Occupational and Biopsychosocial Risk Factors for Carpal Tunnel Syndrome

Goodson, Jason T.; DeBerard, M. Scott; Wheeler, Anthony J.; Colledge, Alan L.

doi:10.1097/jom.0000000000000202

Cited by 25 publications

(27 citation statements)

References 24 publications

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“…Daily tasks requiring the prolonged application of force trough the thumb either on tools or objects, and repeated mechanical compression of the soft tissues in the hand were identified in 39.9% (N = 173) and 27% (N = 117) of the participants, respectively. Focusing on hand/wrist movement and postures, forceful hand exertion was identified in 55.3% patients (N = 240) whereas 33.9% (N = 147) of the participants performed activities implying supination/pronation of the forearm > 45° from neutral position, 26.5% (N = 115) of workers had daily tasks including prolonged wrist bending, 16.6% (N = 72) performed activities that forced the axial wrist posture, and 12.2% (N = 53) executed repeated movement of the wrist.…”

Section: Resultsmentioning

confidence: 99%

“…Although age, female gender, body mass index (BMI), diabetes mellitus, rheumatoid arthritis, hyperthyroidism, and previous wrist surgery, have been repetitively recognized as main risk factors for the CTS [6,10,11], sound evidence associates such disorder with workplace factors such as repetitive/prolonged hand-intensive activities, forceful exertions, awkward and/or static postures, vibrations, temperature extremes, and localized mechanical stress CTS [3,7,8,[12][13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

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Personal and occupational risk factors for carpal tunnel syndrome in meat processing industry workers in Northern Italy

Riccò

Signorelli

2017

Med Pr

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Background: Carpal tunnel syndrome (CTS) is a musculoskeletal condition that often impairs the fitness to work. Our aim is to retrospectively evaluate the association between physical exposures in meat processing industry in Northern Italy and the CTS, taking into account non-occupational factors. Material and Methods: A cross-sectional study was performed to include 434 workers (236 males, 198 females, 37.0±10.6 years old, working age: 12.6±10.8 years) from meat processing industries. Signs and symptoms were collected at the compulsory occupational medical surveillance. Occupational risk factors were assessed through a questionnaire and direct assessment by investigators. Adjusted odds ratios (ORadj) for factors of interest were estimated through binary logistic regression. Results: Diagnosis of the CTS was reported for 61 out of 434 subjects (14.1%) for an incidence of 11.3/1000 person-years. In general, signs and symptoms for the CTS were associated with the following demographic factors: smoking history (OR = 1.909, 95% confidence interval (CI): 1.107-3.293), previous traumas of the upper limb (OR = 3.533, 95% CI: 1.743-7.165), hypothyroidism status (OR = 7.897, 95% CI: 2.917-21.38) and, in the case of female participants only, previous pregnancies (OR = 2.807, 95% CI: 1.200-6.566) as well as a personal history of oral contraceptive therapy and/or steroidal replacement therapy (OR = 11.57, 95% CI: 4.689-28.56). The carpal tunnel syndrome cases were associated with the following occupational factors (> 4 h/day): forceful hand exertion (ORadj = 3.548, 95% CI: 1.379-9.131), repeated trauma of the hand (ORadj = 3.602, 95% CI: 1.248-10.395), repeated movements of the wrist (ORadj = 2.561, 95% CI: 1.100-5.960). Conclusions: Increasing levels of hand activity and force were associated with the increased CTS prevalence among participants. Recommendations have to be provided in order to reduce occupational exposure to these risk factors and improve medical surveillance. Med Pr 2017;68(2) :199-209

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Personal and occupational risk factors for carpal tunnel syndrome in meat processing industry workers in Northern Italy

Riccò

Signorelli

2017

Med Pr

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“…[31][32][33] CVD disease association has been further suggested by a protective effect of vigorous exercise with and without wrist strain reported in a case-control study. 34 As both obesity and diabetes appear to be risk factors, this also suggests a potential relationship with CVD disease. Support is found in the literature investigating body shape that appears to be a risk factor with waist circumference having been shown to have a stronger correlation with CTS than hip circumference in men, and both waist-to-hip ratio and body mass index (BMI) have overall comparable associations with CTS.…”

mentioning

confidence: 98%

Association Between Cardiovascular Risk Factors and Carpal Tunnel Syndrome in Pooled Occupational Cohorts

