Yip Wai Yee. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2002. / Includes bibliographical references (leaves 128-138). / Abstracts in English and Chinese ; questionnaires also in Chinese. / ACKNOWLEDGEMENTS --- p.I / ABSTRACT --- p.III / TABLE OF CONTENTS --- p.VIII / ABBREVIATIONS --- p.XIII / LIST OF TABLES --- p.XIV / LIST OF FIGURES --- p.XVII / Chapter CHAPTER 1 --- INTRODUCTION --- p.1 / LITERATURE REVIEW --- p.5 / Chapter 1.1. --- "Definition of Musculoskeletal Discomforts, Cumulative Trauma Disorders" --- p.5 / Chapter 1.2. --- Mechanism of injury --- p.10 / Chapter 1.3. --- Women prone to develop CTDs --- p.11 / Chapter 1.3.1. --- Incidence of CTDUEs of women overseas --- p.12 / Chapter 1.3.2. --- Incidence of CTDUEs of women in Hong Kong --- p.14 / Chapter 1.4. --- Theoretical Framework --- p.14 / Chapter 1.4.1. --- Dose Response Model --- p.14 / Chapter 1.4.2. --- Risk factors --- p.14 / Chapter 1.4.2.1. --- Physical risk factors --- p.18 / Chapter 1.4.2.2. --- Psychological risk factors --- p.21 / Chapter 1.4.2.3. --- Individual factors --- p.22 / Chapter 1.5. --- Management of CTDUEs --- p.25 / Chapter 1.6. --- Significance of this project --- p.26 / Chapter 1.6.1. --- Observations in the local hospital survey --- p.26 / Chapter 1.6.2. --- Comparative data of housewives to workers in other occupations --- p.29 / Chapter 1.6.3. --- Work characteristics of housework --- p.29 / Chapter 1.6.4. --- Housewiveśةsocial status --- p.31 / Chapter 1.6.5. --- Personal cost --- p.32 / Chapter 1.6.6. --- Family cost --- p.33 / Chapter 1.6.7. --- Social cost --- p.33 / Chapter CHAPTER 2 --- PREVALENCE OF MUSCULOSKELETAL COMPLAINTS AMONG HONG KONG HOUSEWIVES --- p.35 / Chapter 2.1. --- Objective --- p.35 / Chapter 2.2. --- Methodology --- p.36 / Chapter 2.2.1. --- Study design --- p.36 / Chapter 2.2.2. --- Subjects inclusion/ Steps --- p.36 / Chapter 2.2.3. --- Instrumentation --- p.37 / Chapter 2.2.3.1. --- Choice of the Standardized Nordic Musculoskeletal Questionnaire --- p.37 / Chapter 2.2.3.2. --- Structure of the Standardized Nordic Musculoskeletal Questionnaire --- p.38 / Chapter 2.2.3.5. --- Reliability and validity --- p.41 / Chapter 2.3. --- Data analysis --- p.41 / Chapter 2.4. --- Results --- p.43 / Chapter 2.4.1. --- General results --- p.43 / Chapter 2.4.2. --- Demographic characteristics --- p.43 / Chapter 2.4.3. --- Patterns of general musculoskeletal symptoms --- p.44 / Chapter 2.4.4. --- 12-month prevalence of musculoskeletal complaints --- p.44 / Chapter 2.4.5. --- Seven-day prevalence of musculoskeletal complaints --- p.45 / Chapter 2.4.6. --- Functional disturbances --- p.45 / Chapter 2.4.7. --- Specific questions about distal upper extremity --- p.46 / Chapter 2.4.8. --- Localization --- p.47 / Chapter 2.4.9. --- Severity level to affect ADL in the past 12months --- p.47 / Chapter 2.4.10. --- Medical consultation in the past 12 months --- p.50 / Chapter 2.4.11. --- Correlation drawn from the variables --- p.51 / Chapter 2.5. --- Discussion --- p.52 / Chapter 2.5.1. --- Interpretations of the findings --- p.52 / Chapter 2.5.1.1. --- Demographic characteristics of the sample population --- p.52 / Chapter 2.5.1.2. --- Correlation of complaints about different body regions to housework --- p.53 / Chapter 2.5.1.3. --- Significance of upper extremities in functional activities --- p.54 / Chapter 2.5.2. --- Reliability of phone survey --- p.54 / Chapter 2.5.3. --- Definition of musculoskeletal symptoms --- p.55 / Chapter 2.5.4. --- Future trend: changes in women's employment in Hong Kong --- p.55 / Chapter 2.5.5. --- Limitations --- p.57 / Chapter CHAPTER 3 --- RISK FACTORS ASSOCIATING WITH CUMULATIVE TRAUMA DISORDERS OF THE UPPER EXTREMITIES AMONG HONG KONG HOUSEWIVES --- p.60 / Chapter 3.1. --- Objectives --- p.60 / Chapter 3.2. --- Methodology --- p.61 / Chapter 3.2.1. --- Pilot study --- p.61 / Chapter 3.2.2. --- Study design --- p.61 / Chapter 3.2.3. --- Subject selection --- p.62 / Chapter 3.2.3.1. --- Normal study recruitment --- p.62 / Chapter 3.2.3.2. --- Patient group recruitment --- p.63 / Chapter 3.2.4. --- Tennis Elbow --- p.63 / Chapter 3.2.5. --- Golfer's Elbow --- p.65 / Chapter 3.2.6. --- Carpal