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Gerger H, Macri EM, Jackson JA, Elbers RG, van Rijn R, Søgaard K, Burdorf A, Koes B, Chiarotto A. Physical and psychosocial work-related exposures and the incidence of carpal tunnel syndrome: A systematic review of prospective studies. APPLIED ERGONOMICS 2024; 117:104211. [PMID: 38199092 DOI: 10.1016/j.apergo.2023.104211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Revised: 11/30/2023] [Accepted: 12/15/2023] [Indexed: 01/12/2024]
Abstract
This systematic review summarizes the evidence on associations between physical and psychosocial work-related exposures and the development of carpal tunnel syndrome (CTS). Relevant databases were searched up to January 2020 for cohort studies reporting associations between work-related physical or psychosocial risk factors and the incidence of CTS. Two independent reviewers selected eligible studies, extracted relevant data, and assessed risk of bias (RoB). We identified fourteen articles for inclusion which reported data from nine cohort studies. Eight reported associations between physical exposure and the incidence of CTS and five reported associations between psychosocial exposures and the incidence of CTS. Quality items were generally rated as unclear or low RoB. Work-related physical exposure factors including high levels of repetition, velocity, and a combination of multiple physical exposures were associated with an increased risk of developing CTS. No other consistent associations were observed for physical or psychosocial exposures at work and CTS incidence.
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Affiliation(s)
- Heike Gerger
- Department of General Practice, Erasmus Medical Center, University Medical Center, Rotterdam, the Netherlands
| | - Erin M Macri
- Department of General Practice, Erasmus Medical Center, University Medical Center, Rotterdam, the Netherlands; Department of Orthopaedics and Sports Medicine, Erasmus University Medical Center Rotterdam, Rotterdam, the Netherlands
| | - Jennie A Jackson
- Centre for Musculoskeletal Research, Department of Occupational Health Sciences and Psychology, University of Gävle, Gävle, Sweden
| | - Roy G Elbers
- Department of General Practice, Erasmus Medical Center, University Medical Center, Rotterdam, the Netherlands
| | - Rogier van Rijn
- Codarts Rotterdam, University of the Arts, Rotterdam, the Netherlands; Performing Artist and Athlete Research Lab (PEARL), Rotterdam, the Netherlands
| | - Karen Søgaard
- Center for Muscle and Joint Health, University of Southern Denmark, Odense, Denmark; Dep of Clinical Research, University of Southern Denmark, Odense, Denmark
| | - Alex Burdorf
- Department of Public Health, Erasmus Medical Center, University Medical Center, Rotterdam, the Netherlands
| | - Bart Koes
- Department of General Practice, Erasmus Medical Center, University Medical Center, Rotterdam, the Netherlands; Center for Muscle and Joint Health, University of Southern Denmark, Odense, Denmark.
| | - Alessandro Chiarotto
- Department of General Practice, Erasmus Medical Center, University Medical Center, Rotterdam, the Netherlands
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Pendleton C, Lenartowicz K, Bydon M, Spinner RJ. Prevalence of carpal tunnel syndrome symptoms among neurosurgical spine surgeons. World Neurosurg X 2024; 21:100237. [PMID: 38221951 PMCID: PMC10787288 DOI: 10.1016/j.wnsx.2023.100237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2023] [Accepted: 09/26/2023] [Indexed: 01/16/2024] Open
Abstract
Background Neurosurgeons, particularly spine surgeons, have high exposure to vibrations via electric or pneumatic drills and repetitive motion. Although no data exist for the prevalence of carpal tunnel syndrome (CTS) among these surgeons, anecdotal evidence suggests the rate of symptoms is higher than in the general population. Methods An anonymous questionnaire was developed to assess demographics, practice patterns, presence of CTS symptoms, and treatment (time off, bracing, medication, injections, surgery). The survey was sent via anonymous email link to members of the AANS/CNS Joint Section on Disorders of the Spine and Peripheral Nerve. Results 101 members responded: 44 reported at least one symptom related to CTS (43.6%). There was no statistically significant relationship between overall or spine case volume, the number of cases performed annually/daily, and CTS symptoms. Respondents working in non-teaching settings were significantly more likely to have CTS symptoms than academic teaching institutions (50.0% v. 45.0%; p = 0.0112). Conclusions Our survey demonstrated CTS to be more prevalent in spine neurosurgeons (43.6%) than in the general population (1-5%). The lack of significant association between most practice-based metrics and CTS symptoms may indicate that respondents have a minimum case volume that exceeds the amount of vibration exposure/repetitive motion to develop symptoms. The significantly increased prevalence of CTS among neurosurgeons at non-teaching institutions suggests that residents provide operative assistance offsetting the vibration exposure/repetitive motion by attendings. Further research may determine the root cause for the high prevalence of CTS in spine neurosurgeons and devise methods for reducing vibration exposure.
