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Physical Therapy and Ergonomic Interventions in Patients with VDT Syndrome: 4 Cases Study  

Lee, In-Hee (Department of Medical Informatics, School of Medicine, Keimyeung University)
Park, Sang-Young (Department of Rehabilitation Science, Graduate School, Daegu University)
Publication Information
The Journal of Korean Physical Therapy / v.22, no.4, 2010 , pp. 91-96 More about this Journal
Abstract
Purpose: Among computer users, the awkward posture and workstation setups of workers contribute to work-related upper limb musculoskeletal disorders. The purpose of this study was to evaluate the efficacy of a traditional physical therapy and ergonomic intervention by physical therapists in 4 computer users. Methods: After checking Visual Analogue Scores (VAS), four subjects who were treated by physical therapy for neck and shoulder problems related to VDT syndrome were enrolled in the study. All subjects spent at least 40 hours per week at a computer workstation. All subjects had pain and ergonomic states evaluated using methods such as VAS, Neck Disability Index (NDI), Workstyle short form, Rapid Upper Limb Assessment (RULA), and OSHA VDT checklist (Occupational Safety and Health Administration video display terminal) before a physical therapy + ergonomic intervention. Participants were re-evaluated 1 month later. Results: Participants showed more improvement of their neck pain after being treated with a physical therapy plus ergonomic intervention than when treatment consisted only of physical therapy. Improvements in RULA, Workstyle short form, and OSHA VDT checklist also were achieved. Conclusion: This case study suggests the importance of examining the work habits and work-related postures of subjects who complain of neck and shoulder pain that is exacerbated by computer use. Personalized ergonomic interventions and physical therapy can lead to improvement of patients with VDT syndrome.
Keywords
Ergonomic intervention; Physical therapist; VDT syndrome;
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1 Korhonen T, Ketola R, Toivonen R et al. Work-related and individual predictors for incident neck pain among office employees working with video display units. Occup Environ Med. 2003;60(7):475-82.   DOI   ScienceOn
2 Korea Ministry of Labor. VDT work management. 2004-50. 2004.
3 Gallagher EJ, Bijur PE, Latimer C, et al. Reliability and validity of a visual analogue scale for acute abdominal pain in the ED. AM J Emerg Med. 2002;20(4):287-290.   DOI   ScienceOn
4 Feuerstein M, Nicholas RA. Development of a short form of the Workstyle measure. Occup Med (Lond). 2006;56(2):94-9.
5 Lee EW, Shin WS, Jung KS et al. Reliability and validity of the neck disability index in neck pain patients. KAUPT. 2007;14(3):97-106.
6 McAtamney L, Nigel Corlett E. RULA: asurvey method for the investigation of work-related upper limb disorders. Appl Ergon. 1993;24(2):91-9.   DOI   ScienceOn
7 Ketola R, Toivonen R, Hakkanen M et al. Effects of ergonomic intervention in work with video display units. Scand J Work Environ Health. 2002;28(1):18-24.   DOI   ScienceOn
8 Marcus M, Gerr F. Upper extremity musculoskeletal symptoms among female office workers: associations with video terminal use and occupational psychosocial stressors. Am J Ind Med. 1996;29(2):161-70.   DOI   ScienceOn
9 Ortiz-Hernandez L, Tamez-Gonzalez S, Martinez-Alcantara S et al. Computer use increases the risk of musculoskeletal disorders among newspaper office workers. Arch Med Res. 2003;34(4):331-42.   DOI   ScienceOn
10 Marcus M, Gerr F, Monteilh C et al. A prospective study of computer users: II. Postural risk factors for musculoskeletal symptoms and disorders. Am J IndMed. 2002;41(4):236-49.
11 Lewis RJ, Krawiec M, Confer Eet al. Musculoskeletal disorder worker compensation costs and injuries before and after an office ergonomics program. Int J Ind Ergon. 2002;29(2):95-9.   DOI   ScienceOn
12 Tittiranonda P, Burastero S, Rempele D. Risk factors for musculoskeletal disorders among computer users. Occup Med. 199914(1):17-38.
13 Fabrizio P. Ergonomic intervention in the treatment of a patient with upper extremity and neck pain. Phys Ther. 2009;89(4):351-60.   DOI   ScienceOn
14 Lee IH. Application of NOISH lifting equation to analysis of workload for patients transferring by physical therapist: a case study. J Kor Soc Phys Ther. 2009;21(3):119-24.   과학기술학회마을
15 KoreaMinistry of Labor. Industrial Disaster Statistics. 2008.
16 Phillastrini P, Mugnai R, Farneti C et al. Evaluation of two preventive interventions for reducing musculoskeletal complaints in operators of video display terminals. Phys Ther. 2007;87(5):536-44.   DOI   ScienceOn