The most important skill you need…
Case
study:
Progression of disease I
Case
study:
Progression of disease II
Case study:
State progression of disease III
WHO Definition of work-related musculoskeletal disorders 1:
WHO Definition of work-related musculoskeletal disorders 2:
WHO Definition of work-related musculoskeletal disorders 3:
WHO Definition of work-related musculoskeletal disorders 4:
Draft amendment of Schedule 3 of COID Act (130 0f 1993) – 7 Nov 2003
Definition: Work-related Upper Limb Disorder (WRULDs) (CI 180)
Historical Perspective
Alternative Names
Historical Perspective IV
OCD Epidemic (Japan) 1960 - 1980
Historical Perspective V
1964 Ministry of Labour Guidelines (Japan)
Historical Perspective VI
Mid 1980’s – Australian RSI Epidemic
Historical Perspective
VII
Telecom Australia 1981 - 1985
Historical Perspective
VIII
RSI Definition
Historical Perspective IX
Who developed RSI?
Historical Perspective XI
RSI controversy
Historical Perspective
XIII
Supreme Court of Australia
Historical Perspective
XIV
Australian Hand Surgery Society Resolution (1985)
WRULDs – Historical
Perspective XV
Medical Journal of Australia (1986)
Historical Perspective
XVI
CTD Epidemic in USA (1990s)
Historical Perspective
XVII
WRULD – UK & Europe
Cost of WRULDs II
European Union
Cost of WRULDs III
South Africa
Cost of WRULDs IV
Direct & indirect costs
WRULDs - Risk Factors
3
Psychosocial factors 1
WRULDs - Risk Factors
4
Psychosocial factors 2
WRULDs - Risk Factors 6
Individual differences cont…
LOWER BACK PAIN -RISK FACTORS Occupational
LOWER BACK PAIN -RISK FACTORS Non-occupational
Work-relatedness of MSD:
Physical work risk factors 1
Work-relatedness of MSD:
Physical work risk factors 2
Work-relatedness of MSD:
Physical work risk factors 3
Work-relatedness of MSD:
Physical work risk factors 4
Work-relatedness of MSD:
Physical work risk factors 5
Work-relatedness of MSD:
Physical work risk factors 6
CLINICAL &
COMPENSATION ASPECTS
Classification
Types of WRULDS 1
Classification
Types of WRULDS 2
Classification
According to affect on specific tissue
Classification
Tendon-related disorders I
Classification
Tendon-related disorders II
Classification
Tendon-related disorders III
Classification
Tendon-related disorders IV
Classification
Nerve-Related Disorders I
Classification
Nerve-Related Disorders II
Classification
Nerve-Related Disorders III
Classification
Bursa-related disorders
Classification
Blood-vessel disorders
Classification
Other Disorders
Shoulder
Rotator Cuff Syndrome I
Shoulder
Rotator Cuff Syndrome II
Shoulder
Rotator Cuff Syndrome III
Shoulder
Job activities and tasks typically associated with rotator cuff syndrome
Shoulder
Other work-related shoulder conditions
Elbow
Lateral Epicondylitis II
Elbow
Medial Epicondylitis (“Golfer’s Elbow”)
Forearm, Wrist &
Fingers
De Quervain’s Tenosynovitis I
Forearm, Wrist &
Fingers
De Quervain’s Tenosynovitis II
Forearm, Wrist &
Fingers
De Quervain’s Tenosynovitis III
Forearm, Wrist &
Fingers
De Quervain’s Tenosynovitis IV
Forearm, Wrist &
Fingers
De Quervain’s Tenosynovitis V
Forearm, Wrist &
Fingers
De Quervain’s Tenosynovitis VI
Forearm, Wrist &
Fingers
Trigger Finger / Thumb I
Forearm, Wrist &
Fingers
Trigger Finger / Thumb II
Forearm, Wrist &
Fingers
Carpal Tunnel Syndrome I
Forearm, Wrist &
Fingers
Carpal Tunnel Syndrome II
Forearm, Wrist &
Fingers
Carpal Tunnel Syndrome III
Forearm, Wrist &
Fingers
Carpal Tunnel Syndrome IV
Forearm, Wrist &
Fingers
Carpal Tunnel Syndrome V
Forearm, Wrist &
Fingers
Flexor/Extensor
tendinosis/tenosynovitis
Forearm, Wrist &
Fingers
Other work-related hand and wrist conditions
Diagnosis
Principles of diagnosis I
Diagnosis
Principles of diagnosis II
Diagnosis
State progression of disease I
Diagnosis
State progression of disease II
Diagnosis
State progression of disease III
Diagnosis
History of occupational exposure I
Diagnosis
History of occupational exposure I
Diagnosis
History of occupational exposure II
Diagnosis
Special investigations
Treatment
Anti-inflammatory Strategies
Treatment
Biokinetic and ergonomic strategies I
Treatment
Biokinetic and ergonomic strategies II
Treatment
Biokinetic and ergonomic strategies III
Treatment
Biokinetic and ergonomic strategies IV
Treatment
Psychology & Surgery
Circular Instruction 180
Occupational Disease
vs. Occupational Injury
Circular Instruction 180
Compensation & Prevention
(COIDA & OHSA/MHSA)
Reporting to the Compensation Commissioner 1
Reporting to the Compensation Commissioner 2
Reporting to the Compensation Commissioner 3
Permanent impairment will be assessed after (I):