Role of Biomechanical Factors in Resolution of Carpal Tunnel Syndrome Among a Population of Workers.
J Occup Environ Med
; 61(4): 340-346, 2019 04.
Article
in En
| MEDLINE
| ID: mdl-30789447
ABSTRACT
OBJECTIVES:
Identify if Carpal tunnel syndrome (CTS) symptoms vary by measured biomechanical exposures.METHODS:
A nested prospective cohort within a large, multicenter, 8-year cohort study. The CTS case definition was tingling/numbness in 2+ median nerve-served digits plus a nerve conduction study consistent with CTS. Workers were assigned to (1) low (strain index [SI] less than or equal to 6.1), and (2) high (SI more than 6.1) job groups.RESULTS:
Among 1201 workers, 106 had CTS. Those in the high SI group became and remained symptom-free for at least 3 months, faster than the low SI group, adjusted hazard ratio (HR)â=â2.07 (95% confidence interval [CI]â=â1.21 to 3.56, Pâ=â0.008). Only surgical release trended towards resolving CTS. Light duty had no impact, and job change was associated with delayed symptoms resolution.CONCLUSIONS:
High biomechanical exposures paradoxically predicted faster improvement in CTS and light duty did not result in symptom resolution.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Carpal Tunnel Syndrome
/
Occupational Diseases
Type of study:
Clinical_trials
/
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
J Occup Environ Med
Journal subject:
MEDICINA OCUPACIONAL
/
SAUDE AMBIENTAL
Year:
2019
Document type:
Article