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Affiliation(s)
- Courtney Pendleton
- Department of Neurologic Surgery, Stony Brook University Hospital, Stony Brook, NY, USA
| | | | - Mohamad Bydon
- Department of Neurologic Surgery, Mayo Clinic, Rochester, MN, USA
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Chen PT, Hsu HY, Su YH, Lin CJ, Chieh HF, Kuo LC, Su FC. Force Control Strategy of Five-Digit Precision Grasping With Aligned and Unaligned Configurations. HUMAN FACTORS 2023; 65:1407-1421. [PMID: 34974764 DOI: 10.1177/00187208211040914] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
OBJECTIVE To investigate the digit force control during a five-digit precision grasp in aligned (AG) and unaligned grasping (UG) configurations. BACKGROUND The effects of various cylindrical handles for tools on power grasp performance have been previously investigated. However, there is little information on force control strategy of precision grasp to fit various grasping configurations. METHOD Twenty healthy young adults were recruited to perform a lift-hold-lower task. The AG and UG configurations on a cylindrical simulator with force transducers were adjusted for each individual. The applied force and moment, the force variability during holding, and force correlations between thumb and each finger were measured. RESULT No differences in applied force, force correlation, repeatability, and variability were found between configurations. However, the moments applied in UG were significantly larger than those in AG. CONCLUSION The force control during precision grasp did not change significantly across AG and UG except for the digit moment. The simulator is controlled efficiently with large moment during UG, which is thus the optimal configuration for precision grasping with a cylindrical handle. Further research should consider the effects of task type and handle design on force control, especially for individuals with hand disorders. APPLICATION To design the handle of specific tool, one should consider the appropriate configuration according to the task requirements of precision grasping to reduce the risk of accumulating extra loads on digits with a cylindrical handle.
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Affiliation(s)
- Po-Tsun Chen
- Chang Gung University, Taoyuan
- Chang Gung Memorial Hospital, Taoyuan
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Kabir-Mokamelkhah E, Najd Mazhar F, Hamidi A, Hosseininejad M. Factors Associated with the Return to Work after Carpal Tunnel Release Surgery: A Cross-Sectional Study of the Worker Population. J Hand Surg Asian Pac Vol 2023; 28:555-561. [PMID: 37881825 DOI: 10.1142/s2424835523500595] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2023]
Abstract
Background: There is controversy regarding the factors influencing the duration of sickness absence and return to work (RTW) after surgical treatment of carpal tunnel syndrome (CTS). This study aimed to determine factors related to RTW in these patients. Methods: This descriptive-analytical study was performed on all patients with CTS who underwent surgery in a main orthopaedic centre from December 2020 to April 2021. Patients were followed for 90 days after surgery for the RTW. The patients were classified into two groups based on the time of RTW, early (<21 days) and late (>21 days). These two groups were compared in terms of occupational, individual and disease-related factors and the type of surgery. Results: The mean time to RTW in patients was 23.2 ± 7.1 days, with a range of 7-60 days. There was a statistically significant relationship between early RTW and gender (female) (p = 0.005 OR = 6.5), non-manual work (p = 0.002 OR = 1.2), the total score of the Boston carpal tunnel questionnaire before surgery and job satisfaction (p = 0.04). The mean time to RTW in patients who underwent open surgery was less than in endoscopic surgery (22.89 ± 6.29 vs. 24.58 ± 4.7), but this difference was not statistically significant (p > 0.05). Conclusions: Based on the findings of our study, the type of surgery does not affect the RTW of patients with CTS. Considering the effect of job type and job satisfaction on RTW, it is recommended to pay attention to the type of occupation in addition to the type of surgery so that this workforce can RTW with good performance. Level of Evidence: Level IV (Therapeutic).
