BMC Musculoskeletal Disorders | |
The WISTAH hand study: A prospective cohort study of distal upper extremity musculoskeletal disorders | |
Richard Holubkov1  Xiaoming Sheng1  Richard Kendall1  Eric Wood1  James Foster2  Gwen Deckow-Schaefer2  Richard Sesek1  Andrew Merryweather1  Donald Bloswick1  Matthew S Thiese1  Jay Kapellusch2  Jacqueline J Wertsch3  Kurt T Hegmann1  Arun Garg2  | |
[1] Rocky Mountain Center for Occupational & Environment Health, Department of Family and Preventive Medicine, University of Utah, 391 Chipeta Way, Suite C, Salt Lake City, UT, 84108, USA;Center for Ergonomics, University of Wisconsin-Milwaukee, P.O. Box 784, Milwaukee, WI, 53201, USA;Department of Physical Medicine and Rehabilitation, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI, 53226, USA | |
关键词: TLV for HAL; Strain index; Carpal tunnel syndrome; Cohort; Ergonomics; Epidemiology; | |
Others : 1149545 DOI : 10.1186/1471-2474-13-90 |
|
received in 2012-04-13, accepted in 2012-06-06, 发布年份 2012 | |
【 摘 要 】
Background
Few prospective cohort studies of distal upper extremity musculoskeletal disorders have been performed. Past studies have provided somewhat conflicting evidence for occupational risk factors and have largely reported data without adjustments for many personal and psychosocial factors.
Methods/design
A multi-center prospective cohort study was incepted to quantify risk factors for distal upper extremity musculoskeletal disorders and potentially develop improved methods for analyzing jobs. Disorders to analyze included carpal tunnel syndrome, lateral epicondylalgia, medial epicondylalgia, trigger digit, deQuervain’s stenosing tenosynovitis and other tendinoses. Workers have thus far been enrolled from 17 different employment settings in 3 diverse US states and performed widely varying work. At baseline, workers undergo laptop administered questionnaires, structured interviews, two standardized physical examinations and nerve conduction studies to ascertain demographic, medical history, psychosocial factors and current musculoskeletal disorders. All workers’ jobs are individually measured for physical factors and are videotaped. Workers are followed monthly for the development of musculoskeletal disorders. Repeat nerve conduction studies are performed for those with symptoms of tingling and numbness in the prior six months. Changes in jobs necessitate re-measure and re-videotaping of job physical factors. Case definitions have been established. Point prevalence of carpal tunnel syndrome is a combination of paraesthesias in at least two median nerve-served digits plus an abnormal nerve conduction study at baseline. The lifetime cumulative incidence of carpal tunnel syndrome will also include those with a past history of carpal tunnel syndrome. Incident cases will exclude those with either a past history or prevalent cases at baseline. Statistical methods planned include survival analyses and logistic regression.
Discussion
A prospective cohort study of distal upper extremity musculoskeletal disorders is underway and has successfully enrolled over 1,000 workers to date.
【 授权许可】
2012 Garg et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
20150405081527551.pdf | 450KB | download | |
Figure 2. | 19KB | Image | download |
Figure 1. | 83KB | Image | download |
【 图 表 】
Figure 1.
Figure 2.
【 参考文献 】
- [1]Bureau of Labor Statistics: Workplace Injuries and Illnesses in 2008. Washington, D.C: US Department of Labor; 2011.
- [2]Brogmus GE, Sorock GS, Webster BS: Recent trends in work-related cumulative trauma disorders of the upper extremities in the United States: an evaluation of possible reasons. J Occup Environ Med 1996, 38:401-411.
- [3]Hales TR, Bernard BP: Epidemiology of work-related musculoskeletal disorders. Orthop Clin North Am 1996, 27:679-709.
- [4]Solomon DH, Katz JN, Bohn R, Mogun H, Avorn J: Nonoccupational risk factors for carpal tunnel syndrome. J Gen Intern Med 1999, 14:310-314.
- [5]Stapleton MJ: Occupation and carpal tunnel syndrome. ANZ J Surg 2006, 76:494-496.
- [6]Silverstein B, Welp E, Nelson N, Kalat J: Claims incidence of work-related disorders of the upper extremities: Washington state, 1987 through 1995. Am J Public Health 1998, 88:1827-1833.
