Furthermore, the added strain on the shoulder is considered less than ideal and can lead to injuries.

It is difficult to guess what political strains may have led to Vietnam's sudden about-face.

The strain on his health led to a serious breakdown.

For some the strain of living together without legal ties leads to considerable anguish.

Mental strain led to a physical breakdown and for many weeks he was confined to his bed.

The financial strain from the controversy led to layoffs at local chapters.

The strain of this period led him to drink heavily, a vice which blighted his career for many years.

The economic strain has led the Government and the public to choose development over cultural preservation.

The internal strain has led to turnover at the top.

The strain on central units lead to the creation of regional, and even local, level groups to help handle the load.