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Musculoskeletal Disorders and the Workplace: Low Back and Upper Extremities [Kõva köide]

  • Formaat: Hardback, 510 pages, kõrgus x laius: 229x152 mm
  • Ilmumisaeg: 24-Jun-2001
  • Kirjastus: National Academies Press
  • ISBN-10: 0309072840
  • ISBN-13: 9780309072847
Teised raamatud teemal:
  • Formaat: Hardback, 510 pages, kõrgus x laius: 229x152 mm
  • Ilmumisaeg: 24-Jun-2001
  • Kirjastus: National Academies Press
  • ISBN-10: 0309072840
  • ISBN-13: 9780309072847
Teised raamatud teemal:
Every year workers' low-back, hand, and arm problems lead to time away from jobs and reduce the nation's economic productivity. The connection of these problems to workplace activities-from carrying boxes to lifting patients to pounding computer keyboards-is the subject of major disagreements among workers, employers, advocacy groups, and researchers.





Musculoskeletal Disorders and the Workplace examines the scientific basis for connecting musculoskeletal disorders with the workplace, considering people, job tasks, and work environments. A multidisciplinary panel draws conclusions about the likelihood of causal links and the effectiveness of various intervention strategies. The panel also offers recommendations for what actions can be considered on the basis of current information and for closing information gaps.





This book presents the latest information on the prevalence, incidence, and costs of musculoskeletal disorders and identifies factors that influence injury reporting. It reviews the broad scope of evidence: epidemiological studies of physical and psychosocial variables, basic biology, biomechanics, and physical and behavioral responses to stress. Given the magnitude of the problem-approximately 1 million people miss some work each year-and the current trends in workplace practices, this volume will be a must for advocates for workplace health, policy makers, employers, employees, medical professionals, engineers, lawyers, and labor officials. Table of Contents



Front Matter Executive Summary Part I: Introduction Introduction Dimensions of the Problem Methodological Issues and Approaches Part II: Review of the Evidence Epidemiological Evidence Tissue Mechanobiology Biomechanics Occupational Stress Interventions in the Workplace Work Now and In the Future Part II: Implications Patterns of Evidence Conclusions and Recommendations Research Agenda References Appendix A: Answers to Questions Posed by Congress Appendix B: Dissent, Robert M. Szabo Appendix C: Panel Response to the Dissent Appendix D: Contributors to the Report Appendix E: Biographical Sketches of Panel Members and Staff Index
Preface xiii
Executive Summary 1(16)
PART I: INTRODUCTION
Introduction
17(21)
Charge to the Panel
18(2)
Background
20(1)
Approach to the Problem
21(2)
The Whole Person: Injury, Illness, and Disease
23(4)
Levels of Analysis: Individuals and Populations
27(1)
Contextual Factors
28(3)
Mechanical, Physiological, and Psychological Factors
31(4)
Guide to the Report
35(3)
Dimensions of the Problem
38(27)
Musculoskeletal Disorders in the General Population
38(6)
Work-Related Musculoskeletal Disorders
44(13)
Data on Economic Costs
57(2)
Limitations of the Data
59(5)
Summary
64(1)
Methodological Issues and Approaches
65(20)
Research Perspectives
66(5)
Determining Causality Within Studies
71(6)
Criteria for Causality Across Studies
77(2)
Study Designs
79(2)
Pattern of Evidence Comparisons
81(4)
PART II: REVIEW OF THE EVIDENCE
Epidemiologic Evidence
85(99)
Methods
85(13)
Results
98(15)
Conclusion
113(4)
Appendix
117(67)
Tissue Mechanobiology
184(35)
Pain Pathways from Peripheral Tissues
185(2)
Literature Review
187(1)
Vertebral Bone and Spinal Disc
187(7)
Tendons and Ligaments
194(5)
Skeletal Muscle
199(11)
Peripheral Nerve
210(3)
Spinal Nerve Roots
213(3)
Summary
216(3)
Biomechanics
219(68)
Concepts of Load Tolerance
219(16)
Low Back Mechanics
235(18)
Upper Body Biomechanics
253(34)
Occupational Stress
287(14)
General Models of Occupational Stress
288(1)
Biological Response
289(2)
Occupational Stress and Work-Related Musculoskeletal Disorders: Some Working Hypotheses
291(9)
Summary
300(1)
Interventions in the Workplace
301(29)
Context
302(1)
Principles of Ergonomics
303(5)
Specific Interventions: Back
308(6)
Specific Interventions: Upper Extremities
314(6)
Challenges During the Process of Ergonomic Intervention
320(7)
Summary
327(3)
Work Now and in the Future
330(21)
Trends in Employment by Industry Sector and Occupation
331(4)
External Factors Influencing the Nature of Work
335(11)
Summary
346(5)
PART III. IMPLICATIONS
Patterns of Evidence
351(13)
Back Disorders and the Workplace
354(4)
Upper Extremity Disorders and the Workplace
358(3)
Summary
361(3)
Conclusions and Recommendations
364(6)
Conclusions
364(1)
Recommendations
365(2)
Additional Considerations
367(3)
Research Agenda
370(5)
Methodological Research
370(2)
Topic Area Research
372(3)
REFERENCES 375(96)
APPENDIXES
A Answers to Questions Posed by Congress
431(8)
B Dissent, Robert M. Szabo
439(19)
C Panel Response to the Dissent
458(3)
D Contributors to the Report
461(4)
E Biographical Sketches of Panel Members and Staff
465(6)
Index 471


Panel on Musculoskeletal Disorders and the Workplace, Commission on Behavioral and Social Sciences and Education, National Research Council