- [7]Bernard BP, U.S. Department of Health and Human Services, CDC, NIOSH Publication No. 97-141: Musculoskeletal Disorders and Workplace Factors: A critical review of epidemilogic evidence for work related disorders of the neck, upper extremity, and low back. Cincinnati: NIOSH; 1997.
- [8]Melhorn JMA: WE: Guides to the Evaluation of Disease and Injury Causation. Chicago: AMA Press; 2008.
- [9]Leclerc A, Landre MF, Chastang JF, Niedhammer I, Roquelaure Y: Upper-limb disorders in repetitive work. Scand J Work Environ Health 2001, 27:268-278.
- [10]Nathan PA, Keniston RC, Myers LD, Meadows KD: Longitudinal study of median nerve sensory conduction in industry: relationship to age, gender, hand dominance, occupational hand use, and clinical diagnosis. J hand surg 1992, 17:850-857.
- [11]Tanaka S, Petersen M, Cameron L: Prevalence and risk factors of tendinitis and related disorders of the distal upper extremity among U.S. workers: comparison to carpal tunnel syndrome. Am J Ind Med 2001, 39:328-335.
- [12]Anton D, Rosecrance J, Merlino L, Cook T: Prevalence of musculoskeletal symptoms and carpal tunnel syndrome among dental hygienists. Am J Ind Med 2002, 42:248-257.
- [13]Boz C, Ozmenoglu M, Altunayoglu V, Velioglu S, Alioglu Z: Individual risk factors for carpal tunnel syndrome: an evaluation of body mass index, wrist index and hand anthropometric measurements. Clin Neurol Neurosurg 2004, 106:294-299.
- [14]Werner RA, Franzblau A, Gell N, Hartigan AG, Ebersole M, Armstrong TJ: Incidence of carpal tunnel syndrome among automobile assembly workers and assessment of risk factors. J occup environ med/Am College Occup Environ Med 2005, 47:1044-1050.
- [15]Moghtaderi A, Izadi S, Sharafadinzadeh N: An evaluation of gender, body mass index, wrist circumference and wrist ratio as independent risk factors for carpal tunnel syndrome. Acta Neurol Scand 2005, 112:375-379.
- [16]Gell N, Werner RA, Franzblau A, Ulin SS, Armstrong TJ: A longitudinal study of industrial and clerical workers: incidence of carpal tunnel syndrome and assessment of risk factors. J Occup Rehabil 2005, 15:47-55.
- [17]American College of Occupational and Environmental Medicine: Occupational Medicine Practice Guidelines: Evaluation and Management of Common Health Problems and Functional Recovery of Workers. 3rd edition. Edited by Hegmann KT. Elk Grove, IL: Beverly Farms: OEM Press; 2010.
- [18]Bovenzi M, Franzinelli A, Mancini R, Cannava MG, Maiorano M, Ceccarelli F: Dose-response relation for vascular disorders induced by vibration in the fingers of forestry workers. Occup Environ Med 1995, 52:722-730.
- [19]Silverstein BA, Fine LJ, Armstrong TJ: Occupational factors and carpal tunnel syndrome. Am J Ind Med 1987, 11:343-358.
- [20]Chiang HC, Ko YC, Chen SS, Yu HS, Wu TN, Chang PY: Prevalence of shoulder and upper-limb disorders among workers in the fish-processing industry. Scand J Work Environ Health 1993, 19:126-131.
- [21]Bovenzi M, Della Vedova A, Nataletti P, Alessandrini B, Poian T: Work-related disorders of the upper limb in female workers using orbital sanders. Int Arch Occup Environ Health 2005, 78:303-310.
- [22]Franzblau A, Armstrong TJ, Werner RA, Ulin SS: A cross-sectional assessment of the ACGIH TLV for hand activity level. J Occup Rehabil 2005, 15:57-67.
- [23]Werner RA, Franzblau A, Gell N, Hartigan AG, Ebersole M, Armstrong TJ: Risk factors for visiting a medical department because of upper-extremity musculoskeletal disorders. Scand J Work Environ Health 2005, 31:132-137.
- [24]Silverstein BA: How well does the Strain Index predict carpal tunnel syndrome? IEA2006. In 16th World Congress on Ergonomics. Maastricht: Elsevier Ltd; 2006.
