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Journal of Occupational Rehabilitation

, Volume 15, Issue 3, pp 401–415 | Cite as

An Interpreter’s Interpretation: Sign Language Interpreters’ View of Musculoskeletal Disorders

  • William L. Johnson
  • Michael Feuerstein
Article

Abstract

Introduction: Sign language interpreters are at increased risk for musculoskeletal disorders associated with work. Previous studies have used survey techniques to identify potential risk factors and approaches to their medical management. Little is known about risk factors and management of symptoms in this group from the perspective of the interpreter. Such qualitative information should help inform future research related to this professional group. Method: One thousand ninety-two sign language interpreters recruited from the Registry of Interpreters for the Deaf completed an open-ended question that was a component of a national prevalence survey. Responses were evaluated using content analysis. Inter and intra rater reliability were high (.88 and .92, respectively). Results: Risk factors for initiation and/or exacerbation of symptoms included: difficult job, interpreting setting (educational), interpreting style (e.g., posture, self generated force), and emotional and physical stressors. Exercise (e.g., stretching, aerobics) was a common prevention strategy. Conventional medical treatment was used as the first line approach to symptom control. Self-care methods such as exercise, diet and warm up prior to interpreting were also reported. While massage and chiropractic care was used as commonly as in the general population, acupuncture was found to be used more often. Coping strategies that were more active (e.g. exercise, diet, more control over work schedule) were also reported as useful. Conclusions: These findings provide a description of factors that interpreters view as important in the development and exacerbation of hand and wrist pain. The results also indicate that interpreters used many self-management approaches. Future research should carefully investigate the utility of such approaches using well-controlled designs. Also, because of its widespread use in this group the evaluation of acupuncture in the management of these symptoms appears warranted. The qualitative approach used in the present study permitted an analysis of the worker perspectives regarding risk and management of these work related symptoms. This information can be used to further inform future research.

Keywords

upper extremity symptoms upper extremity disorders sign language interpreters risk factors qualitative research primary prevention secondary prevention 

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References

  1. 1.
    Stedt JD. Interpreter’s wrist. Repetitive stress injury and carpal tunnel syndrome in sign language interpreters. Am Ann Deaf 1992; 137: 40–43.PubMedGoogle Scholar
  2. 2.
    DeCaro JJ, Feuerstein M, Hurwitz TA. Cumulative trauma disorders among educational interpreters. Contributing factors and intervention. Am Ann Deaf 1992; 137: 288–292.PubMedGoogle Scholar
  3. 3.
    Adkins D. Cumulative trauma disorders and interpreters for the deaf in Texas. Denton, Tx: Texas Woman’s University College of Health Sciences, 1998.Google Scholar
  4. 4.
    Feuerstein M, Carosella AM, Burrell LM, Marshall L, DeCaro J. Occupational upper extremity symptoms in sign language interpreters: prevalence and correlates of pain, function, and work disability. J Occup Rehab 1997; 7: 187–205.CrossRefGoogle Scholar
  5. 5.
    Scheuerle J, Guilford AM, Habal MB. Work-related cumulative trauma disorders and interpreters for the deaf. Appl Occup Environ Hyg 2000; 15: 429–434.CrossRefPubMedGoogle Scholar
  6. 6.
    Smith SM, Kress TA, Hart WM. Hand/wrist disorders among sign language communicators. Am Ann Deaf 2000; 145: 22–25.PubMedGoogle Scholar
  7. 7.
    Shealy J, Feuerstein M, Latko WA. Biomechanical analysis of upper extremity risk in sign language interpreting. J Occup Rehab 1991; 1: 217–225.CrossRefGoogle Scholar
  8. 8.
    Feuerstein M, Fitzgerald TE. Biomechanical factors affecting upper extremity cumulative trauma disorders in sign language interpreters. J Occup Med. 1992; 34: 257–264.PubMedGoogle Scholar
  9. 9.
    Rosenthal RL, Rosnow R. Further strategies for gathering data. In: Rosenthal RL, Rosnow R, eds. Essentials of behavioral research: Methods and data analysis. New York: McGraw-Hill Inc., 1991, pp. 210–240.Google Scholar
  10. 10.
    Feuerstein M. Work-related musculoskeletal symptoms in sign language interpreters: A national survey. 1993.Google Scholar
  11. 11.
    Shaughnessy JJ, Zechmeister EB. Research methods in psychology. New York, NY: Knopf, 1985, pp. 56–60.Google Scholar
  12. 12.
    Denzin NK, Lincoln YS. Introduction: The discipline and practice of qualitative research. In: Denzin NK, Lincoln YS, eds. Handbook of qualitative research. Thousand Oaks, CA: Sage, 2000, pp. 1–29.Google Scholar
  13. 13.
    Hanada EY. Efficacy of rehabilitative therapy in regional musculoskeletal conditions. Best Practice Res Clin Rheumatol 2003; 17: 151–166.CrossRefGoogle Scholar
  14. 14.
    Silverstein BA, Armstrong TJ, Longmate A, Woody D. Can in-plant exercise control musculoskeletal symptoms? J Occup Med 1988; 30: 922–927.PubMedGoogle Scholar
  15. 15.
    Grahn EBM, Stigmar GKE, Ekdahl CS. Motivation for change and personal resources in patients with prolonged musculoskeletal disorders. J Bodywork Movement Ther 2001; 5: 160–172.CrossRefGoogle Scholar
  16. 16.
    Vogelsang LM, Williams RL, Lawler K. Lifestyle correlates of Carpal Tunnel Syndrome. J Occup Rehab 1994; 4: 141–152.Google Scholar
  17. 17.
    Williams RL, Moore CA, Pettibone TJ, Thomas SP. Construction and validation of a self-report of self-management practices. J Res Personality 1992; 26: 216–234.CrossRefGoogle Scholar
  18. 18.
    Eisenberg DM, Davis RB, Ettner SL, Appel S, Wilkey S, Van Rompay M, Kessler RC. Trends in alternative medicine use in the United States, 1990–1997: results of a follow-up national survey. JAMA 1998; 280: 1569–1575.CrossRefPubMedGoogle Scholar
  19. 19.
    National Institute of Health. Consensus Development Conference Statement on Acupuncture (107). National Institute of Health, U.S. Department of Health and Human Services; 1997, pp. 1–34.Google Scholar
  20. 20.
    Cooper RA, McKee HJ. Chiropractic in the United States: trends and issues. Milbank Q. 2003; 81: 107–38 (Table).CrossRefPubMedGoogle Scholar
  21. 21.
    Reid J, Ewan C, Lowy E. Pilgrimage of pain: the illness experiences of women with repetition strain injury and the search for credibility. Soc Sci Med. 1991; 32: 601–612.CrossRefPubMedGoogle Scholar
  22. 22.
    Armstrong TJ, Buckle P, Fine LJ, Hagberg M, Jonsson B, Kilbom A, Kuorinka IA, Silverstein BA, Sjogaard G, Viikari-Juntura ER. A conceptual model for work-related neck and upper-limb musculoskeletal disorders. Scand J Work Environ Health 1993; 19: 73–84.PubMedGoogle Scholar
  23. 23.
    Latko WA, Armstrong TJ, Franzblau A, Ulin SS, Werner RA, Albers JW. Cross-sectional study of the relationship between repetitive work and the prevalence of upper limb musculoskeletal disorders. Am J Ind Med 1999; 36: 248–259.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science + Business Media, Inc. 2005

Authors and Affiliations

  1. 1.Department of Medical and Clinical PsychologyUniformed Services University of the Health SciencesBethesda
  2. 2.Georgetown University Medical CenterWashington DC

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