{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T17:42:46Z","timestamp":1787679766475,"version":"build-2784847793"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2013,2,26]],"date-time":"2013-02-26T00:00:00Z","timestamp":1361836800000},"content-version":"vor","delay-in-days":117,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Occupational Health"],"published-print":{"date-parts":[[2012,11]]},"abstract":"<jats:sec><jats:label\/><jats:p><jats:bold>A Case of Cervico\u2010brachial Disorder due to Tactile Interpretation for Deaf\u2010blind Persons: Teruyo KITAHARA, <jats:italic>et al<\/jats:italic>. Division of Occupational and Environmental Health, Department of Social Medicine, Shiga University of Medical Science\u2014<\/jats:bold><\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>We herein report a case of cervico\u2010brachial disorder (CBD) due to long\u2010term tactile interpreting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The patient was interviewed to investigate her past history, occupational history, work conditions and clinical course in detail. The case was diagnosed in accordance with the \u201cDiagnostic Criteria for CBD 2007\u201d established by the Research Association for CBD of the Japanese Society for Occupational Health.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The patient was a 49\u2010year\u2010old female who has worked as a regular occupational instructor at a welfare work activity center for deaf people since April 22, 2010. Her primary job is to instruct and aid others in learning confectionery manufacturing and coffee shop tasks. She also performs tactile interpreting for two deaf\u2010blind workers during a morning health check and during any meetings. On September 3, 2010, she interpreted by tactile signing for about three hours alone during a meeting, due to the absence of other interpreters. She developed severe pain in her back immediately after carrying out this interpretation, and the pain thereafter continued and developed in the upper extremities. She was diagnosed with a severe and prolonged case of the non\u2010specific type of CBD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Interpretation by tactile signing may impose a heavier burden on the upper extremities, shoulders and neck than that imposed by common sign language. A shorter time of interpretation, ensuring the availability of rest time and supporting tools or methods for the upper extremities, are therefore considered to be necessary to prevent the incidence of CBD among interpreters using tactile signing.<\/jats:p><\/jats:sec>","DOI":"10.1539\/joh.12-0141-cs","type":"journal-article","created":{"date-parts":[[2012,10,11]],"date-time":"2012-10-11T23:21:39Z","timestamp":1349997699000},"page":"469-472","source":"Crossref","is-referenced-by-count":1,"title":["A Case of Cervico\u2010brachial Disorder due to Tactile Interpretation for Deaf\u2010blind Persons"],"prefix":"10.1093","volume":"54","author":[{"given":"Teruyo","family":"Kitahara","sequence":"first","affiliation":[{"name":"Division of Occupational and Environmental Health, Department of Social Medicine Shiga University of Medical Science Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenji","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Osaka Institute of Social Medicine Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazushi","family":"Taoda","sequence":"additional","affiliation":[{"name":"Division of Occupational and Environmental Health, Department of Social Medicine Shiga University of Medical Science Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiromasa","family":"Shigeta","sequence":"additional","affiliation":[{"name":"Osaka Institute of Social Medicine Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mamoru","family":"Hirata","sequence":"additional","affiliation":[{"name":"Research Center for Environmental Medicine, Kansai Rousai Hospital Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2013,2,26]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"A13","article-title":"Diagnostic Criteria for CBD 2007","volume":"49","author":"Research Association for CBD, Japanese Society for Occupational Health","year":"2007","journal-title":"Sangyou Eiseigaku Zasshi"},{"key":"e_1_2_1_3_1","unstructured":"OnoY TaodaK NakaishiH et al.Revision of occupational cervico\u2010brachial disorder (OCD) in Japan.Abstracts from the PREMUS 2007 conference. 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