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<Provider Id="sundheddkcms"> <Item Id="{A9E87189-FEDD-46BB-8648-FA2ABFB36411}" Name="musearm" Type="PHContentPage" ParentProviderId="sundheddkcms" ParentItemId="{1E1BD1F8-3B42-470A-858B-761DBFCEB657}" SortOrder="94" PublishDate="2010-06-25T15:57:00" DeleteDate="2999-12-31T00:00:00" PotItemType=""> <Content> <LinkListField Name="Spot2"> <LinkField linktype="internal">{A12FFEB9-7D21-4130-9428-1457C5AB696B}</LinkField> </LinkListField> <HtmlField Name="FactContent"><![CDATA[<h2>Fakta</h2> <ul> <li>Musearm dækker over forskellige gener med overbelastning af hånd og arm, på grund af arbejde med computer med PC-mus </li> <li>Musearm er ganske almindeligt </li> <li>Der kan blandt andet være tale om irritation (epikondylitis) ved albuen eller karpaltunnelsyndrom med afklemning af en nerve ved håndleddet </li> <li>Generne ved musearm kan i nogen grad minimeres, ved at du ændrer din arbejdsprocedure og ændrer de fysiske forhold ved tastatur og evt. variation mellem forskellige mus</li> </ul>]]></HtmlField> <HtmlField Name="PageContent"><![CDATA[<h2>Hvad er "musearm"?</h2> <p>Musearm er en tilstand, der opstår i forbindelse med at du anvender en computer. </p> <p>Begrebet musearm omfatter alle de symptomer, der kan opstå i forbindelse med gentagne belastninger af muskler, ledbånd, sener og nerver. </p> <p>Begrebet musearm dækker over mange forskellige tilstande i skulderen, armen, håndleddet og hånden, således at både symptomerne og diagnoserne kan variere. Der følger ofte nakkesmerter med tilstanden. </p> <p>Fællesnævneren er, at besværet kan skyldes langvarigt arbejde ved computer.</p> <h2>Hvad er symptomerne på "musearm"?</h2> <p>Smerter i arm og hånd ved overbelastning, som er relateret til brug af PC-mus og tastatur</p> <h3>Hvilke symptomer skal du være særlig opmærksom på?</h3> <p>Smerter fra hånd eller arm, som bliver ved selv i hvile. Er der føleforstyrrelser bør det undersøges nærmere.</p> <h2>Hvordan stilles diagnosen?</h2> <p>Det er let at stille en diagnose, fordi der er en tydelig sammenhæng mellem symptomerne og arbejdet eller arbejdsopgaverne ved computeren. </p> <p>Imidlertid er det en opgave for lægen at stille den nøjagtige diagnose. Hvilken sene eller hvilke senetilhæftninger er overbelastet? Er der nerveafklemning af medianusnerven? </p> <p>Symptomerne varierer alt efter hvilke strukturer, der er overbelastede. </p> <p>Personen har typisk smerter i underarme, håndled, håndflader og skuldre. Smerterne bliver som regel værre efter længerevarende arbejdsopgaver ved computeren. </p> <h2>Hvorfor får du "musearm"?