Associations between workplace factors and carpal tunnel syndrome: a multi-site cross sectional study

Details

• Personal Author:
  Bao S ; Burt, Susan E. ; Dale, Ann M. ; Eisen EA ; Evanoff B ; Fan ZJ ; Garg, Arun ; Gerr F ; Harris-Adamson C ; Hegmann KT ; Kapellusch J ; Merlino L ; Rempel D ; Silverstein B ; Thiese MS
• Description:
  Background: Few large epidemiologic studies have used rigorous case criteria, individual-level exposure measurements, and appropriate control for confounders to examine associations between workplace psychosocial and biomechanical factors and carpal tunnel syndrome (CTS). Methods: Pooling data from five independent research studies, we assessed associations between prevalent CTS and personal, work psychosocial, and biomechanical factors while adjusting for confounders using multivariable logistic regression. Results: Prevalent CTS was associated with personal factors of older age, obesity, female sex, medical conditions, previous distal upper extremity disorders, workplace measures of peak forceful hand activity, a composite measure of force and repetition (ACGIH Threshold Limit Value for Hand Activity Level), and hand vibration. Conclusions: In this cross-sectional analysis of production and service workers, CTS prevalence was associated with workplace and biomechanical factors. The findings were similar to those from a prospective analysis of the same cohort with differences that may be due to recall bias and other factors. [Description provided by NIOSH]
• Subjects:
  Age Factors Biomechanical Phenomena Epidemiology Musculoskeletal Diseases Musculoskeletal System Occupational Health Safety Vibration Women Workplace
• Keywords:
  Age-factors Author Keywords: Musculoskeletal Disorders Biomechanics Carpal-tunnel-syndrome Confounders Exposure-levels Extremities Force Hand-injuries Humans Individual-level Assessment Musculoskeletal-system-disorders Physical Work-load Repetitive-work Vibration-exposure Weight-factors Work-environment Workers

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• ISSN:
  0271-3586
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  California ; Iowa ; Missouri ; Ohio ; OSHA Region 10 ; OSHA Region 5 ; OSHA Region 7 ; OSHA Region 8 ; OSHA Region 9 ; Utah ; Washington ; Wisconsin
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DSHEFS - Division of Surveillance, Hazard Evaluations, and Field Studies
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  58
• Issue:
  5
• NIOSHTIC Number:
  nn:20045945
• Citation:
  Am J Ind Med 2015 May; 58(5):509-518
• Contact Point Address:
  David Rempel, MD, MPH, Division of Occupational and Environmental Medicine, University of California, San Francisco 1301 S 46th Street, Building 163 Richmond, CA 94804 510-665-3403
• Email:
  David.Rempel@ucsf.edu
• Federal Fiscal Year:
  2015
• NORA Priority Area:
  Manufacturing ; Services
• Performing Organization:
  University of California-San Francisco
• Peer Reviewed:
  True
• Start Date:
  20100901
• Source Full Name:
  American Journal of Industrial Medicine
• End Date:
  20140831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:c9de30ada83a3423d858ac77d95e9a09d2922d84dc54aa5e73a694036d04947705e5d66fb3c738d2185fd9d844858bbd766ac3dc555cb0f8c913cadff9ce9804
• Download URL:
  https://stacks.cdc.gov/view/cdc/201159/cdc_201159_DS1.pdf
• File Type:
  [PDF - 128.21 KB ]