuals to take the necessary measures to prevent and control MSD / CTD can fill out to take our personal health’m committed family and social needs

-. Create positions of psychologist / therapist to the public / private work similar to those in developed countries to guidance / supervision of the risks inherent therefore can offer the healthy work habits, stress management and healthy lifestyle.

Knowledge, attitudes and practices is the key to prevention and control of health problems. So do not wait, start now!

References:

DOSH guidelines for Malaysia seats at Work, 2002

DOSH guidelines for Malaysia working with VDUs, 2003

at the hands work and upper extremity injuries and diseases, Editing Mordon L Kasdan, MD, FACS.

carpal tunnel syndrome Sheet: National Institute of Neurological Disorders and Stroke (NINDS) www.ninds.nih.gov / disorders / carpal_tunnel / detail_carpal_tunnel.htm

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