PURPOSE: The aim of the study was to examine the organizational and psychosocial risk factors for carpal tunnel syndrome (CTS) in workers exposed to various levels of work-related constraints, with a special focus on factors related to the work organization. METHODS: From 3,710 workers, representative of a French region's working population, trained occupational physicians diagnosed a total of 156 cases of CTS between 2002 and 2005. Diagnoses were established by standardized physical examination, while personal factors and work exposure were assessed by self-administered questionnaires. Statistical associations between CTS and personal and work-related factors were analyzed for each gender using logistic regression modeling. RESULTS: Among the factors related to work organization, working with temporary workers was associated with CTS for women (OR = 1.99, 95 % CI 1.23-3.25), but not for men. Task rotation during the job (OR = 2.45 95 % CI 1.41-4.24) and work pace dependent on quantified targets (OR = 1.93 95 % CI 1.08-3.46) were associated with CTS only for men. The work-related psychosocial factors highlighted by the logistic modeling were high psychological demand for women (OR = 1.90, 95 % CI 1.17-3.09) and low skill discretion (OR = 1.77, 95 % CI 1.01-3.11) for men. CONCLUSION: This study has identified some psychosocial factors and factors related to work organization associated with clinically diagnosed and symptom-only cases of CTS as well as personal and biomechanical factors. However, due to the cross-sectional design of the study, no causal conclusion could be drawn and longitudinal studies are necessary to confirm these results.
PURPOSE: The aim of the study was to examine the organizational and psychosocial risk factors for carpal tunnel syndrome (CTS) in workers exposed to various levels of work-related constraints, with a special focus on factors related to the work organization. METHODS: From 3,710 workers, representative of a French region's working population, trained occupational physicians diagnosed a total of 156 cases of CTS between 2002 and 2005. Diagnoses were established by standardized physical examination, while personal factors and work exposure were assessed by self-administered questionnaires. Statistical associations between CTS and personal and work-related factors were analyzed for each gender using logistic regression modeling. RESULTS: Among the factors related to work organization, working with temporary workers was associated with CTS for women (OR = 1.99, 95 % CI 1.23-3.25), but not for men. Task rotation during the job (OR = 2.45 95 % CI 1.41-4.24) and work pace dependent on quantified targets (OR = 1.93 95 % CI 1.08-3.46) were associated with CTS only for men. The work-related psychosocial factors highlighted by the logistic modeling were high psychological demand for women (OR = 1.90, 95 % CI 1.17-3.09) and low skill discretion (OR = 1.77, 95 % CI 1.01-3.11) for men. CONCLUSION: This study has identified some psychosocial factors and factors related to work organization associated with clinically diagnosed and symptom-only cases of CTS as well as personal and biomechanical factors. However, due to the cross-sectional design of the study, no causal conclusion could be drawn and longitudinal studies are necessary to confirm these results.
Authors: Y Roquelaure; A Petit LeManach; C Ha; C Poisnel; J Bodin; A Descatha; E Imbernon Journal: Occup Med (Lond) Date: 2012-02-17 Impact factor: 1.611
Authors: Stefano Mattioli; Alberto Baldasseroni; Massimo Bovenzi; Stefania Curti; Robin M T Cooke; Giuseppe Campo; Pietro G Barbieri; Rinaldo Ghersi; Marco Broccoli; Maria Pia Cancellieri; Anna Maria Colao; Marco Dell'omo; Pirous Fateh-Moghadam; Flavia Franceschini; Serenella Fucksia; Paolo Galli; Fabriziomaria Gobba; Roberto Lucchini; Anna Mandes; Teresa Marras; Carla Sgarrella; Stefano Borghesi; Mauro Fierro; Francesca Zanardi; Gianpiero Mancini; Francesco S Violante Journal: BMC Public Health Date: 2009-09-16 Impact factor: 3.295
Authors: Stephen S Bao; Jay M Kapellusch; Andrew S Merryweather; Matthew S Thiese; Arun Garg; Kurt T Hegmann; Barbara A Silverstein; Jennifer L Marcum; Ruoliang Tang Journal: J Occup Environ Med Date: 2016-08 Impact factor: 2.162