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Affiliation(s)
- Elaheh Kabir-Mokamelkhah
- Occupational Medicine Research Center, Department of Occupational Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Farid Najd Mazhar
- Bone and Joint Reconstruction Research Centre, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran
| | - Arsalan Hamidi
- Occupational Medicine Research Center, Department of Occupational Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Mahin Hosseininejad
- Occupational Medicine Research Center, Department of Occupational Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
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Abebe G, Hailu T, Fikadu T, Gebremickael A, Temesgen R, Shibru T, Kefelew E, Dawit F, Atnafu K, Wale Tesega W, Bekele A. Magnitude and factors associated with musculoskeletal disorder among patients with diabetes attending chronic care at Arba Minch General Hospital, Arba Minch, southern Ethiopia, 2021: a cross-sectional study. BMJ Open 2022; 12:e059218. [PMID: 36343989 PMCID: PMC9644307 DOI: 10.1136/bmjopen-2021-059218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
OBJECTIVE This study aimed to assess the prevalence and determinants of musculoskeletal disorders (MSDs) among patients with diabetes in southern Ethiopia. DESIGN Facility-based cross-sectional study. SETTING Data collected from 1 March 2021 to 30 August 2021 at Arba Minch General Hospital. PARTICIPANTS Three hundred and sixty-five patients with diabetes attending care at Arba Minch General Hospital. MAIN OUTCOME MEASURES The magnitude and determinants of the MSDs. RESULTS The prevalence of MSDs among patients with diabetes was 23.29% (95% CI 19.00 to 27.76). The likelihood of developing MSDs was 6.8 times higher among women than men (AOR=6.787, 95% CI 2.08 to 22.19). Rural participants were about 2.4 times (AOR=2.38, 95% CI 1.06 to 5.33) more likely to develop MSDs as compared with urban participants. Participants aged >50 years were 5.9 times more likely to develop MSDs as compared with those aged ≤50 years (AOR=5.864, 95% CI 2.663 to 12.914). The odds of developing MSDs was 6.2 times (AOR=6.247, 95% CI 1.158 to 33.702) and 5.5 times (AOR=5.451 95% CI 1.174 to 25.312) higher among participants who attended primary and secondary education as compared with those who attended college and above, respectively. Participants with cardiovascular disease were 3.9 times more likely to develop MSDs as compared with their counterparts (AOR=3.854, 95% CI 1.843 to 8.063). CONCLUSIONS This study showed that age, sex, educational status, place of residence and cardiovascular disease were found to be determinants of MSDs. Thus, clinical and public health interventions working on diabetes mellitus should consider these determinants.
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Affiliation(s)
- Getachew Abebe
- Department of Anatomy, College of Medicine and Health Science, Arba Minch University, Arba Minch, Ethiopia
| | - Tadiwos Hailu
- Department of Internal Medicine, College of Medicine and Health Science, Arba Minch University, Arba Minch, Ethiopia
| | - Teshale Fikadu
- Department of Public Health, College of Medicine and Health Science, Arba Minch University, Arba Minch, Ethiopia
- Department of nutrition and dietetics, Faculty of Public Health, Institute of Health, Jimma Jniversity, Jimma, Ethiopia
| | - Abinet Gebremickael
- Department of Anatomy, College of Medicine and Health Science, Arba Minch University, Arba Minch, Ethiopia
| | - Rodas Temesgen
- Department of Internal Medicine, College of Medicine and Health Science, Arba Minch University, Arba Minch, Ethiopia
| | - Tamiru Shibru
- Department of Internal Medicine, College of Medicine and Health Science, Arba Minch University, Arba Minch, Ethiopia
| | - Etenesh Kefelew
- Department of Public Health, College of Medicine and Health Science, Arba Minch University, Arba Minch, Ethiopia
| | - Firehiwot Dawit
- Department of Public Health, College of Medicine and Health Science, Arba Minch University, Arba Minch, Ethiopia
| | - Kaleb Atnafu
- Department of Medical Laboratory, College of Medicine and Health Science, Arba Minch University, Arba Minch, Ethiopia
| | - Wondwossen Wale Tesega
- Department of Biomedical Science, College of Medicine and Health Science, Arba Minch University, Arba Minch, Ethiopia
| | - Alehegn Bekele
- Department of Anatomy, College of Medicine and Health Science, Arba Minch University, Arba Minch, Ethiopia
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Johanning E, Stillo M, Landsbergis P. Reply to "raised concern". INDUSTRIAL HEALTH 2022; 60:288-292. [PMID: 34690252 PMCID: PMC9171113 DOI: 10.2486/indhealth.2021-0125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/04/2021] [Accepted: 08/26/2021] [Indexed: 06/13/2023]
Affiliation(s)
- Eckardt Johanning
- Columbia University Irving Medical Center, Center for Family and Community Medicine, United States
| | - Marco Stillo
- Department of Environmental and Occupational Health Sciences, Downstate School of Public Health, State University of New York (SUNY), United States
| | - Paul Landsbergis
