MSK

Question 1

Work related MSK Disorders

Answer 1

1. Fixed body position
2. Repetitive tasks
3. Force concentration on small body part
4. Fast pace, no recovery

Question 2

Upper limb disorder type 1

Answer 2

Clear diagnosis like carpel tunnel, epicondylitis

Question 3

Upper limb disorder type 2

Answer 3

Symptomatic diagnosis with no proven pathology (diffuse non specific ULD)

Question 4

Two mechanistic categories

Answer 4

1. Static muscle activity - localised hypoxia, more neck

2. Repeated or forceful dynamic activity - repeated movements causes tissue irritation, oedema.

Question 5

Epicondylitis

Answer 5

Electricians

Question 6

de Quervains tenosynovitis

Answer 6

Sewing machine operators, cutters, packers

Question 7

Trigger finger

Answer 7

Labelling gun

Question 8

Tendonitis

Answer 8

Meat packers

Question 9

Bicipital tendonitis

Answer 9

Mechanics

Question 10

Carpel tunnel syndrome

Answer 10

Train drivers, cleaners

Question 11

HSE 5 Steps for Risk Assessment

Answer 11

1. Identify the hazards present
2. Assess who might be harmed
3. Evaluate level of risk and if further controls required
4. Record findings and implement them
5. Review the assessment later for change

Question 12

RULA

Answer 12

Rapid upper limb assessment technique
For neck and UL
Generates a score to determine urgency of action.
Green 1-2, yellow 3-5, Red +6

Question 13

ART

Answer 13

Assessment of repetitive tasks tool
12 factors into 4 stages. Numerical score, traffic light
1. Frequency and repetition
2. Force
3. Awkward position of neck/back/arm
4. Additional factors like breaks/duration

Question 14

Knee Bursitis

Answer 14

(housemaid’s knee, clergyman’s knee)

Construction workers, carpet layers, tile setters.

Question 15

Beat knee

Answer 15

Extreme form of knee bursitis.

Thickening of skin over knee

Question 16

Manual Handling Operations Regulations 1992

Answer 16

Requires employers to assess the workplace for lifting hazards and designs systems to reduce or eliminate them.
Any transporting or supporting of a load (including the lifting, putting down, pushing, pulling, carrying or moving thereof) by hand or bodily force

Question 17

Yellow flags

Answer 17

Psychological factors
Negative attitude towards back pain
Expectation that passive rather than active tx will help
Social or financial problems

Question 18

Blue flags

Answer 18

Workplace conditions like low degree of control
Poor interpersonal relationships. Bullying.
High work demand

Question 19

Black flags

Answer 19

Financial dependence on benefits

Workers compensation issues

Question 20

Waddle’s sign

Answer 20

Group of signs that may indicate non-organic or psychological components of low back pain.
3 or more is significant.

Question 21

Prevention of low back pain

Answer 21

1. Selection
2. Training in manual handling
3. Job modification and engineering controls

Question 22

Four factors for Manual Handling Regulations

Answer 22

1. Task
2. Load
3. Working environment
4. Individual capacity
   (TILE)

Question 23

Red Flags

Answer 23

Absolute medical barriers to recovery.

Eg bipolar disorder, back pain due to herniated disc

Question 24

Chequered flags

Answer 24

Social disincentives to recover

Eg spouse already retired, hobbies, care givers.

Question 25

Ergonomics Assessment

Answer 25

Looks at all human factors involved in the task at hand.

Social, psychological and physical factors.

Question 26

MAC

Answer 26

Manual Handling Assessment Chart
Assess lifting, carrying, team handling.
Green to Red.
PURPLE is very high level of risk
Also considers floor, psychosocial factors.
NOT FOR UPPER LIMB
NOT A FULL RISK ASSESSMENT