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Periodical Review
379 musculotendinous unit; tenderness o n p a l p a t i o n of specific structures; t h e presence of palpable s w e l l i n g o r synovitis, and a u d i b l e o r palpable crepitation. T h e t a b l e shows t h e evidence o f a w i d e r a n g e o f dysfunctions demonstrated in t h i s way during t h e e x a m i n a t i o n o f 25 subjects r e p o r t i n g w r i s t pain and a recent diagnosis of ‘tenosynovitis’. I t should b e noted that o n l y t e n o f t h e m had any p h y s i c a l signs consistent with having had such a diagnosis. Evidence of tissue dysfunctions demonstrated by the physical examination of 25 subjects reporting wrist Dain and a Drevious diagnosis of tenosynovitis (ihomison e t a l , 1990) ’ Physical evidence of dysfunction
Since t h e case i n v o l v i n g d e n i a l of ‘RSI’, a f e w others, classified by t h e same term, h a v e been r e p o r t e d as winning damages as l a r g e as E79,OOO ( T h e Times, January 19,1994)a n d E40,OOO ( T h e Independent, April
13, 1994). O n M a r c h 31, 1994, T h e Independent r e p o r t e d that: ‘The TUC estimates that there are hundreds of further cases pending. Unions believe the syndrome will prove as devastating as pneumoconiosis was in the mining industry’. T h i s i l l u s t r a t e s t h e u r g e n t need f o r t h e i m p r o v e m e n t of diagnostic methods and criteria, so that t h e i n e v i t a b l e injustices w i l l n o t continue.
No of subjects
References Joint dysfunctions Neck Shoulder Elbow Inferior radio-ulnar Radio-carpallulno-carpal Inter-carpal
8 2 3 1
10 2
Musclo-tendinous dysfunctions Flexors of wrist Flexors of digits Extensors Abductors Supinator
2 2 3 3 1
Neural dysfunctions Thoracic outlet Adverse neural tension
2 1
No of demonstrable dysfunctions = 40 in 25 subjects
Department of Health and Social Security (1988). If You Have an lndustrial Disease, Industrial Injuries Disablement Benefit Leaflet N1. Grieve, E F M (1992a). ‘A study of chronic arm pain in industry’, PhD thesis, University of Birmingham. Grieve, E F M (1992b). ‘The physical assessment of the musculotendinous unit - A revised interpretation of the findings (poster), Chartered Society of Physiotherapy, Annual Congress, Glasgow, October 5 - 9 . Grieve, E F M (1993a). ‘The cervical contribution to arm pain in a sample of industrial workers’, Physiotherapy Theory and Practice, 9, 223 - 234. Grieve, E F M (1993b). ‘A study of wrist pain in industry Theories of causation’, Clinical Rehabilitation, 7 , 283 - 289. Thompson, D, Grieve, E F M, Mabey, M N and Zalewski, M J P (1990). Occurrence and Mechanism of Occupational Repetition Strain Injuries, University of Birmingham.
periodical review This feature outlines the principal contents of journals and newsletters of Specific Interest Groups. To obtain the publications please contact the honorary secretary of the appropriate group, published in the Annual Report (dispatched with the May Journal). Association of Chartered Physiotherapists in Management
ManipulationAssociation of Chartered Physiotherapists
Journal
1994, vol 26, no 7, Spring W Rauschning Pathologic anatomy of the spine Quantitative assessment of vibratory thresholds and tolerance in patients with overuse syndrome of J Greening the upper limbs L Twomey, J R Taylor Lumbar intervertebral discs Case study M Bender
No 21, Winter 199394 Desperately seeking solutions Choosing the best services for patients Health choices Women in management and leadership Facing the future positively Job profiling: The potential for HCSWs
D J Hunter C Normand P D Gluckman R Fritchey C Langride N Evett
Organisation of Chartered Physiotherapists in Private Practice In Touch
Manipulative Physiotherapist
Association of Chartered Physiotherapists in Sports Medicine Physiotherapy in Sport
1993/94, no 70, Winter
1993, vol XVIll, no 3, November: Special issue on The Sporting Foot
Zygoapophyseal joints of the lumbar spine L T Twomey, J R Taylor L T Twomey, J R Taylor The whiplash syndrome M Baxter When can I afford to retire? Health promotion within physiotherapy S Storah Injections for spinal problems N A Watson
Biomechanical evaluation of the foot Management of Achilles tendonitis Taping the ankle and foot Plantar fasciitis: Differential diagnosis and treatment suggestions Skin and the athlete
T D Prior D Fitzgerald J Wright N Black G McCoshum
Physiotherapy, June 1994, vol80, no 6
Since t h e case i n v o l v i n g d e n i a l of ‘RSI’, a f e w others, classified by t h e same term, h a v e been r e p o r t e d as winning damages as l a r g e as E79,OOO ( T h e Times, January 19,1994)a n d E40,OOO ( T h e Independent, April
13, 1994). O n M a r c h 31, 1994, T h e Independent r e p o r t e d that: ‘The TUC estimates that there are hundreds of further cases pending. Unions believe the syndrome will prove as devastating as pneumoconiosis was in the mining industry’. T h i s i l l u s t r a t e s t h e u r g e n t need f o r t h e i m p r o v e m e n t of diagnostic methods and criteria, so that t h e i n e v i t a b l e injustices w i l l n o t continue.