- Department of Environmental and Occupational Health Sciences, Downstate School of Public Health, State University of New York (SUNY), United States
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Landsbergis P, Johanning E, Stillo M. Landsbergis, Johanning, Stillo Respond to Letter to the Editor. J Occup Environ Med 2021; 63:e751-e754. [PMID: 34238911 DOI: 10.1097/jom.0000000000002316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Paul Landsbergis
- State University of New York (SUNY)-Downstate School of Public Health
- Brooklyn, NY
| | - Eckardt Johanning
- Johanning MD, PC, Center for Family and Community Medicine, Department of. Medicine, Columbia University
- New York, NY
| | - Marco Stillo
- State University of New York (SUNY)-Downstate School of Public Health
- Brooklyn, NY
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8
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Landsbergis P, Johanning E, Stillo M. Landsbergis et al. respond. Am J Ind Med 2021; 64:717-720. [PMID: 34105171 DOI: 10.1002/ajim.23263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2021] [Revised: 05/14/2021] [Accepted: 05/18/2021] [Indexed: 11/09/2022]
Affiliation(s)
- Paul Landsbergis
- Department of Environmental and Occupational Health Sciences, Downstate School of Public Health State University of New York (SUNY) Brooklyn New York USA
| | - Eckardt Johanning
- Johanning MD, PC Albany New York USA
- Department of Medicine, Center for Family and Community Medicine Columbia University New York New York USA
| | - Marco Stillo
- Department of Environmental and Occupational Health Sciences, Downstate School of Public Health State University of New York (SUNY) Brooklyn New York USA
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Battista EB, Yedulla NR, Koolmees DS, Montgomery ZA, Ravi K, Day CS. Manufacturing Workers Have a Higher Incidence of Carpal Tunnel Syndrome. J Occup Environ Med 2021; 63:e120-e126. [PMID: 33394876 DOI: 10.1097/jom.0000000000002122] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE It is unclear whether clerical or labor-type work is more associated with risk for developing work-related carpal tunnel syndrome (WrCTS). METHODS National employment, demographic, and injury data were examined from the Bureau of Labor Statistics databases for the years 2003 to 2018. Injuries for clerical and labor industries were compared using linear regression, two-group t test, and one-way analysis of variance (ANOVA) analysis. RESULTS WrCTS injuries are decreasing over time (B = -1002.62, P < 0.001). The labor industry demonstrated a significantly higher incidence of WrCTS when compared with the clerical industries (P < 0.001). Within labor industries, the manufacturing industry had the highest incidence of WrCTS over time (P < 0.001). CONCLUSIONS Our study showed WrCTS injuries have declined over time. Additionally, our findings may suggest that the labor industry has a stronger association with WrCTS than the clerical industry.
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Affiliation(s)
- Eric B Battista
- Henry Ford Health System, Detroit, Michigan (Dr Day); Wayne State University School of Medicine, Ann Arbor, MI (Mr Battista, Mr Yedulla, Mr Koolmees, Mr Montgomery, Dr Day); University of Michigan (Mr Ravi), Detroit, Michigan
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10
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Stirling PHC, Jenkins PJ, Clement ND, Duckworth AD, McEachan JE. The Influence of Self-Reported Hand-Arm Vibration Exposure on Functional Outcomes Following Carpal Tunnel Release. J Hand Surg Am 2020; 45:1029-1036. [PMID: 33153530 DOI: 10.1016/j.jhsa.2020.08.018] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/25/2019] [Revised: 07/01/2020] [Accepted: 08/25/2020] [Indexed: 02/02/2023]
Abstract
PURPOSE This study describes the impact of self-reported hand-arm vibration (HAV) exposure on patient-reported outcomes, health-related quality of life, and satisfaction after carpal tunnel release. METHODS We prospectively collected data from Quick-Disabilities of the Arm, Shoulder, and Hand (QuickDASH), patient satisfaction, and 5-level EuroQol-5D questionnaires before and after surgery. Patient-reported outcomes were available for 475 patients (78% follow-up at a mean of 14 months). Fifteen patients were excluded, giving a final cohort of 460 patients. RESULTS A total of 119 patients reported HAV exposure (26%). Median postoperative QuickDASH and QuickDASH improvement were significantly worse in the HAV-exposed group, although both groups improved after surgery. Multivariable linear regression revealed a significantly worse postoperative score and change in QuickDASH in HAV-exposed patients. There was no difference in satisfaction, but after surgery, the 5-level EuroQol-5D score was significantly worse in HAV-exposed patients. CONCLUSIONS Carpal tunnel release in HAV-exposed patients results in a significantly lower improvement in self-reported disability compared with patients without HAV exposure. This study provides important prognostic information for patients with previous HAV exposure undergoing carpal tunnel release. TYPE OF STUDY/LEVEL OF EVIDENCE Prognostic III.
