Personal and workplace factors and median nerve function in a pooled study of 2396 US workers.
Personal and workplace factors and median nerve function in a pooled study of 2396 US workers.
复制标题
DOI：
10.1097/jom.0000000000000312
复制
发表时间：
2015-01
影响因子：
3.2
通讯作者：
Evanoff B
中科院分区：
文献类型：
--
作者：
Rempel D;Gerr F;Harris-Adamson C;Hegmann KT;Thiese MS;Kapellusch J;Garg A;Burt S;Bao S;Silverstein B;Merlino L;Dale AM;Evanoff B
评估个人和工作场所因素与手腕正中神经传导潜伏期之间的关联。工作场所的心理和身体暴露的基线数据汇总来自五项前瞻性研究的生产和服务工人（N=2396）。在随访期间，定期收集正中神经功能的电生理指标。在年龄、BMI、性别、峰值手部力量、用力持续时间、HAL的TLV、用力重复率、手腕伸展和正中神经放松的决策纬度之间观察到显著的调整后相关性。职业和非职业因素对正中神经功能均有不良影响。测量正中神经功能消除了可能影响腕管综合征（CTS）病例定义的报告偏倚。这些结果表明，之前观察到的CTS与职业因素之间的关联并不是这种报告偏见的结果。
Evaluate associations between personal and workplace factors and median nerve conduction latency at the wrist. 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. 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. 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.