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

Riccò, Matteo; Cattani, Silvia; Signorelli, Carlo

doi:10.13075/ijomeh.1896.00781

Cited by 16 publications

(16 citation statements)

References 34 publications

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“…The increased incidence of CTS among women observed in this study is similar to that described elsewhere [31,32]. In a study population of 100,000 people, Bongers [33] recorded 280 cases of CTS per year among women and only 90 cases among men per year.…”

Section: Discussionsupporting

confidence: 90%

Patient-reported outcomes of carpal tunnel syndrome surgery in a non-industrial area

Kogut

Glinkowski

2019

Ann Agric Environ Med.

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Introduction and objective. This study aimed to determine the environmental conditions for the occurrence of carpal tunnel syndrome (CTS) in a non-industrial area, and patient-reported outcomes after surgical release. Materials and method. This observational study utilized convenience sampling to screen 100 consecutive patients for carpal tunnel syndrome at the Orthopedic Clinic, using two questionnaires. Data were collected from the Disability of Arm Shoulder and Hand (DASH) questionnaire, and the PROMIS® (Patient-Reported Outcomes Measurement Information System) Upper Extremity and PROMIS® SF 3a questionnaire (Pain Intensity). The relationship of various repetitive musculoskeletal disorders to CTS was validated by questionnaire scores, PROMIS® T-score, and correlation coefficients. Results. Finally, CTS was confirmed by electromyography in 69 patients (55 females and 14 males; average age: 47.5 years). Aging significantly influenced the occurrence of symptoms associated with pain (neck, thoracic, lower back, shoulder, and CTS (p<0.001)). Those employed for longer more frequently declared performing exercises to prevent overload pain (p<0.001). DASH results significantly correlated with the PROMIS Upper Extremity score (r =-0.64; p<0.05). Conclusions. Geographical and environmental conditions indicate that even though working with a computer is described as an essential risk factor for CTS, the study group showed a predominance of elements that were unrelated to working at a computer. CTS also occurred among people working physically, and even among unemployed individuals. The existence of a statistically significant, strong, negative correlation (r=-0.64; p < 0.05) between the results obtained in the questionnaires DASH and PROMIS Upper Extremity has been demonstrated.

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Section: Discussionsupporting

confidence: 90%

Patient-reported outcomes of carpal tunnel syndrome surgery in a non-industrial area

Kogut

Glinkowski

2019

Ann Agric Environ Med.

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“…Among female participants, history of the OCT/HRT and previous pregnancies were more frequently reported by the CTS. These associations are consistent with previous evidences, as the hormonal status has been identified as a significant risk factor for the CTS [59][60][61]. The use of β-blockers has been more controversially reported among the risk factors for the CTS since the late 1980's, and the underlying mechanism may similarly result from the drugrelated fluid retention and oedema [51,62,63].…”

Section: Discussionsupporting

confidence: 90%

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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“…Therefore, it seems necessary to conduct further research involving subjects with various CTS grades, including the long-term effects of the therapy. According to some authors, occupational activity has a lower impact on the development of CTS symptoms than personal risk factors, which means that CTS cannot be perceived as a "classical" occupational disease [26].…”

Section: Discussionmentioning

confidence: 99%

Factors determining the effectiveness of conservative treatment in patients with carpal tunnel syndrome

Zwolińska

Kwołek

2019

Int J Occup Med Environ Health

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Objectives: The study aims to assess selected factors contributing to the long-term effects of the conservative treatment of carpal tunnel syndrome (CTS). Material and Methods: Forty-nine individuals diagnosed with CTS were enrolled in the study. The symptoms resulted from occupational hand overuse in 37 patients. The assessment involved 78 hands before the therapy (study 1) and 1 year after the end of the therapy (study 2). The clinical symptoms assessed included: pain, numbness, tingling, morning stiffness, vegetative disorders and difficulties in activities of daily living (ADL). The range of motion (ROM) in the hand joints and the pressure generated during the cylindrical grip were measured. Phalen's tests, an electrodiagnostic test and a 2-point discrimination study were performed. Results: A significant reduction of symptoms and improvement in tested parameters were found in study 2. The largest ROM in the hand, the lowest level of pain and the largest reduction in the frequency of daytime tingling were found in the oldest patients in study 2. In subjects with better initial electrodiagnostic test results, a significant reduction in daytime numbness and daytime tingling was obtained. In individuals previously subjected to conservative therapy, a significant improvement in the ROM of the hand and a better quality of sensation were noted in study 2. A higher level of pain, a lower reduction in the frequency of daytime tingling, and a smaller improvement in ADL capacity were noted in individuals who overused their hands at work after the therapy. Conclusions: The effects of conservative CTS treatment after 1 year, expressed as the reduction of subjective symptoms, were independent of the patient's age. A worse initial electrodiagnostic test result is a predictor of less favorable therapy results. Hand overuse during occupational activity may negatively affect the effects of conservative treatment in individuals with CTS. A change in the nature of occupational activity positively influenced the long-term maintenance of the effects of conservative treatment.

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

Cited by 16 publications

References 34 publications

Patient-reported outcomes of carpal tunnel syndrome surgery in a non-industrial area

Patient-reported outcomes of carpal tunnel syndrome surgery in a non-industrial area

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

Factors determining the effectiveness of conservative treatment in patients with carpal tunnel syndrome

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