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The case of a 21 year old woman. She began a job at a cash register as a supermarket checker at 18. In early training, around three months after beginning on the job training, cervical syndrome symptoms turned up. In the middle of a summer sales rush, she had fairly violent inflammation of the right tendon sheath - tenovaginitis -and was examined at this clinic. After she rested and had medical treatment,although basically recovered, she returned to her position as a checker, and the condition occurred again in several months. She then transferred to a regional job which required travel. Advertisement activity to homes was required, but I instructed her to limit the quantity of advertising documents so as not to become too burdensome. Although the inflammation of the right tendon sheath was fine, operation of the business car was burdensome, and the cervical syndrome symptoms got better and then worse. Once again, she was transferred to customer service. After entering this duty, she worked while using the telephone with her left hand 100% of the time, while using her right hand to expand a reference file and take notes. After all, the symptoms persisted and she continued to complain of the pain to the outpatient clinic. Thereupon, we often viewed sports programs which featured commentators with headphones and microphones supported by the head. In that situation, the wearer could have both hands free and available for alternate use. The burden was dispersed, and unprecedented improvement was observed. Increased costs of this telephone innovation was about 20,000 yen including personnel expenses, materials and installation. The appliance improvement was useful in this case and improved the woman's symptoms. |