Recovery from symptoms after carpal tunnel syndrome surgery in males in relation to vibration exposure

Hagberg, Mats; Nyström, Áke; Zetterlund, Bo

doi:10.1016/s0363-5023(10)80015-2

Cited by 36 publications

(16 citation statements)

References 6 publications

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“…It is more likely, we believe, that the most susceptible workers would seek jobs with less physical workload exposure. Although exposure to physical workload factors can result in CTS as an early manifestation of a neurologic disorder in some workers (46), the frequency of such disorders is probably very low in worker populations (17,47,48).…”

Section: Confounding and Individual Susceptibilitymentioning

confidence: 99%

Impact of occupations and job tasks on the prevalence of carpal tunnel syndrome.

Hagberg¹,

Morgenstern²,

Kelsh³

1992

Scand J Work Environ Health

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128

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Section: Confounding and Individual Susceptibilitymentioning

confidence: 99%

Impact of occupations and job tasks on the prevalence of carpal tunnel syndrome.

Hagberg¹,

Morgenstern²,

Kelsh³

1992

Scand J Work Environ Health

Self Cite

224

128

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“…SigniWcance of the study CTS has commonly been reported in vibration-exposed workers (Farkkila et al 1988;Hagberg et al 1991;Wieslander et al 1989) and comparatively slowed nerve conduction has been described in industrial cohorts, compared with non-industrial workers (Stetson et al 1993). Bingham et al (1996) localized slowing of the median nerve, noting that 17.5% of industrial job applicants had distal slowing at the time of hire.…”

Section: Technical Issuesmentioning

confidence: 79%

The effect of different warming methods on sensory nerve conduction velocity in shipyard workers occupationally exposed to hand–arm vibration

Cherniack

Brammer

Lundström

et al. 2008

Int Arch Occup Environ Health

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Reduced SNCV in the digits was observed in vibration-exposed and non-exposed workers. Substituting exercise-induced systemic warming for segmental cutaneous warming significantly increased SNCV in the digits and appeared to reduce differences in SNCV between vibration-exposed and non-exposed workers. These findings persisted despite a substantial time interval between tests, during which the subjects continued to work. There may be more general implications for diagnosing clinical conditions in industrial workers, such as the carpal tunnel syndrome and the hand-arm vibration syndrome.

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“…The prognosis following surgical release may also be less favourable relative to entrapment neuropathy from other causes [23,24], although evidence on this is somewhat limited.…”

Section: Vibration-associated Carpal Tunnel Syndromementioning

confidence: 99%

“…Diagnosis and clinical treatment are as for CTS more generally, except in two respects: (i) it needs to be borne in mind that digital neuropathy affecting the medial digits may be confused with CTS (and they can both occur in the same individual); (ii) management should include consideration of withdrawal from the occupational exposure. The prognosis following surgical release may also be less favourable relative to entrapment neuropathy from other causes [23,24], although evidence on this is somewhat limited.The increased risk of CTS is thought to arise from a combination of factors. Vibration, mechanical stresses to tissues from forceful gripping, awkward postures, and repetitive movements can induce structural changes in the nerves just proximal to the wrist (e.g.…”

mentioning

confidence: 99%

Rheumatic effects of vibration at work

Palmer

Bovenzi

2015

Best Practice & Research Clinical Rheumatology

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Occupational exposures to vibration come in many guises and are very common at a population level. It follows that an important minority of working-aged patients seen by medical services will have been exposed to this hazard of employment. Vibration can cause human health effects which may manifest in the patients that rheumatologists see. In this chapter we identify the health effects of relevance to them, and review their epidemiology, pathophysiology, clinical presentation, differential diagnosis, and vocational and clinical management. On either side of this, we describe the nature and assessment of the hazard, the scale and common patterns of exposure to vibration in the community, and the legal basis for controlling health risks, and comment on the role of health surveillance in detecting early adverse effects and what can be done to prevent the rheumatic effects of vibration at work. Keywords vibration; occupation; Raynaud's; back pain; carpal tunnel syndrome The nature and measurement of vibration at workVibration is an oscillatory motion, characterised by the frequency of the oscillatory cycle, its magnitude, and its direction. Its potential to cause injury is believed to relate to the average intensity of energy imparted to tissues.The magnitude of oscillatory motion can be quantified in terms of its maximum displacement or velocity, but is normally expressed in terms of its acceleration, and timeaveraged (the so-called 'root mean square (r.m.s.) magnitude'). The frequency of motion is expressed in cycles per second (Hertz). Biodynamic investigations have shown that the response of the body to vibration is frequency dependent and to account for this, standards for exposure evaluation weight the frequencies of measured vibration according to the assumed effects at each frequency. Frequency weightings are applied to measurements taken Conflict of interestNone. Europe PMC Funders Group Europe PMC Funders Author ManuscriptsEurope PMC Funders Author Manuscripts in three axes at right angles to one another, sited at the boundary between the body and the vibration (e.g. using accelerometers mounted on the handle of a powered tool or the seat of a vibrating vehicle). 'Dose' of vibration is based on specific relations between duration of exposure and vibration magnitude defined in ISO standards [1,2], allowing the daily vibration exposure to be re-expressed in terms of the equivalent acceleration that would impart the same energy over an 8-hour reference period (a notional average working day). This is called the A (8 Health surveillance is required for workers who remain regularly exposed above the EAV. These values have been translated into guidelines based upon typical patterns of exposure. For example, use of hammer-action tools for >1 hour/day, or of some rotary-action tools for >2 hours/day regularly is likely to exceed the ELV for HTV and the EAV may be breached by as little as 15 minutes/day of exposure to certain hammer-action tools [5]. (Some employers employ a 'traffic light' labelling syste...

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Recovery from symptoms after carpal tunnel syndrome surgery in males in relation to vibration exposure

Cited by 36 publications

References 6 publications

Impact of occupations and job tasks on the prevalence of carpal tunnel syndrome.

Impact of occupations and job tasks on the prevalence of carpal tunnel syndrome.

The effect of different warming methods on sensory nerve conduction velocity in shipyard workers occupationally exposed to hand–arm vibration

Rheumatic effects of vibration at work

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