Letters and Responses |
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To the Editor:
"Cause, Prevalence, and Response to Occupational Musculoskeletal Injuries Reported by Physical Therapists and Physical Therapist Assistants" by Holder and colleagues (July 1999) presented an analysis of what has been defined by the US Department of Labor as an "occupational injury."1 Unfortunately, Holder and colleagues committed an error of external validity when they perpetuated the myth surrounding the description of "injuries" as they pertain to the performance of work-related tasks. The problem evolves from the operational definition of an "occupational injury,"1 and, more directly, of the word "injury." The word "injury" is now commonly used as a diagnostic label for pathology.2 I contend that the term "occupational injury," in the absence of overt trauma, is a misnomer that has not yet been defined medically and cannot currently be legally defended. Injury is defined as "harm done or sustained."3(p733) Harm is defined as "injury; damage; hurt."3(p647) As schoolchildren, we
Director of Consulting and Research
Focus On Therapeutic Outcomes Inc
Great Falls, VA 22066
Staff Physical Therapist
Penn Therapy and Fitness at Westampton
798 Woodlane Sq, Suite 11
Westampton, NJ 08060
Staff Physical Therapist
Lehigh Valley Hospital
Allentown, Pa
Staff Physical Therapist
Vermont Sports Medicine Center
Rutland, Vt
Staff Physical Therapist
Pinnacle Health System
Harrisburg, Pa
Staff Physical Therapist
VA Medical Center
Bay Pines, Fla
Assistant Professor
Department of Physical Therapy
Temple University
Philadelphia, Pa
Professor
Department of Physical Therapy
Temple University
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Physical Therapy 1999 79: 642-652.
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