</h2> <p>Musearm er ikke en strengt defineret sygdom. Den omfatter alle de problemer, der kan opstå i overarmen, og som har noget at gøre med belastning ved computerarbejde. Det kan vise sig i form af ledbetændelse, betændelse i muskel og senetilhæftninger (fx <a href="~/link.aspx?_id=C4BB85BD99534A409C9FC2A130567FB7&_z=z">epikondylitis</a>) og afklemning af en nerve (fx <a href="~/link.aspx?_id=B55CAB822A674090B061AA5A22EC6CA7&_z=z">karpaltunnelsyndrom</a>).</p> <p>Præcisionsarbejde med en mus medfører længerevarende perioder, hvor håndleddet holdes i en stilling, der afviger fra normalstillingen. Arbejde med mus medfører nemlig, at du holder underarmen og håndled i en stilling, der afviger fra det normale. Derudover giver det spændinger i fingre og fingerspidser, når du trykker på tasterne og griber om musen. </p> <p>En af hovednerverne til hånden (medianusnerven) passerer på undersiden af håndleddet. </p> <p>I forbindelse med meget musearbejde kan denne nerve komme i klemme i håndleddet. Det er noget, som på sigt kan medføre det såkaldte karpaltunnelsyndrom, hvor du får smerter, prikken og dødhedsfornemmelse i hånden. Arbejde, der medfører statisk belastning som fx ved "træk og slip", betyder længere perioder med øget tryk i karpaltunnelen. Dermed er der større risiko for, at en nerve bliver klemt inde.</p> <p>Muskelsmerter i skuldre og underarm skyldes, at muskulaturen er spændt over længere tid ad gangen. Det hæmmer blodcirkulationen i muskulaturen og medfører smerter.</p> <h2>Hvilken behandling er der?</h2> <h3>Ergonomiske tiltag</h3> <p>Hvis du har fået symptomer af at arbejde ved en computer, eller hvis du ønsker at forebygge symptomer, bør der gøres en indsats for en bedre (mere ergonomisk) arbejdsstilling. </p> <p>En typisk forkert arbejdsstilling er, når tastaturbordet er stillet for højt eller for lavt i forhold til armene. Disse forhold bør du rette op på ved hjælp af en kontorstol, hvor sædehøjde og også gerne sædehældning kan justeres. </p> <p>Tastaturbordets højde bør også kunne reguleres. </p> <p>Derudover kan du eventuelt prøve:</p> <ul> <li><strong>Støtte under håndleddene</strong> gavner nogle. Undersøgelser viser dog, at ikke alle synes, det hjælper</li> <li>Brug af <strong>musemåtte </strong>gør, at du arbejder mindre anspændt og intenst, når du bevæger musen </li> <li>Eventuel <strong>variation </strong>med hensyn til hvilken hånd, du benytter </li> <li><strong>Anvend tastaturkommandoer</strong> (fx Ctrl-C, Ctrl-V) i stedet for at bruge musen </li> <li>Begræns omfanget af <strong>dobbeltklik</strong> </li> <li><strong>Forskellige udformninger af musen</strong> giver forskellige belastninger. Der findes ikke en musetype, der forhindrer enhver belastning. Det anbefales derfor hellere, at du varierer arbejdet, end at du anvender "specialmus" </li> <li>Nogle arbejder bedst i<strong> stående stilling</strong>. Dette kan til gengæld betyde større belastning af nakke og ben </li> <li><strong>Variér arbejdsstillingen</strong>. Du bør fx rejse sig og gå lidt omkring en gang imellem</li> </ul> <h3>Anden behandling</h3> <p>Hvis der er opstået senebetændelse eller karpaltunnelsyndrom, bør det behandles ifølge de retningslinjer, der findes. De sædvanlige behandlingsmåder er:</p> <ul> <li>Aflastning</li> <li>Skinnebehandling for at holde arm og håndled i ro</li> <li><a href="~/link.aspx?_id=9598E70BEC694FC292FE9D0C1F701494&_z=z">NSAID</a> (gigtmedicin)</li> <li><a href="~/link.aspx?_id=3A210B2BEAD24C89BF4A7C7DEC4C3F3F&_z=z">Kortisonindsprøjtninger</a></li> <li><a href="~/link.aspx?_id=619C88D3D8974C0EA82293E840EE0985&_z=z">Fysioterapi</a> </li> <li>Operation anvender man som regel først, når anden behandling ikke har været tilstrækkelig</li> </ul> <h3>Hvordan undgår jeg at få eller forværre "musearm"?</h3> <p>Det er ofte nødvendigt i en periode at ændre og justere sin arbejdsprocedure og de fysiske arbejdsforhold.</p> <h3>Hvornår skal jeg søge hjælp? </h3> <p>Hvis generne er vedvarende efter computerarbejde</p> <h2>Hvordan udvikler sygdommen sig?</h2> <p>Det giver en god prognose at gribe tidligt ind med ergonomiske tiltag.</p> <h3>Er "musearm" farlig?</h3> <p>Nej, men generne kan være langvarige.</p> <h3>Hvor hyppig er "musearm"?</h3> <p>Tilstanden er hyppig, og kan formodentlig tilskrives øget brug af computertastatur og mus med efterfølgende smerter i nakke, skuldre eller arm.</p> <h3>Kan jeg få "musearm" mere end én gang?</h3> <p>Ja, generne kan komme igen specielt hvis man udsættes for samme belastning.</p> <h2>Vil du vide mere?</h2> <ul> <li> <a href="~/link.aspx?_id=C4BB85BD99534A409C9FC2A130567FB7&_z=z">Epikondylitis</a> </li> <li> <a href="~/link.aspx?_id=B55CAB822A674090B061AA5A22EC6CA7&_z=z">Karpaltunnelsyndrom</a> </li> <li> <a href="~/link.aspx?_id=9598E70BEC694FC292FE9D0C1F701494&_z=z">NSAID</a></li> <li> <a href="~/link.aspx?_id=6DBAA0B7CB0F4DD48DBAF90D466C0DEC&_z=z">Musearm</a> - for sundhedsfaglige</li> </ul> <h3>Træningsfilm for albue og underarm</h3> <ul> <li><a href="~/link.aspx?_id=73767A48745041A09432DB6606696284&_z=z">Øvelsesprogram, 3 øvelser</a><br> <br> <a href="~/link.aspx?