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

Z. Joyce Fan, Carisa Harris-Adamson, Fred Gerr, Ellen A. Eisen, Kurt T. Hegmann, Barbara Silverstein, Bradley Evanoff, Ann Marie Dale, Matthew S. Thiese, Arun Garg, Jay Kapellusch, Susan Burt, Linda Merlino, David Rempel

Research output: Contribution to journalArticle

23 Scopus citations

Abstract

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. Am. J. Ind. Med. 58:509-518, 2015.

Original languageEnglish
Pages (from-to)509-518
Number of pages10
JournalAmerican Journal of Industrial Medicine
Volume58
Issue number5
DOIs
StatePublished - May 1 2015

Keywords

  • Confounders
  • Individual-level assessment
  • Musculoskeletal disorders
  • Physical work-load
  • Workers

Fingerprint Dive into the research topics of 'Associations between workplace factors and carpal tunnel syndrome: A multi-site cross sectional study'. Together they form a unique fingerprint.

  • Cite this

    Fan, Z. J., Harris-Adamson, C., Gerr, F., Eisen, E. A., Hegmann, K. T., Silverstein, B., Evanoff, B., Dale, A. M., Thiese, M. S., Garg, A., Kapellusch, J., Burt, S., Merlino, L., & Rempel, D. (2015). Associations between workplace factors and carpal tunnel syndrome: A multi-site cross sectional study. American Journal of Industrial Medicine, 58(5), 509-518. https://doi.org/10.1002/ajim.22443