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Affiliation(s)
- Paul H C Stirling
- Department of Hand Surgery, Queen Margaret Hospital, Dunfermline, United Kingdom.
| | - Paul J Jenkins
- Department of Orthopaedic Surgery, Glasgow Royal Infirmary, Glasgow, United Kingdom
| | - Nicholas D Clement
- Departmental of Orthopaedic Surgery, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom
| | - Andrew D Duckworth
- Departmental of Orthopaedic Surgery, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom
| | - Jane E McEachan
- Department of Hand Surgery, Queen Margaret Hospital, Dunfermline, United Kingdom
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Jaeger JW, Adkins SC, Perez-Tamayo SC, Werth KE, Hansen G, Nimunkar AJ, Radwin RG. Automated Device for Uncapping Multiple-Size Bioanalytical Sample Tubes Designed to Reduce Technician Strain and Increase Productivity. SLAS Technol 2020; 26:320-326. [PMID: 33089763 DOI: 10.1177/2472630320967622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Technicians in a commercial laboratory manually uncap up to 700 sample tubes daily in preparation for bioanalytical testing. Manually twisting off sample tube caps not only is a time-consuming task, but also poses increased risk for muscle fatigue and repetitive-motion injuries. An automated device capable of uncapping sample tubes at a rate faster than the current workflow would be valuable for minimizing strain on technicians' hands and saving time. Although several commercial sample tube-uncapping products exist, they are not always usable for a workload that uses a mix of tube sizes and specific workflow. A functioning uncapping device was developed that can semi-automatically uncap sample tubes with three different heights and diameters and was compatible with the workflow in a commercial laboratory setting. Under limited testing, the average success rate with uncapping each of the three sample tube sizes or a mix of them was 90% or more, more than three times faster than manual uncapping, and met standard acceptance criteria using mass spectrometry. Our device with its current performance is still a prototype, requiring further development. It showed promise for ergonomic benefit to the laboratory technicians, however, reducing the necessity to manually unscrew caps.
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Affiliation(s)
- Jacob W Jaeger
- Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, USA
| | - Scottland C Adkins
- Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, USA
| | - Samuel C Perez-Tamayo
- Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, USA
| | - Katelyn E Werth
- Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, USA
| | | | - Amit J Nimunkar
- Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, USA
| | - Robert G Radwin
- Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, USA.,Department of Industrial and Systems Engineering, University of Wisconsin-Madison, Madison, WI, USA
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Stirling PHC, Jenkins PJ, Clement ND, Duckworth AD, McEachan JE. Occupation classification predicts return to work after carpal tunnel decompression. Occup Med (Lond) 2020; 70:415-420. [DOI: 10.1093/occmed/kqaa061] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
The relationship between hand function, employment status and return to work (RTW) after carpal tunnel decompression (CTD) is unclear.
Aims
To investigate predictors of RTW following CTD.
Methods
We prospectively collected pre-operative and 1-year post-operative outcomes and RTW data for all patients undergoing CTD at one centre between 29 May 2014 and 29 May 2017. We used the Standard Occupation Classification 2010.
