University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository


physician assistant - occupational medicine


Nancy Reid, MHA, DHSc, PA-C, DFAAPA


Key Words: Cumulative Trauma, Repetitive Use, Worker’s compensation, occupational medicine

Objectives: The main purpose of this paper is to ascertain best clinical practice regarding the evaluation, diagnosis, treatment, and prevention of repetitive use work related injuries or trauma.

Materials and Methods: The studied material includes information regarding carpal tunnel syndrome, upper extremity repetitive use injury, and ergonomics studies. Sources include the United States Depart of Labor, Bureau of Labor Statistics, Congressional Research Service, and multiple international journals. A PubMed search was conducted using MeSH terms “repetitive use trauma”, “upper extremity trauma” and “cumulative trauma injuries”.

Results and Conclusion: Cumulative trauma injuries in the occupational medicine setting are costly and difficult to treat. They are, however, preventable injuries. Prevention and early detection and treatment are the key to decreasing the burden of cumulative trauma injuries. Further research is needed in prevention strategies for high risk occupations.


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