Occupational biomechanical risk factors for radial nerve entrapment in a 13-year prospective study among male construction workers

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Jackson, JennieUmeå universitet,Högskolan i Gävle,Arbetshälsovetenskap,Centrum för belastningsskadeforskning,Umeå university,Avdelningen för hållbar hälsa (författare)

Occupational biomechanical risk factors for radial nerve entrapment in a 13-year prospective study among male construction workers

Artikel/kapitelEngelska2019

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2019-03-08
BMJ Publishing Group,2019
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LIBRIS-ID:oai:DiVA.org:hig-31386
https://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-31386URI
https://doi.org/10.1136/oemed-2018-105311DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-157109URI

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Språk:engelska
Sammanfattning på:engelska

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Objectives The aim was to assess the association between occupational biomechanical exposure and the occurrence of radial nerve entrapment (RNE) in construction workers over a 13-year follow-up period. Methods A cohort of 229 707 male construction workers who participated in a national occupational health surveillance programme (1971-1993) was examined prospectively (2001-2013) for RNE. Height, weight, age, smoking status and job title (construction trade) were obtained on health examination. RNE case status was defined by surgical release of RNE, with data from the Swedish national registry for out-patient surgery records. A job exposure matrix was developed, and biomechanical exposure estimates were assigned according to job title. Highly correlated exposures were summed into biomechanical exposure scores. Negative binomial models were used to estimate the relative risks (RR) (incidence rate ratios) of RNE surgical release for the biomechanical factors and exposure sum scores. Predicted incidence was assessed for each exposure score modelled as a continuous variable to assess exposure-response relationships. Results The total incidence rate of surgically treated RNE over the 13-year observation period was 3.53 cases per 100 000 person-years. There were 92 cases with occupational information. Increased risk for RNE was seen in workers with elevated hand-grip forces (RR=1.79, 95% CI 0.97 to 3.28) and exposure to hand-arm vibration (RR=1.47, 95% CI 1.08 to 2.00). Conclusions Occupational exposure to forceful handgrip work and vibration increased the risk for surgical treatment of RNE.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Arbetsmedicin och miljömedicin hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Occupational Health and Environmental Health hsv//eng
elbow flexion/extension
hand tools
hand-arm vibration
job exposure matrix
nerve entrapment
neuropathy
repetitive
static work
upper extremity load
adult
ambulatory surgery
Article
biomechanics
body height
body weight
cohort analysis
construction worker
follow up
hand grip
human
incidence
major clinical study
male
medical examination
middle aged
nerve compression
occupational exposure
occupational health
priority journal
prospective study
radial nerve
risk factor
smoking
Health-Promoting Work
Hälsofrämjande arbete

Biuppslag (personer, institutioner, konferenser, titlar ...)

Olsson, DavidUmeå universitet,Avdelningen för hållbar hälsa,Umeå university(Swepub:umu)daol0005 (författare)
Burdorf, AlexDepartment of Public Health, Erasmus MC, Rotterdam, The Netherlands. (författare)
Punnett, LauraDepartment of Biomedical Engineering, University of Massachusetts Lowell, Lowell, Massachusetts, USA. (författare)
Järvholm, BengtUmeå universitet,Avdelningen för hållbar hälsa,Umeå university(Swepub:umu)beja0001 (författare)
Wahlström, Jens,1972-Umeå universitet,Avdelningen för hållbar hälsa,Umeå university(Swepub:umu)jewa0014 (författare)
Högskolan i GävleArbetshälsovetenskap (creator_code:org_t)

Sammanhörande titlar

Ingår i:Occupational and Environmental Medicine: BMJ Publishing Group76:5, s. 326-3311351-07111470-7926

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Av författaren/redakt...: Jackson, Jennie; Olsson, David; Burdorf, Alex; Punnett, Laura; Järvholm, Bengt; Wahlström, Jens, ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Arbetsmedicin oc ...

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Av lärosätet: Högskolan i Gävle; Umeå universitet

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