- [25]Violante FS, Armstrong TJ, Fiorentini C, Graziosi F, Risi A, Venturi S, Curti S, Zanardi F, Cooke RM, Bonfiglioli R, et al.: Carpal tunnel syndrome and manual work: a longitudinal study. J occup environ med/Am College Occup Environ Med 2007, 49:1189-1196.
- [26]Geoghegan JM, Clark DI, Bainbridge LC, Smith C, Hubbard R: Risk factors in carpal tunnel syndrome. J hand surg (Edinburgh, Scotland) 2004, 29:315-320.
- [27]Maghsoudipour M, Moghimi S, Dehghaan F, Rahimpanah A: Association of occupational and non-occupational risk factors with the prevalence of work related carpal tunnel syndrome. J Occup Rehabil 2008, 18:152-156.
- [28]Silverstein BA, Fan ZJ, Bonauto DK, Bao S, Smith CK, Howard N, Viikari-Juntura E: The natural course of carpal tunnel syndrome in a working population. Scandinavian journal of work, environment & health 2010, 36:384-393.
- [29]Ranney D, Wells R, Moore A: Upper limb musculoskeletal disorders in highly repetitive industries: precise anatomical physical findings. Ergonomics 1995, 38:1408-1423.
- [30]Punnett L, Robins JM, Wegman DH, Keyserling WM: Soft tissue disorders in the upper limbs of female garment workers. Scand J Work Environ Health 1985, 11:417-425.
- [31]Bystrom S, Hall C, Welander T, Kilbom A: Clinical disorders and pressure-pain threshold of the forearm and hand among automobile assembly line workers. J hand surg (Edinburgh, Scotland) 1995, 20:782-790.
- [32]Muckart RD: Stenosing tendovaginitis of abductor pollicis longus and extensor pollicis brevis at the radial styloid (de Quervain’s disease). Clin Orthop Relat Res 1964, 33:201-208.
- [33]Gerr F, Marcus M, Monteilh C: Aerobic exercise, median nerve conduction, and the reporting of study results. J occup environ med/Am College Occup Environ Med 2002, 44:303.
- [34]Nathan PA, Keniston RC, Myers LD, Meadows KD: Obesity as a risk factor for slowing of sensory conduction of the median nerve in industry. A cross-sectional and longitudinal study involving 429 workers. J Occup Med 1992, 34:379-383.
- [35]Trezies AJ, Lyons AR, Fielding K, Davis TR: Is occupation an aetiological factor in the development of trigger finger? J hand surg (Edinburgh, Scotland) 1998, 23:539-540.
- [36]Compere EL: Bilateral Snapping Thumbs. Ann Surg 1933, 97:773-777.
- [37]Hume MC, Gellman H, McKellop H, Brumfield RH: Functional range of motion of the joints of the hand. J hand surg 1990, 15:240-243.
- [38]Lapidus PW, Fenton R: Stenosing tenovaginitis at the wrist and fingers; report of 423 cases in 369 patients with 354 operations. AMA 1952, 64:475-487.
- [39]Lenggenhager K: The genesis and therapy of the trigger finger. Minn Med 1969, 52:11-14.
- [40]Rayan GM: Distal stenosing tenosynovitis. J hand surg 1990, 15:973-975.
- [41]Gorsche R, Wiley JP, Renger R, Brant R, Gemer TY, Sasyniuk TM: Prevalence and incidence of stenosing flexor tenosynovitis (trigger finger) in a meat-packing plant. J occup environ med/Am College Occup Environ Med 1998, 40:556-560.
- [42]Moore JS, Rucker NP, Knox K: Validity of generic risk factors and the strain index for predicting nontraumatic distal upper extremity morbidity. Aihaj 2001, 62:229-235.
- [43](ACGIH) ACGIH: Threshold limit values for chemical substances and physical agents in the work environment. Cincinnati: ACGIH Worldwide; 2002.
- [44]Armstrong TJ, Chaffin DB: Some biomechanical aspects of the carpal tunnel. J Biomech 1979, 12:567-570.
- [45]Wieslander G, Norback D, Gothe CJ, Juhlin L: Carpal tunnel syndrome (CTS) and exposure to vibration, repetitive wrist movements, and heavy manual work: a case-referent study. Br J Ind Med 1989, 46:43-47.
