Secondary prevention of WMSD in a rat model

描述（由申请人提供）：劳工统计局报告说，2001年，由于反复创伤引起的疾病占新报告的职业病病例的65%，占三分之一的误工病。与工作有关的肌肉骨骼疾病（WMSDs）继续造成大量工人不适、残疾和生产力损失。动物模型提供了在受控实验条件下检查组织效应的机会。我们已经在大鼠身上使用了这样的模型来研究WMSDs的发展，现在我们建议使用我们的模型来测试二级预防干预措施的有效性。在这项为期五年的研究中，我们将使用定性和定量组织学，免疫化学，分子和神经生理学技术以及运动和感觉功能的行为测试来解决与WMSD大鼠模型的二级预防干预相关的两个特定目标。1. 确定人体工程学工作修改在减轻组织损伤的急性和慢性炎症期的有效性，并修复伴随高重复性，强强度任务的表现。执行高重复-高力量（HRHF）的大鼠到达和拉扯任务方案将在行为证据不舒服开始时转移到轻任务，低重复-可忽略力（LRNF）的任务方案。他们将在以后的时间点接受检查，并与未执行任务方案的训练对照组和执行HRHF或LRNF任务方案的对照组进行比较。2. 确定抗炎药物在改善组织损伤的急性和慢性炎症期的有效性，并修复伴随的重复性，有力的任务。执行HRHF到达和拉扯任务方案的大鼠将在出现不适行为证据时开始给予治疗剂量的布洛芬。他们将在以后的时间点接受检查，并与未执行任务方案的训练对照组和药物对照组以及执行HRHF任务方案的对照组进行比较。使用该模型来检查受伤和发炎组织对二级预防干预的反应将对职业健康实践做出重要贡献，因为我们将测试基于假设的治疗对临床相关生理和行为现象的有效性。

DESCRIPTION (provided by applicant): The Bureau of Labor statistics reports that illnesses due to repeated trauma accounted for 65 percent of the newly reported cases of occupational illnesses and for one in three lost work time illnesses in 2001. Work-related musculoskeletal disorders (WMSDs) continue to cause substantial worker discomfort, disability and loss of productivity. Animal models provide an opportunity to examine tissue effects under controlled experimental conditions. We have used such a model in the rat to study the development of WMSDs and now propose to test the effectiveness of secondary prevention interventions using our model. In this proposed five-year study, we will use qualitative and quantitative histological, immunochemical, molecular and neurophysiological techniques as well as behavioral testing of motor and sensory function to address two specific aims related to secondary prevention interventions in a rat model of WMSD. 1. To determine the effectiveness of an ergonomic work modification in attenuating the acute and chronic inflammatory phases of tissue injury and repair accompanying performance of a highly repetitive, forceful task. Rats performing a high repetition-high force (HRHF) reaching and pulling task regimen will be transferred to a light duty, low repetition-negligible force (LRNF) task regimen beginning at the onset of behavioral evidence of discomfort. They will be examined at later time points and compared to trained controls that do not perform the task regimen and to controls that perform either the HRHF or LRNF task regimen. 2. To determine the effectiveness of anti-inflammatory medication in ameliorating the acute and chronic inflammatory phases of tissue injury and repair accompanying performance of a repetitive, forceful task. Rats performing a HRHF reaching and pulling task regimen will be given therapeutic doses of ibuprofen beginning at the onset of behavioral evidence of discomfort. They will be examined at later time points and compared to trained controls and medicated controls that do not perform the task regimen and to controls that perform the HRHF task regimen.The use of this model to examine the response of injured and inflamed tissues to secondary prevention interventions will make important contributions to occupational health practice, because we will be testing the effectiveness of hypothesis-based treatments on clinically relevant physiological and behavioral phenomena.