Self-reported physical work exposures and incident carpal tunnel syndrome

Details

• Personal Author:
  Dale, Ann M. ; Descatha A ; Evanoff BA ; Franzblau, Alfred ; Gardner BT ; Strickland J ; Zeringue A
• Description:
  BACKGROUND: To prospectively evaluate associations between self-reported physical work exposures and incident carpal tunnel syndrome (CTS). METHODS: Newly employed workers (n = 1,107) underwent repeated nerve conduction studies (NCS), and periodic surveys on hand symptoms and physical work exposures including average daily duration of wrist bending, forearm rotation, finger pinching, using vibrating tools, finger/thumb pressing, forceful gripping, and lifting >2 pounds. Multiple logistic regression models examined relationships between peak, most recent, and time-weighted average exposures and incident CTS, adjusting for age, gender, and body mass index. RESULTS: 710 subjects (64.1%) completed follow-up NCS; 31 incident cases of CTS occurred over 3-year follow-up. All models describing lifting or forceful gripping exposures predicted future CTS. Vibrating tool use was predictive in some models. CONCLUSIONS: Self-reported exposures showed consistent risks across different exposure models in this prospective study. Workers' self-reported job demands can provide useful information for targeting work interventions. [Description provided by NIOSH]
• Subjects:
  Men Musculoskeletal Diseases Musculoskeletal System Occupational Health Risk Assessment Risk Factors Safety Women
• Keywords:
  Author Keywords: Carpal Tunnel Syndrome Carpal-tunnel-syndrome Exposure-levels Extremities Hand-injuries Humans Longitudinal Studies Models Musculoskeletal-system Musculoskeletal-system-disorders Nerve-function Occupational Health Physical-reactions Physical Work Exposures Physiological-effects Physiology Prospective Risk-factors Self-report Statistical-analysis

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• ISSN:
  0271-3586
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Michigan ; Missouri ; OSHA Region 5 ; OSHA Region 7
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  57
• Issue:
  11
• NIOSHTIC Number:
  nn:20045042
• Citation:
  Am J Ind Med 2014 Nov; 57(11):1246-1254
• Contact Point Address:
  Ann Marie Dale, PhD, OTR/L, Division of General Medical Sciences, Campus Box 8005, Washington University School of Medicine, 660 S .Euclid Ave., St.Louis, MO 63110
• Email:
  adale@dom.wustl.edu
• Federal Fiscal Year:
  2015
• NORA Priority Area:
  Construction ; Manufacturing
• Performing Organization:
  Washington University - St. Louis, Missouri
• Peer Reviewed:
  True
• Start Date:
  20040601
• Source Full Name:
  American Journal of Industrial Medicine
• End Date:
  20151231
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:8aaa216110d416fb531b4bcb53d47c7c1abfa9ef1d64250c477ac81eeebfbc3dc71be61fe62ed2980b5bb05fd5388efebaa7d21181bb6a571f9461dacb0638d0
• Download URL:
  https://stacks.cdc.gov/view/cdc/200587/cdc_200587_DS1.pdf
• File Type:
  [PDF - 130.54 KB ]