The Strain Index and<scp>TLV</scp>for<scp>HAL</scp>: Risk of lateral epicondylitis in a prospective cohort

Garg, Arun; Kapellusch, Jay; Hegmann, Kurt T.; Thiese, Matthew S.; Merryweather, Andrew; Wang, Ying Chih; Malloy, Elizabeth J.

doi:10.1002/ajim.22279

Cited by 41 publications

(70 citation statements)

References 64 publications

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“…Funnel plot (figure 3) and Egger's test did not suggest a major publication bias. Sensitivity analyses based on recent studies only, (18)(19)(20)(21) on studies with physical examination mandatory, (18,20,21) or on studies with observations for exposure assessment, (20,21) on studies with OR available only, (17)(18)(19) found similar results.…”

Section: Resultsmentioning

confidence: 75%

“…All studies published found a significant estimation of relative risk for a positive association between combined biomechanical exposure involving wrist and/or elbow and occurrence of lateral epicondylitis, with an equivalent dose-response relationship for three of them: higher proportion of exposure or increase in duration were associated with a higher relative risk. (18,20,21) One study also found that two positive questionnaires yielded significant and higher relative risk than one positive questionnaire. (19) The overall meta-OR was significantly higher than 1 ( Figure 2): 2.6 [CI 1.9;3.5], with a low heterogeneity (Q=1.4, 5 degrees of freedom, P>0.05).…”

Section: Resultsmentioning

confidence: 98%

“…After full-text reading, five papers were selected for the meta-analysis. (17)(18)(19)(20)(21) The studies, originating only from France and the United States, were published between 2001 and 2014, mostly in the last two years, and all in English (table 1). Among 6,922 included subjects (and 3,449 who were followed), 256 cases of incident lateral epicondylitis were diagnosed 2.5 to 6 years after baseline.…”

Section: Resultsmentioning

confidence: 99%

“…(17,19) Exposure was also assessed differently, 9 including self-reported exposure, (17)(18)(19) and measurements. (20,21) However, all relevant exposure was a combination of biomechanical exposure involving wrist and/or elbow (table 1). Information on associations was available for all five studies, with no need for further calculation.…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Lateral Epicondylitis and Physical Exposure at Work? A Review of Prospective Studies and Meta‐Analysis

Descatha

Albo

Leclerc

et al. 2016

Arthritis Care & Research

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Section: Resultsmentioning

confidence: 75%

Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Lateral Epicondylitis and Physical Exposure at Work? A Review of Prospective Studies and Meta‐Analysis

Descatha

Albo

Leclerc

et al. 2016

Arthritis Care & Research

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“…Stan zapalny w okolicy nadkłykcia bocznego kości ramiennej może wynikać z przeciążenia przyczepów mięśni prostowników nadgarstka lub nadkłykcia przyśrodkowego w następstwie przeciążenia przyczepów mięśni zginaczy nadgarstka [8].…”