Tunnel Syndrome --- p.67 / Chapter 3.2.7. --- DeQuervain's Disease --- p.68 / Chapter 3.3.8. --- Subjects Inclusion --- p.70 / Chapter 3.3.9. --- Sample size calculation --- p.71 / Chapter 3.3.10. --- Data Collection Procedures --- p.72 / Chapter 3.3.11. --- Instrumentation: Exposure Assessment --- p.72 / Chapter 3.3.12. --- Physical load factors --- p.76 / Chapter 3.3.12.1. --- Part la Life Schedule Analysis --- p.76 / Chapter 3.3.12.2. --- Part lb DOT-Work Demand Questionnaire --- p.77 / Chapter 3.3.12.3. --- Psychological Factors --- p.78 / Chapter 3.3.12.4. --- Part 3 Individual factors --- p.80 / Chapter 3.3.12.5. --- CTDUEs delineation --- p.80 / Chapter 3.3.12.6. --- Statistical Analysis --- p.81 / Chapter 3.4. --- Results --- p.82 / Chapter 3.4.1. --- Pilot test findings --- p.82 / Chapter 3.4.2. --- Demographics Characteristics of Samples --- p.85 / Chapter 3.4.2.1. --- Age --- p.85 / Chapter 3.4.2.2. --- Years of being housewives and years from previous job --- p.85 / Chapter 3.4.2.3. --- Number of family members --- p.86 / Chapter 3.4.2.4. --- Body Mass Index --- p.86 / Chapter 3.4.2.5. --- Average hand grip strength --- p.86 / Chapter 3.4.2.6. --- Other family conditions --- p.88 / Chapter 3.4.3. --- Physical observations of the samples --- p.91 / Chapter 3.4.3.1. --- Physical observations of the samples in life schedule (Part la) --- p.91 / Chapter 3.4.3.2. --- Physical observations of the samples in DOT (Part lb) --- p.95 / Chapter 3.4.4. --- Psychological observations from the samples --- p.98 / Chapter 3.4.5. --- Results of Hand assessments --- p.101 / Chapter 3.4.6. --- Bivariate analyses --- p.101 / Chapter 3.4.7. --- Multiple Logistic Regression analysis --- p.106 / Chapter 3.4.8. --- Predicted power --- p.108 / Chapter 3.5. --- Discussions --- p.108 / Chapter 3.5.1. --- Study population characteristics --- p.109 / Chapter 3.5.2. --- Age effect --- p.110 / Chapter 3.5.3. --- Life pattern of the patients --- p.111 / Chapter 3.5.4. --- Model discussion (Possible relationships) --- p.111 / Chapter 3.5.4.1. --- Personal risk factors --- p.111 / Chapter 3.5.4.2. --- Physical risk factor --- p.112 / Chapter 3.5.4.3. --- Psychological risk factor --- p.114 / Chapter 3.5.5. --- Limitations --- p.116 / Chapter CHAPTER 4 --- OVERALL DISCUSSIONS --- p.120 / Chapter 4.1. --- Unclassified group --- p.120 / Chapter 4.2. --- Develop risk assessment instrumentation --- p.121 / Chapter 4.3. --- Model application --- p.121 / Chapter 4.4. --- Future direction --- p.122 / Chapter 4.4.1. --- Intervention programme for housewives --- p.122 / Chapter 4.5. --- Future studies --- p.124 / Chapter 4.6. --- Contributions --- p.125 / Chapter 4.6.1. --- First study solely on housewives --- p.125 / Chapter 4.6.2. --- For clinicians --- p.125 / Chapter 4.6.3. --- For government --- p.126 / Chapter 4.7. --- Final Conclusion --- p.127 / BIBLIOGRAPHY --- p.128 / APPENDIX I PHONE SURVEY --- p.XVIII / APPENDIX II HAND ASSESSMENT FORM --- p.XXIII / APPENDIX III SAMPLE SIZE CALCULATION --- p.XXVIII / APPENDIX IV INVITATION LETTER TO COMMUNITY CENTER 226}0´ØØ… --- p.XXIX / APPENDIX V CONSENT FORM OF MAIN QUESTIONNAIRE --- p.XXX / APPENDIX VI MAIN QUESTIONNAIRE --- p.XXXII / APPENDIX VII CASE STUDY --- p.XXXIX / Chapter 1.1. --- Case study --- p.XXXIX / Chapter 1.1.1 --- Case A --- p.XXXIX / Chapter 1.1.1.1. --- Personal History: --- p.XXXIX / Chapter 1.1.1.2. --- Medical History: --- p.XXXIX / Chapter 1.1.1.3. --- Physical Assessment: --- p.XL / Chapter 1.1.1.4. --- On-Job Site Visit: --- p.XL / Chapter 1.2.1. --- Case B --- p.XL / Chapter 1.2.1.1. --- Personal History: --- p.XL / Chapter 1.2.1.2. --- Medical History: --- p.XL / Chapter 1.2.1.3. --- Physical assessment: --- p.XLI / Chapter 1.2.1.4. --- On-Job Site Visit: --- p.XLI / Chapter 1.3.1. --- CaseC --- p.XLI / Chapter 1.3.1.1. --- Personal History: --- p.XLI / Chapter 1.3.1.2. --- Medical History: --- p.XLII / Chapter 1.3.1.3. --- Physical Assessment: --- p.XLII / Chapter 1.3.1.4. --- On-Job Site Visit: --- p.XLII / Chapter 1.4.1 --- Problems Identification --- p.XLIII / Chapter 1.4.1.1. --- Case A --- p.XLIII / Chapter 1.4.1.2. --- Case B --- p.XLVI / Chapter 1.4.1.3. --- Case C --- p.XLVIII