Abstract
Abstract Work-related musculoskeletal disorders comprise a heterogeneous group of conditions whose natural history is for the most part poorly understood. A variety of terms have been used in different ways. For some, ‘work-related upper limb disorders’, ‘cumulative trauma disorders’, and ‘repetitive strain disorders’ are synonymous and describe a range of conditions—some well defined, others less so—arising or appearing to arise from frequent overuse at work. For others, repetitive strain injury (RSI) refers to a particular diagnosis made by exclusion: chronic upper limb pain ascribed to overuse at work for which no clinical diagnosis can be made. The apparently simple question, ‘which musculoskeletal problems are work-related’, has proved difficult to answer. Study data are weakened by cross-sectional designs and by selection bias.
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