Psychosocial Risk Factors and the Association With Carpal Tunnel Syndrome: A Systematic Review

Mansfield, Michael; Thacker, Michael; Sandford, Fiona

doi:10.1177/1558944717736398

Cited by 25 publications

(23 citation statements)

References 29 publications

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“…Biomechanical stressors can increase the pressure in the carpal tunnel at the wrist and lead to mechanical injury due to traction and contact stress on the median nerve [47]. The association found between CTS and effort-reward imbalance in women agrees with some epidemiological studies showing an association between CTS and work-related psychological factors, although most of them concerned the demand-control model and not the ERI model of stress at work [10,11,15,16,48].…”

Section: Plos Onesupporting

confidence: 71%

“…Working conditions exposing workers to biomechanical stressors are known to increase the incidence of CTS, namely repetitive movements, hand-arm transmitted vibration, and forceful manual exertion [1,[9][10][11][12][13][14]. The relationships between CTS and work-related psychological stressors, such as job stain, are less well established [15,16]. In contrast to personal and medical risk factors for CTS, occupational risk factors can be modified by preventive interventions in the workplace.…”

Section: Introductionmentioning

confidence: 99%

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Carpal tunnel syndrome and exposure to work-related biomechanical stressors and chemicals: Findings from the Constances cohort

et al. 2020

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Objective To investigate the effects of co-exposure to biomechanical wrist stressors and chemicals on the risk of CTS in a large cohort of French workers. Methods Prospective study using the data collected at baseline and at the first 12 month-follow-up for the 18,018 participants included in the population-based Constances cohort between 2012 and 2015. CTS at follow-up and exposure to biomechanical wrist stressors and chemicals at baseline were assessed using a self-administered questionnaire. Associations between CTS and co-exposure to biomechanical wrist stressors and chemicals were studied using multivariate logistic regression models, adjusted for personal/medical factors. Results 184 men (2.1%, 95%CI 1.8-2.4) and 331 women (3.6%, 3.2-3.9) free from chronic hand symptoms at baseline declared suffering from unilateral/bilateral CTS at follow-up. A potentiating effect of co-exposure to biomechanical wrist stressors and chemicals on the risk of CTS was found for both genders, with higher OR in the co-exposure group (OR = 3.38 [2.29-5.01] in men and OR = 4.12 [2.73-6.21] in women) than in the biomechanical exposure group (OR = 2.14 [1.51-3.03] in men and OR = 2.19 [1.72-2.78] in women) compared to no exposure group.

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Section: Plos Onesupporting

confidence: 71%

Section: Introductionmentioning

confidence: 99%

Carpal tunnel syndrome and exposure to work-related biomechanical stressors and chemicals: Findings from the Constances cohort

et al. 2020

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“…A prospective study found no associations between social support and incident UEMSD (lateral epicondylitis, rotator cuff tendinitis, CTS, tendinitis of forearm–wrist extensors and flexors) ( 55 ). Recently, a review reported limited evidence for a positive association between psychosocial factors including low social support and CTS in the workplace ( 56 ).…”

Section: Discussionmentioning

confidence: 99%

Upper-extremity musculoskeletal disorders: how many cases can be prevented? Estimates from the COSALI cohort

Nambiema¹,

Bodin²,

Fouquet³

et al. 2020

Scand J Work Environ Health

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This is the first cohort study estimating the number of potentially preventable cases of work-related upper-extremity musculoskeletal disorders (UEMSD) in a working population. A large number of incident UEMSD were attributable to occupational exposures. Theoretically, they could have been prevented by reducing exposures related to physical exertion and awkward postures and improving social support from co-workers and supervisors.

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“…A recent systematic review suggests that there is only limited and inconsistent evidence for a positive association of psychosocial risk factors and CTS. 96 In patients with “sciatica,” the role of psychosocial features as prognostic factors for conservative management has either not been studied 11 or remains controversial. 57 , 77 Undoubtingly though, entrapment neuropathies can have strong psychosocial consequences as apparent in lumbar radicular pain affecting many aspects of life, including psychological status.…”

Section: Pathophysiologymentioning

confidence: 99%

Entrapment neuropathies: a contemporary approach to pathophysiology, clinical assessment, and management

Schmid

Fundaun

Tampin

2020

PR9

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Psychosocial Risk Factors and the Association With Carpal Tunnel Syndrome: A Systematic Review

Cited by 25 publications

References 29 publications

Carpal tunnel syndrome and exposure to work-related biomechanical stressors and chemicals: Findings from the Constances cohort

Carpal tunnel syndrome and exposure to work-related biomechanical stressors and chemicals: Findings from the Constances cohort

Upper-extremity musculoskeletal disorders: how many cases can be prevented? Estimates from the COSALI cohort

Entrapment neuropathies: a contemporary approach to pathophysiology, clinical assessment, and management

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