Occupational risk factors for work disability following carpal tunnel syndrome: a pooled prospective study.

Details

• Alternative Title:
  Occup Environ Med
• Personal Author:
  Harris Adamson, Carisa ; Ellen, A Eisen ; Kapellusch, Jay ; Hegmann, Kurt T ; Thiese, Matthew S. ; Dale, Ann Marie ; Evanoff, Bradley ; Meyers, Alysha R. ; Bao, Stephen ; Gerr, Fred ; Krause, Niklas ; Rempel, David
• Description:
  Background:
  
  Although recent studies have identified important risk factors associated with incident carpal tunnel syndrome(CTS), risk factors associated with its severity have not been well explored.
  
  Objective:
  
  To examine the associations between personal, workplace psychosocial and biomechanical factors and incident work disability among workers with carpal tunnel syndrome.
  
  Methods:
  
  Between 2001 and 2010 five research groups conducted coordinated prospective studies of CTS and related work disability among US workers from various industries. Workers with prevalent or incident CTS (N=372) were followed for up to 6.4 years. Incident work disability was measured as: (1)change in work pace or work quality, (2)lost time, or (3)job change following the development of CTS. Psychosocial factors were assessed by questionnaire. Biomechanical exposures were assessed by observation and measurements and included force, repetition, duty cycle and posture. Hazard ratios(HR) were estimated using Cox models.
  
  Results:
  
  Disability incidence rates(IR) per 100 person-years were 33.2 for changes in work pace or quality, 16.3 for lost time, and 20.0 for job change. There was a near doubling of risk for job change among those in the upper tertile of the Hand Activity Level(HAL) Scale (HR=2.17; 95%CI: 1.17–4.01), total repetition rate (HR=1.75; 95% CI:1.02–3.02), %time spent in all hand exertions (HR=2.20; 95%CI:1.21–4.01), and a 6-fold increase for high job strain. Sensitivity analyses indicated attenuation due to inclusion of the prevalent CTS cases.
  
  Conclusion:
  
  Personal, biomechanical and psychosocial job factors predicted CTS–related disability. Results suggest that prevention of severe disability requires a reduction of both biomechanical and organizational work stressors.
  
  
• Subjects:
  Article Carpal Tunnel Syndrome Disability Epidemiology Humans Job Stress Musculoskeletal Disorders Occupational Diseases Prospective Studies Risk Factors Workplace

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• Source:
  Occup Environ Med. 79(7):442-451
• Pubmed ID:
  35074886
• Pubmed Central ID:
  PMC10291503
• Document Type:
  Journal Article
• Funding:
  R01 OH007914/OH/NIOSH CDC HHSUnited States/ ; T42OH008414/ACL/ACL HHSUnited States/ ; UL1 RR024992/RR/NCRR NIH HHSUnited States/ ; CC999999/ImCDC/Intramural CDC HHSUnited States/ ; R01 OH010474/OH/NIOSH CDC HHSUnited States/ ; R01 OH009712/OH/NIOSH CDC HHSUnited States/ ; T42OH008429/ACL/ACL HHSUnited States/ ; T42 OH008429/OH/NIOSH CDC HHSUnited States/ ; T42 OH008414/OH/NIOSH CDC HHSUnited States/ ; U01 OH007917/OH/NIOSH CDC HHSUnited States/
• Volume:
  79
• Issue:
  7
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:c868e20a7369df95623d6da3d93483e479753f0c7f92381c849cb469fbe3f3c1
• Download URL:
  https://stacks.cdc.gov/view/cdc/130276/cdc_130276_DS1.pdf
• File Type:
  [PDF - 646.09 KB ]