_id=F72A8EE6731841AE839261CF3566367D&_z=z"><img alt="" height="84" width="135" 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tGkjfzt8Xw/y/s5McOO59wMms5JTAj0Tz/nICf0fP0WkQtxttI062gAXuWBJH/Crmn9nAfyxmf8rklJs1ZuXuDzf6xwO1PVYVCnoB4nN/dOLSMsp3jIIPerMepJwgqQ9D0G4+s6VDIdyvKOv+qc02sjWQ119T2/Y2Uy00b/huH+lfR/lX/wAkRP8A9s3Uv+JT5k4/7n4SdJqv8fH9fH/vH//VP/8AnL5wkflRjuwN/wAF8TS33PyxukgPmtRK0nwnvyY+JxFlS1LxSvBhzP2myVoQ7sEXk4Kr2HVm+XtgtKh8cxqSAo6L2GR5q9N/5x98+2/k78wreS8cRaRqiGwvpWNFTmwMcp6ABJFXmx+zG0mSQyb/AJyV/LO78ueZpvN9hA0mh6xJ6l0YwT6F4/2w3gs7fvFf+dnT+TlISpFPN/J/nzzJ5YvbnUNHuFtr26tntPX4BzHHIyOfTDVAf92ByIyXPmhLb+a81W4nu9RuJLu7uSWkuZnZ5C56MXYluuJChIobW5urtILeJpbqd1SOCNSztI1BxVRUlmboBlFtj618u6fD+RP5I32qakUXzVqo5iKoY/W5EK21uOzLbLyll/578Wb4Mkh86fk9pT6z+aXl2CQGTjd/XJyd6rbqZST/ALILms7YzeHpch/o8H+n9Lbhjcg3+bOsNqH5leZZ0PJFvXgir2WACIfipyfZMDDS44/0eL/T+pGbeZYpFuTU17sxzYhqR1q5Zg3+60+yPE5IK9v/ACZ8saTrPlOS5u4mklS9miqGIAACkbD55q9ZG8nwd1oNVOGKon+IvorRtFs7f8upNJjSlq1rdxFKn7Mpk5Cv+yzIxx/dV5FwsuaRz8fXij+h/9adf85N+TdV8yW3l9tMUyT2Ruy0NDRlk9CvxCvFvg+HKM2YQIsbFvw4uMGjuHzdrnk/zJo1q099ZSQWiU9WfiwRSdgGcgCp7Yx1AlsNllgMee7HYWhdDKjCRR3BqK5bya1GQszFmO+AlVnwsCzbRjq3c+wwhBXmKdowzjr9iMCgUduWWAGmJL3j8o/+cg7Ox0YeUPzGjF7oZQW9vqEievwhO3o3MdGMsSj7LqGdPs8H/YTFFsl1b/nGbyD5rT9MeQvMSW9pL8S26Fb22DNvxV1dZYv9WQytgtKVWP8AziN5maThe+YbOGHcepDFLM9D0+BjCP8Ah8JkrPfLX5f/AJSflTK2oRltU8y0IE0rCa4ViAGEUY/d2wb+Zvj48k9Rvs5UZAMhElgnnzyfq35peYE1DWNXubKwtgU0/TYIkMUCN9ogsavK9B6kjfa/yUVEWmWc9zfHCO9kP5e/k35V8jauuu21xdXd9HBIrTXJQIsZHKTiiAfFxXrXOe9ocxlhjD/VJ/7lvxY4iy+TdTuxf6pe36chFeXE1wpenPjLIzjlTbl8WdNjhwxA/mgR/wBK4MjZUkUsQOi+GWMUfGwWIkfZBAHzySvoX/nHAc/J2o9f3eonp/lRKcwdUPUPc5uml6fi+h7AN/hZgevozb/S2Ww/u/m0zP7z5P8A/9f0R5t9Qm0CV39StDT+XMbUdHIwGrebfmlosOseUTZ3gMrx3llPZgk8RLHcoG5VNCrQtIpyGEc/cyyS5e9d51/KfyX5oQx3Ngljcxlltr7TwtvNGta0KqPTlX/JkXKozkOTMiJeSa7/AM4weY7UmTSdVttUj/ZhuK2s1Pc/FET8jmQM3eGk42Ca5+WPn7RZEOp+X7uO2BHCeJPXhPtyh5/8NkxkBYmBY19aZjLKTRS1OPgwNDt9GXibUQg2LXEm/wBkdBjdryV7W71CwuBLYXMtrMP92wO0bf8ABKQcSqcSebvOd5CsN5r2o3MDSorRS3c7qQWAIIZyKYlX1ZZ+S1gfnKlAACAegFNgMwbcumTWWkxRovFQB32yJFpul19ALlJ7UngslvLEW8PUjZa/RXOa7YnxarDD+bX+yl/x1vxj0l8EFBG7RA8lhYxhh0PA8a/TTO0daV6CpxQryGiqo6A5JX0N/wA4x3FdB1+2414XkMh+TxEf8a5h6raQ9zk4ORfR1mF/w4wA+H0pdv8Agssj/dtcvrf/0PR/mQV+r06/H/xrmPn6N2LqwPz4eHl55K/FDLC58BSVMhhO59zLJyT93ZJjwHN2O3hmNdcm2nSI4AZzWSoNO3XJBCE1vWRoeialrkscksWm28lzJFCSHcRioRSPE9/2ftYxFmlJoPiXzNrV5r2vX2q3UcMNzf3DzzQ2yBIVL02VR+LfadvjbNgI0KDik9UGqCOMn/OuWDZitRe56nAFR2m20l1cwWkQrJcXMEMdP5pJFQfrwT5JHN9y6cz3FpC8hqUQLJXu0fwH8VzXhzCjRVY+XiemSvZig1jFxdSxdpVeP/gl45yM5eJ2mP6MuH/lXFyeWN8C3MJgu7iAinozSR0/1HK/wzuw6wroeu+FC9+lffJK93/5xfmP1rzHbjvBbTU+Tsv8cxdWOTfg6vp+zH/Out/xil/W2GH938CiX1v/0fSPmKvGGnX4/n2zHz9G7EwLz96X+Er/AO1yon381yrB9XwbMv0slg9Kvf1KDlXr07ZVGmUm7j0eO3Wor49ckKtCW+dPR/wT5h68f0bd149f7lsY8wsuT4ag+q8lrz5cRWtOtM2I5uIqz/V6r9vj9GEqpj0P8r26YFZN+W/6P/x75e+tcvq36StfUrTr6g4/8PxyOX6SyhzD7J0rj9Vm8PrE1PlzP/G1c1wcpGy8PRWnWuTHRQhtMr9eT+fltXpWucb2Z/j3q+rin/vnJy/Q+HvPn6J/x15i/R/P6l+krn0OnT1TX/h+Wd9DkHWS5pMnoV25/hk2KqfQ9I15dR4ZJXtP/OMVf8Vat6fL0v0aPWrT/fw4fjmPqvpDdg5l9U2dP8PN4elL+tsEP7v5ol9b/9k=]]></Media> 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