Hegmann

Thiese

Kapellusch

et al. 2016

Journal of Occupational &Amp; Environmental Medicine

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“…As CTS has become one of the most frequent causes of work compensation, both in Europe and in the United States, and due to the large and still increasing number of people working with computers, also a feeble excess of risk means that a high number of workers may then experience upper extremities [4,5]. Occupational (i.e., repetitive and forceful work such as gripping, vibrations) and non-occupational risk factors (i.e., female sex, age, obesity, diabetes, gynaecological surgery, menstrual problems/disorders and exercise levels) have been associated with CTS, suggesting a multifactorial aetiology [6][7][8][9][10][11][12][13][14][15]. The controversial association between CTS and visual display unit (VDU) use, suggested since the seventies of the last century, still remains an unsolved issue [16,17].…”

Section: Introductionmentioning

confidence: 99%

“…Finally, studies on CTS in occupational medicine and, in particular, in VDU workers often lack an accurate evaluation of personal medical history. As CTS is a very frequent condition in adult females [3][4][5], for both anatomical and physiological reasons [1][2][3][4][5], with a very large array of well-established occupational and non-occupational risk factors [6][7][8][9][10][11][12][13][14][15], it should be interpreted as a "work related musculoskeletal disorder," i.e., an impairment of body structures associated with, rather than simply caused by, cumulative exposure to work and working environment over a long period of time [25]. In other words, not only occupational but also personal history influence in probabilistic terms natural history of CTS, both inducing and anticipating its clinical presentation [1,2,16].…”

Section: Introductionmentioning

confidence: 99%

Personal risk factors for carpal tunnel syndrome in female visual display unit workers

Riccò¹,

Cattani²,

Signorelli³

2016

Int J Occup Med Environ Health

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Objectives: Carpal tunnel syndrome (CTS) is the most common nerve entrapment syndrome, which since the beginning of the seventies has been linked to the keyboard and visual display unit (VDU). The objective of this study was to investigate the prevalence and personal factors associated with CTS in female VDU workers in Italy. Material and Methods: Participants in this study were female adult subjects, working ≥ 20 h/week (N = 631, mean age 38.14±7.81 years, mean working age 12.9±7.24 years). Signs and symptoms were collected during compulsory occupational medical surveillance. The binary logistic regression was used to estimate adjusted odds ratios for the factors of interest. Results: Diagnosis of CTS was reported in 48 cases (7.6%, 11 of them or 1.7% after a surgical correction) for the incidence of 5.94/1000 person-years. In general, signs and symptoms of CTS were associated with the following demographic factors: previous trauma of upper limb (adjusted odds ratio (OR a ) = 8.093, 95% confidence interval (CI): 2.347-27.904), history (> 5 years) of oral contraceptives therapy/hormone replacement therapy (OR a = 3.77, 95% CI: 1.701-8.354) and cervical spine signs/symptoms (OR a = 4.565, 95% CI: 2.281-9.136). Conclusions: The prevalence of CTS was similar to the estimates for the general population of Italy. Among personal risk factors, hormone therapy, previous trauma of the upper limb and signs/symptoms of the cervical spine appeared to be associated with a higher risk of CTS syndrome. Eventually, the results reinforce interpretation of CTS in VDU workers as a work-related musculoskeletal disorder rather than a classical occupational disease. Int J Occup Med Environ Health 2016;29(6):927-936

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Occupational and Biopsychosocial Risk Factors for Carpal Tunnel Syndrome

Abstract: The biopsychosocial model provides a useful heuristic for conceptualizing CTS risk among injured workers.

Cited by 25 publications

References 24 publications

Personal and occupational risk factors for carpal tunnel syndrome in meat processing industry workers in Northern Italy

Personal and occupational risk factors for carpal tunnel syndrome in meat processing industry workers in Northern Italy

Association Between Cardiovascular Risk Factors and Carpal Tunnel Syndrome in Pooled Occupational Cohorts

Personal risk factors for carpal tunnel syndrome in female visual display unit workers

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