- [46]Chiang HC, Chen SS, Yu HS, Ko YC: The occurrence of carpal tunnel syndrome in frozen food factory employees. Gaoxiong yi xue ke xue za zhi = Kaohsiung j med sci 1990, 6:73-80.
- [47]de Krom MC, Kester AD, Knipschild PG, Spaans F: Risk factors for carpal tunnel syndrome. Am J Epidemiol 1990, 132:1102-1110.
- [48]Tanaka S, Wild DK, Seligman PJ, Halperin WE, Behrens VJ, Putz-Anderson V: revalence and work-relatedness of self-reported carpal tunnel syndrome among U.S. workers: analysis of the Occupational Health Supplement data of 1988 National Health Interview Survey. Am J Ind Med 1995, 27:451-470.
- [49]Roquelaure Y, Mechali S, Dano C, Fanello S, Benetti F, Bureau D, Mariel J, Martin YH, Derriennic F, Penneau-Fontbonne D: Occupational and personal risk factors for carpal tunnel syndrome in industrial workers. Scand J Work Environ Health 1997, 23:364-369.
- [50]Leclerc A, Franchi P, Cristofari MF, Delemotte B, Mereau P, Teyssier-Cotte C, Touranchet A: Carpal tunnel syndrome and work organisation in repetitive work: a cross sectional study in France. Study Group on Repetitive Work. Occup Environ Med 1998, 55:180-187.
- [51]Thomsen JF, Hansson GA, Mikkelsen S, Lauritzen M: Carpal tunnel syndrome in repetitive work: a follow-up study. Am J Ind Med 2002, 42:344-353.
- [52]Melchior M, Roquelaure Y, Evanoff B, Chastang JF, Ha C, Imbernon E, Goldberg M, Leclerc A: Why are manual workers at high risk of upper limb disorders? The role of physical work factors in a random sample of workers in France (the Pays de la Loire study). Occup Environ Med 2006, 63:754-761.
- [53]Wertsch JJ, Park TA: Electrodiagnostic medicine. Occup med (Philadelphia, Pa) 1992, 7:765-783.
- [54]Wertsch JJ: AAEM case report #25: anterior interosseous nerve syndrome. Muscle Nerve 1992, 15:977-983.
- [55]Wertsch JJ: Atypical EMG findings. Archives of physical medicine and rehabilitation 1987, 68(9):576.
- [56]Wertsch JJ, Sanger JR, Matloub HS: Pseudo-anterior interosseous nerve syndrome. Muscle Nerve 1985, 8:68-70.
- [57]Wertsch JJ, Melvin J: Median nerve anatomy and entrapment syndromes: a review. Arch Phys Med Rehabil 1982, 63:623-627.
- [58]Cox DR: Regression models and life tables. JR Stat Soc B 1972, 34:187-222.
- [59]SAS: SAS version 9.1(TS1M3). Cary, NC USA; 2003.
- [60]Andersen PK, Gill RD: Cox’s Regression Model for Counting Processes: A Large Sample Study. Ann Stat 1982, 10:1100-1120.
- [61]Lee EW, Wei LJ, Amato D: Cox-Type Regression Analysis for Large Numbers of Small Groups of Correlated Failure Time Observations. Netherlands: Kluwer; 1992:237-247.
- [62]Moore JS, Garg A: The Strain Index: a proposed method to analyze jobs for risk of distal upper extremity disorders. Am Ind Hyg Assoc J 1995, 56:443-458.
- [63]Rubin DB: Inference and missing data. Biometrika 1976, 63:581-592.
- [64]Borg GA: Psychophysical bases of perceived exertion. Med sci sports exerc 1982, 14:377-381.
- [65]Akaike H: A new look at the statistical model identification. IEEE Trans Autom Control 1974, 19:716-723.
- [66]Fleming TR, Harrington DP: Counting Processes and Survival Analysis. New York: Wiley; 1991.
- [67]Grambsch PM, Therneau TM: Proportional hazards tests and diagnostics based on weighted residuals. Biometrika 1994, 81:515-526.
- [68]Hanley JA, McNeil BJ: A method of comparing the areas under receiver operating characteristic curves derived from the same cases. Radiology 1983, 148:839-843.
- [69]Breiman L: Classification and Regression Trees. Belmont: Wadsworth International Group; 1984.