No of subjects
References Joint dysfunctions Neck Shoulder Elbow Inferior radio-ulnar Radio-carpallulno-carpal Inter-carpal
8 2 3 1
10 2
Musclo-tendinous dysfunctions Flexors of wrist Flexors of digits Extensors Abductors Supinator
2 2 3 3 1
Neural dysfunctions Thoracic outlet Adverse neural tension
2 1
No of demonstrable dysfunctions = 40 in 25 subjects
Department of Health and Social Security (1988). If You Have an lndustrial Disease, Industrial Injuries Disablement Benefit Leaflet N1. Grieve, E F M (1992a). ‘A study of chronic arm pain in industry’, PhD thesis, University of Birmingham. Grieve, E F M (1992b). ‘The physical assessment of the musculotendinous unit - A revised interpretation of the findings (poster), Chartered Society of Physiotherapy, Annual Congress, Glasgow, October 5 - 9 . Grieve, E F M (1993a). ‘The cervical contribution to arm pain in a sample of industrial workers’, Physiotherapy Theory and Practice, 9, 223 - 234. Grieve, E F M (1993b). ‘A study of wrist pain in industry Theories of causation’, Clinical Rehabilitation, 7 , 283 - 289. Thompson, D, Grieve, E F M, Mabey, M N and Zalewski, M J P (1990). Occurrence and Mechanism of Occupational Repetition Strain Injuries, University of Birmingham.
periodical review This feature outlines the principal contents of journals and newsletters of Specific Interest Groups. To obtain the publications please contact the honorary secretary of the appropriate group, published in the Annual Report (dispatched with the May Journal). Association of Chartered Physiotherapists in Management
ManipulationAssociation of Chartered Physiotherapists
Journal
1994, vol 26, no 7, Spring W Rauschning Pathologic anatomy of the spine Quantitative assessment of vibratory thresholds and tolerance in patients with overuse syndrome of J Greening the upper limbs L Twomey, J R Taylor Lumbar intervertebral discs Case study M Bender
No 21, Winter 199394 Desperately seeking solutions Choosing the best services for patients Health choices Women in management and leadership Facing the future positively Job profiling: The potential for HCSWs
D J Hunter C Normand P D Gluckman R Fritchey C Langride N Evett
Organisation of Chartered Physiotherapists in Private Practice In Touch
Manipulative Physiotherapist
Association of Chartered Physiotherapists in Sports Medicine Physiotherapy in Sport
1993/94, no 70, Winter
1993, vol XVIll, no 3, November: Special issue on The Sporting Foot
Zygoapophyseal joints of the lumbar spine L T Twomey, J R Taylor L T Twomey, J R Taylor The whiplash syndrome M Baxter When can I afford to retire? Health promotion within physiotherapy S Storah Injections for spinal problems N A Watson
Biomechanical evaluation of the foot Management of Achilles tendonitis Taping the ankle and foot Plantar fasciitis: Differential diagnosis and treatment suggestions Skin and the athlete
T D Prior D Fitzgerald J Wright N Black G McCoshum
Physiotherapy, June 1994, vol80, no 6