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Upper Limb Disorders in the Workplace

Upper Limb Disorders (ULDs) are a common issue in the workplace that can cause pain and injuries to employees' neck, shoulders, arms, hands or wrists. Fortunately, ULDs are usually preventable.

Research has shown that upper limbs/neck are the second body part that gets affected by musculoskeletal disorders (LFS estimate 2021/2022).

Molly Woollett

16/02/24

The Blog

Upper Limb Disorders in the Workplace

Upper Limb Disorders (ULDs) are a common issue in the workplace that can cause pain and injuries to employees' neck, shoulders, arms, hands or wrists. Fortunately, ULDs are usually preventable.

Research has shown that upper limbs/neck are the second body part that gets affected by musculoskeletal disorders (LFS estimate 2021/2022).

Author Name

16/02/24

Introduction

ULDs are conditions which affect the muscles, tendons, ligaments, nerves or other soft tissues and joints. The upper limb includes the neck, shoulders, arms, wrists, hands and fingers. ULDs can occur in almost any workplace and they can usually be prevented. When prevention has not worked, systems are needed to make sure they are promptly reported, properly diagnosed and treated. Employers’ legal responsibility to prevent work-related accidents and poor health also applies to ULDs.

Common Upper Limb Disorders

  • Carpal Tunnel Syndrome: Often associated with repetitive hand and wrist movements, Carpal Tunnel Syndrome (CTS) is a prevalent upper limb disorder, especially in occupations involving extensive computer use. Employees in administrative roles, IT professionals, and writers are at an increased risk. Encouraging proper ergonomic practices, providing wrist supports, and implementing regular breaks for hand and wrist stretches can be effective preventive measures.
  • Tennis/Golfer’s Elbow: Jobs involving repetitive gripping, lifting, or activities that strain the forearm can lead to conditions like Tennis or Golfer’s Elbow. Mechanics, construction workers, and individuals involved in manual labor are susceptible. Implementing proper training on lifting techniques, offering ergonomic tools, and suggesting specific exercises for forearm strength can help mitigate these disorders.
  • Rotator Cuff Injuries: Employees engaged in tasks requiring repetitive overhead movements, such as painting or lifting objects, are prone to rotator cuff injuries. Proper warm-up routines, shoulder-strengthening exercises, and emphasizing the use of mechanical aids for heavy lifting can significantly reduce the risk of these injuries.
  • Thoracic Outlet Syndrome: Common in jobs that involve prolonged sitting or overhead work, Thoracic Outlet Syndrome can cause pain and numbness in the upper extremities. Implementing ergonomic workstations, promoting proper posture, and encouraging regular breaks for stretching exercises can help prevent this condition.

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Potential causes for ULDs

Upper limb disorders are more common in tasks that involve:

  • Prolonged repetitive work, particularly using the same hand or arm action
  • Uncomfortable or awkward working postures
  • Sustained or excessive force
  • Carrying out a task for a long time without suitable rest breaks
  • Working with hand-held power tools for long periods of time

Other things that may have an influence are:

  • Poor working environment (including temperature and lighting);
  • Poor work organisation (including workload, job demands and lack of breaks);
  • Individual differences and vulnerability (some workers are more affected by certain risks).

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The most effective ways to eliminate or reduce the risk are to:

  • Consider the risks when setting up new workstations so that the risks can be planned out it is cheaper than redesigning them or buying more suitable tools later
  • Eliminate part or all of the task using, for example, automation or powered tools.

If you cannot eliminate the risk:

  • Focus first on reducing the risk of the higher-risk activities or those that affect most workers
  • Make sure tools and equipment fit the workers’ hands and are suitable for the task
  • Make sure workstations are at a suitable height for comfortable working (and suitable chairs and footrests are provided). Consider adjustable workstations
  • Change the workstation layout to improve the posture of the workers, particularly when they are applying force
  • Reduce the amount of force, vibration, repetition, and prolonged fixed postures
  • Reduce the length of time that operators do the same task, allowing regular changes in  posture

 

ULD infographic
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