Results
Pre- and post-operative results were available for 469 (79%) of the 597 patients who had CTD surgery. Pre-operatively, 219 (47%) were employed, 216 (46%) were retired, 26 (6%) were not working due to long-term illness and eight (2%) were unemployed. Complete data sets were available for 178 (81%) of the 219 employed patients, of whom 161 (90%) were able to RTW. Of the rest, five (3%) had changed jobs and 12 (7%) were unable to work. Median RTW time was 4 weeks (interquartile range [IQR] 2–6 weeks). Significantly more patients undertaking manual labour were unable to RTW (15% versus 5%; P < 0.05). There was no significant difference in mean number of weeks absent between manual (5.7; 95% confidence interval [CI] 4.9–6.5) and non-manual workers (6.2; 95% CI 4.8–7.6) (P > 0.05). Median pre-operative (difference 15.9; 95% CI 4.5–25) and post-operative (difference 43.2; 95% CI 13.6–43.2) hand function scores were significantly worse in patients who did not RTW (P < 0.05).
Conclusions
Most patients can RTW within 1 year of CTD. Failure to RTW is more likely in manual workers and patients with poorer pre-operative hand function.
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Affiliation(s)
- P H C Stirling
- Queen Margaret Hospital, Dunfermline KY, UK
- Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, UK
| | | | - N D Clement
- Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, UK
| | - A D Duckworth
- Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, UK
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13
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Evanoff BA, Rohlman DS, Strickland JR, Dale AM. Influence of work organization and work environment on missed work, productivity, and use of pain medications among construction apprentices. Am J Ind Med 2020; 63:269-276. [PMID: 31774191 DOI: 10.1002/ajim.23078] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2019] [Revised: 11/13/2019] [Accepted: 11/15/2019] [Indexed: 12/23/2022]
Abstract
BACKGROUND Construction is among the most dangerous industries. In addition to traditional hazards for workplace injury and illness, other threats to health and well-being may occur from work organization and work environment factors, including irregular employment, long commutes, long work hours, and employer policies regarding health and safety. These nontraditional hazards may affect work and health outcomes directly, or through effects on health behaviors. The cumulative impacts of both traditional and nontraditional hazards on health-related outcomes among construction workers are largely unknown. METHODS We conducted a survey among apprentice construction workers to identify relationships between work organization and environmental factors with five outcomes of economic relevance to employers: missed work due to work-related injury, missed work due to any pain or injury, self-reported workability, health-related productivity, and use of prescription medications for pain. RESULTS A total of 963 surveys were completed (response rate 90%) in this young (mean age 28) working cohort. Multivariate Poisson regression models found associations between the outcomes of interest and multiple work factors, including job strain, safety behaviors of coworkers, and mandatory overtime. Univariate analysis showed additional associations, including precarious work, and supervisor support for safety. CONCLUSIONS Findings from this cross-sectional study suggest that work organization and environment factors influence health and work outcomes among young construction trade workers. Future work with longitudinal data will examine the hypothesized paths between work factors, health behaviors, health outcomes, and work outcomes.
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Affiliation(s)
- B. A. Evanoff
- Division of General Medical SciencesWashington University School of Medicine in St Louis St Louis Missouri
- Healthier Workforce Center of the Midwest Iowa City Iowa
| | - D. S. Rohlman
- Healthier Workforce Center of the Midwest Iowa City Iowa
- Department of Occupational and Environmental Health, College of Public HealthUniversity of Iowa Iowa City Iowa
| | - J. R. Strickland
- Division of General Medical SciencesWashington University School of Medicine in St Louis St Louis Missouri
- Healthier Workforce Center of the Midwest Iowa City Iowa
| | - A. M. Dale
- Division of General Medical SciencesWashington University School of Medicine in St Louis St Louis Missouri
- Healthier Workforce Center of the Midwest Iowa City Iowa
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Abstract
The Academy of Orthopaedic Physical Therapy and the Academy of Hand and Upper Extremity Physical Therapy have an ongoing effort to create evidence-based clinical practice guidelines (CPGs) for orthopaedic and sports physical therapy management and prevention of musculoskeletal impairments described in the World Health Organization's International Classification of Functioning, Disability and Health (ICF). This particular guideline focuses on hand pain and sensory deficits in carpal tunnel syndrome. J Orthop Sports Phys Ther 2019;49(5):CPG1-CPG85. doi:10.2519/jospt.2019.0301.