Section: Przewlekłe Zapalenie Nadkłykci Kości Ramiennejunclassified

Diagnostic guidlines for occupational epicondylitis

Krawczyk-Szulc¹,

Wagrowska-Koski

Puzder

et al. 2015

Med Pr

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StreszczenieOrzekanie o chorobach zawodowych układu ruchu często stanowi problem diagnostyczno-orzeczniczy na każdym szczeblu postępowania, które ma na celu potwierdzenie lub wykluczenie zawodowej etiologii danego schorzenia. W celu ułatwienia podejmowania decyzji i wnioskowania o związku przyczynowo-skutkowym między rozpoznaną jednostką chorobową a sposobem wykonywania pracy opracowano wytyczne do rozpoznawania zawodowej etiologii chorób układu ruchu. W pracy przedstawiono wytyczne diagnostyczno-orzecznicze dotyczące zawodowej etiologii zapalenia nadkłykcia bocznego i przyśrodkowego kości ramiennej. Zapalenie nadkłykcia bocznego kości ramiennej, oprócz przewlekłego zapalenia okołostawowego barku, należy do najczęstszych chorób zawodowych układu ruchu w Polsce. Wytyczne opracowano na podstawie danych z piśmiennictwa okre-ś-lających zawodowe czynniki ryzyka zapalenia nadkłykcia kości ramiennej, klasyfikacji wielkości obciążenia pracą monotypową z uwzględnieniem klasyfikacji stosowanych w metodach ergonomicznej oceny obciążenia układu ruchu podczas pracy. Prezentowane wytyczne diagnostyczno-orzecznicze określają przybliżone kryteria warunkujące stwierdzenie, że rozpoznane zapalenie nadkłykcia kości ramiennej (po wykluczeniu przyczyn pozazawodowych) zostało wywołane sposobem wykonywania pracy. W wytycznych uwzględniono czas pracy, czas wykonywania ruchów obciążających przyczepy ścięgien do nadkłykci, monotypię pracy oraz wielkość siły używanej do wykonania czynności zawodowych. Opracowane wytyczne mają ułatwić postępowanie diagnostyczno-orzecznicze i ocenę, czy istnieje prawdopodobieństwo wystąpienia etiologii zawodowej zapalenia nadkłykcia kości ramiennej. Med. Pr. 2015;66(3):443-450 Słowa kluczowe: choroby zawodowe, układ ruchu, diagnostyka, etiologia zawodowa, zapalenie nadkłykci kości ramiennej, wytyczne orzecznicze AbstractMaking final decisions on the occupational etiology of musculoskeletal diseases is often difficult and problematic at every stage of the diagnostic procedure. Taking into account the need to facilitate decision-making about the causal relationship between the diagnosed disease entity and the working conditions guidelines for the recognition of work-related musculoskeletal diseases have been developed. This paper presents the guidelines for the diagnosis of occupational etiology of humeral epicondylitis, one of the most common occupational disease of the musculoskeletal system in Poland. The developed guidelines have been based on the literature data concerning occupational risk factors of humeral epicondylitis, workload classification, including repetitive movements, awkward postures, and force. Some criteria applied in ergonomic evaluation methods were also included. The presented diagnostic guidelines define approximate benchmarks for stating (after excluding non-occupational etiology) that the identified humeral epicondylitis, is related to the way of working. Crucial work factors that should be analyzed Finansowanie / Funding: w ramach dotacji na działalność statutową, zadanie nr IMP 12....

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Elbow tendinopathy and occupational biomechanical overload: A systematic review with best-evidence synthesis

Curti

Mattioli

Bonfiglioli

et al. 2021

Journal of Occupational Health

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Objectives To evaluate the evidence of an association between occupational and non‐occupational exposure to biomechanical risk factors and lateral elbow tendinopathy, medial elbow tendinopathy, and olecranon bursitis. Methods We carried out a systematic review of the literature. We searched MEDLINE (up to November 2019) and checked the reference lists of relevant articles/reviews. We aimed to include studies where (a) the diagnosis was based on physical examination (symptoms plus clinical signs) and imaging data (if any); and (b) the exposure was evaluated with video analysis and/or direct measurements. A quality assessment of the included studies was performed along with an evaluation of the level of evidence of a causal relationship. Results We included four studies in the qualitative synthesis: two prospective cohorts and two cross‐sectional studies. All the included studies investigated “lateral/medial epicondylitis”, albeit the diagnosis was not supported by imaging techniques. Two cohort studies suggested that a combination of biomechanical risk factors for wrist/forearm is associated with increased risk of “lateral epicondylitis”. This association was not observed in the two included cross‐sectional studies. The cohort studies suggested that a Strain Index score higher than 5 or 6.1 could double the risk of “lateral epicondylitis”. No association with increased risk of “medial epicondylitis” was observed. Conclusions There is limited evidence of a causal relationship between occupational exposure to biomechanical risk factors and lateral elbow tendinopathy. For medial elbow tendinopathy, the evidence is insufficient to support this causal relationship. No studies on olecranon bursitis and biomechanical overload were identified.

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The Strain Index andTLVforHAL: Risk of lateral epicondylitis in a prospective cohort

Abstract: JPE is associated with increased risk of LE. The SI and TLV for HAL are useful metrics for estimating JPE.

Cited by 41 publications

References 64 publications

Lateral Epicondylitis and Physical Exposure at Work? A Review of Prospective Studies and Meta‐Analysis

Lateral Epicondylitis and Physical Exposure at Work? A Review of Prospective Studies and Meta‐Analysis

Diagnostic guidlines for occupational epicondylitis

Elbow tendinopathy and occupational biomechanical overload: A systematic review with best-evidence synthesis

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