Personal and workplace factors and median nerve function in a pooled study of 2396 US workers

Details

• Alternative Title:
  J Occup Environ Med
• Personal Author:
  Rempel, David ; Gerr, Fred ; Harris-Adamson, Carisa ; Hegmann, Kurt T ; Thiese, Matthew S. ; Kapellusch, Jay ; Garg, Arun ; Burt, Susan ; Bao, Stephen ; Silverstein, Barbara ; Merlino, Linda ; Dale, Ann Marie ; Evanoff, Bradley
• Description:
  Objective
  
  Evaluate associations between personal and workplace factors and median nerve conduction latency at the wrist.
  
  Methods
  
  Baseline data on workplace psychosocial and physical exposures were pooled from five prospective studies of production and service workers (N=2396). During the follow-up period, electrophysiologic measures of median nerve function were collected at regular intervals.
  
  Results
  
  Significant adjusted associations were observed between age, BMI, gender, peak hand force, duration of forceful hand exertions, TLV for HAL, forceful repetition rate, wrist extension, and decision latitude on median nerve latencies.
  
  Conclusions
  
  Occupational and non-occupational factors have adverse effects on median nerve function. Measuring median nerve function eliminates possible reporting bias that may affect symptom-based carpal tunnel syndrome (CTS) case definitions. These results suggest that previously observed associations between CTS and occupational factors are not the result of such reporting bias.
  
  
• Subjects:
  Adult Age Factors Biomechanical Phenomena Body Mass Index Carpal Tunnel Syndrome Female Hand Strength Humans Male Median Nerve Middle Aged Movement Neural Conduction Occupational Exposure Physical Exertion Posture Professional Autonomy Sex Factors Surveys And Questionnaires Workplace Wrist

  More +
• Source:
  J Occup Environ Med. 57(1):98-104.
• Pubmed ID:
  25563546
• Pubmed Central ID:
  PMC4440794
• Document Type:
  Journal Article
• Funding:
  R01 OH009712/OH/NIOSH CDC HHS/United States ; R01OH009712/OH/NIOSH CDC HHS/United States ; UL1 TR000448/TR/NCATS NIH HHS/United States
• Place as Subject:
  United States
• Volume:
  57
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:1f4295ec036a594cacf4008f2ebd962c2de0b67af23024744f2f84729889377e
• Download URL:
  https://stacks.cdc.gov/view/cdc/31225/cdc_31225_DS1.pdf
• File Type:
  [PDF - 264.96 KB ]