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Burger MC, Abrahams S, Collins M. Non-Occupational Risk Factors for Carpal Tunnel Syndrome: A Review. WOMEN’S HEALTH BULLETIN 2016. [DOI: 10.17795/whb-34820] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
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Mediouni Z, Bodin J, Dale AM, Herquelot E, Carton M, Leclerc A, Fouquet N, Dumontier C, Roquelaure Y, Evanoff BA, Descatha A. Carpal tunnel syndrome and computer exposure at work in two large complementary cohorts. BMJ Open 2015; 5:e008156. [PMID: 26353869 PMCID: PMC4567686 DOI: 10.1136/bmjopen-2015-008156] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
OBJECTIVES The boom in computer use and concurrent high rates in musculoskeletal complaints and carpal tunnel syndrome (CTS) among users have led to a controversy about a possible link. Most studies have used cross-sectional designs and shown no association. The present study used longitudinal data from two large complementary cohorts to evaluate a possible relationship between CTS and the performance of computer work. SETTINGS AND PARTICIPANTS The Cosali cohort is a representative sample of a French working population that evaluated CTS using standardised clinical examinations and assessed self-reported computer use. The PrediCTS cohort study enrolled newly hired clerical, service and construction workers in several industries in the USA, evaluated CTS using symptoms and nerve conduction studies (NCS), and estimated exposures to computer work using a job exposure matrix. PRIMARY AND SECONDARY OUTCOME MEASURES During a follow-up of 3-5 years, the association between new cases of CTS and computer work was calculated using logistic regression models adjusting for sex, age, obesity and relevant associated disorders. RESULTS In the Cosali study, 1551 workers (41.8%) completed follow-up physical examinations; 36 (2.3%) participants were diagnosed with CTS. In the PrediCTS study, 711 workers (64.2%) completed follow-up evaluations, whereas 31 (4.3%) had new cases of CTS. The adjusted OR for the group with the highest exposure to computer use was 0.39 (0.17; 0.89) in the Cosali cohort and 0.16 (0.05; 0.59) in the PrediCTS cohort. CONCLUSIONS Data from two large cohorts in two different countries showed no association between computer work and new cases of CTS among workers in diverse jobs with varying job exposures. CTS is far more common among workers in non-computer related jobs; prevention efforts and work-related compensation programmes should focus on workers performing forceful hand exertion.
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Affiliation(s)
- Z Mediouni
- Inserm, Population-Based Epidemiological Cohorts Unit, UMS 011, Villejuif, France
- Versailles St-Quentin University, UMS 011, Villejuif, France
- AP-HP, Occupational Health Unit/EMS (Samu92), University hospital of West suburb of Paris, Poincaré site, Garches, France
| | - J Bodin
- Laboratory of Ergonomics and Epidemiology in Occupational Health (LEEST), LUNAM University, University of Angers, Angers, France
| | - A M Dale
- Division of General Medical Sciences, Washington University School of Medicine, St. Louis, Missouri, USA
| | - E Herquelot
- Inserm, Population-Based Epidemiological Cohorts Unit, UMS 011, Villejuif, France
- Versailles St-Quentin University, UMS 011, Villejuif, France
| | - M Carton
- Inserm, Population-Based Epidemiological Cohorts Unit, UMS 011, Villejuif, France
- Versailles St-Quentin University, UMS 011, Villejuif, France
| | - A Leclerc
- Inserm, Population-Based Epidemiological Cohorts Unit, UMS 011, Villejuif, France
- Versailles St-Quentin University, UMS 011, Villejuif, France
- Inserm, UMR-S VIMA, Villejuif, France
| | - N Fouquet
- Laboratory of Ergonomics and Epidemiology in Occupational Health (LEEST), LUNAM University, University of Angers, Angers, France
- Department of Occupational Health, French Institute for Public Health Surveillance, Saint-Maurice, France
| | - C Dumontier
- Hand Center, Clinique les eaux claires, ZAC Moudong Sud, Baie Mahault, France
| | - Y Roquelaure
- Laboratory of Ergonomics and Epidemiology in Occupational Health (LEEST), LUNAM University, University of Angers, Angers, France
- CHU Angers, Angers, France
| | - B A Evanoff
- Division of General Medical Sciences, Washington University School of Medicine, St. Louis, Missouri, USA
| | - A Descatha
- Inserm, Population-Based Epidemiological Cohorts Unit, UMS 011, Villejuif, France
- Versailles St-Quentin University, UMS 011, Villejuif, France
- AP-HP, Occupational Health Unit/EMS (Samu92), University hospital of West suburb of Paris, Poincaré site, Garches, France
- Inserm, UMR-S VIMA, Villejuif, France
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