I have been asked to look at an individual who suffers from RSI affecting their shoulder when moving office equipment to and from their vehicle into and out of training courses at various venue's.

The problem seems to be compounded when dragging the equipment in a suitcase style office bag from one arm behind the person.

Does anyone have any suggestions in relation to a suitable two handed fold up push forward bag.

Psychological exacerbation of symptoms

There are three common mechanisms, by which a normally functioning human mind increases pain and pain-related disability.

* Psychological distress (depression and anxiety) make pain seem worse.[16] Chronic pain, regardless of its source, leads to a cycle of increasing depression and reduced physical activity. Reduced physical activity reduces pain in the short term but increases it in the long term.[17]
* Misinterpretation or over-interpretation of pain signals. Psychologists refer to this as pain catastrophizing (the tendency to think the worst when one feels pain),[4] and it is worsened by reliance on patient support groups and internet sites for diagnosis.[18] Gate Control Theory, part of the most accepted medical theory of pain, states that, when we are worried about a particular body part, the brain can actually signal to the spinal cord (via outgoing neurons) that it should be more apt to interpret nerve impulses from that body part as pain and pass them on to the brain.[19] In patients with chronic arm pain, the brain may even learn to automatically trigger pain whenever the limb is moved, as a defense mechanism to prevent further movement[20]
* A sense that something is seriously wrong that does not lessen with normal test results and reassurance from health professionals.[21] Psychologists call this heightened illness concern or health anxiety. (This is commonly seen in psychosomatic illnesses.[22]) The typical RSI patient presents with a strong intuition that their pain indicates existing and ongoing tissue damage.[21] One explanation is that they have a strong "pain alarm"—pain tends to be accepted as a sign of danger and they have difficulty modulating this intuitive uneasiness with pain.[4]

Thank you both.

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Using such sources is strongly discouraged in the IPD Open assessment process for good reasons.