Carpal tunnel syndrome and manual work: A longitudinal study
Carpal tunnel syndrome and manual work: A longitudinal study
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DOI：
10.1097/jom.0b013e3181594873
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发表时间：
2007-11-01
影响因子：
3.2
通讯作者：
Mattioli, Stefano
中科院分区：
文献类型：
--
作者：
Violante, Francesco S.;Armstrong, Thomas J.;Mattioli, Stefano
目的：评估腕管综合征发病/病程中与工作相关的生物力学超负荷相关的风险。研究方法：在基线时，根据美国政府工业卫生学家会议手部活动/峰值力行动限值和阈值限值（TLV），对具有跨越不同生物力学暴露的工作任务的工作组进行评价。关注的暴露为“不可接受”（手部活动高于TLV）和“临界”（在行动限和TLV之间）过载。在基线和12个月时收集临床/个体数据。结果：根据共识标准定义的“典型/可能”碳管综合征症状的一年发生率为7.3%（153/2092）。“不可接受”的过载与“可接受”负荷的3倍增加的发病风险相关。在有序的逻辑回归分析的状态变化，增加的风险被记录为“不可接受的”和“边界”过载。结论：鼓励工作场所遵守美国政府工业企业家会议建议的有效性值得调查，作为大规模预防的可能关键。
Objective: To assess risks associated with work-related biomechanical overloads in onset/course of carpal tunnel syndrome. Methods: Work- groups with job tasks spanning different biomechanical exposures were evaluated at baseline in terms of American Conference of Governmental Industrial Hygienists hand-activity/peak force action limit and thresh-old limit values (TLV). Exposures of interest were "Unacceptable" (hand-activity above TLV) and "borderline" (between action limit and TLV) overloads. Clinical/individual data were collected at baseline and 12 months. Results: One-year incidence of "classic/possible " carbal tunnel syndrome symptoms as defined by consensus criteria was 7.3 % (153 of 2092). "Unacceptable" overload was associated with a 3-fold increased risk of onset with respect to "acceptable" load. At ordered logistic reggession analysis of symptom-status variations, increased risks were recorded for "unacceptable" and "borderline" overloads. Conclusions: Effectiveness of encouraging workplace adherence to the American Conference of Governmental Industrial Hygienists recommendations deserves investigation as a possible key to wide-scale prevention.