Movements of the wrist and the risk of carpal tunnel syndrome : A nationwide cohort study using objective exposure measurements

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Lund, Christina BachBispebjerg Hospital (author)

Movements of the wrist and the risk of carpal tunnel syndrome : A nationwide cohort study using objective exposure measurements

Article/chapterEnglish2019

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2019-06-12
BMJ,2019

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LIBRIS-ID:oai:lup.lub.lu.se:c0323682-4122-4d61-b3e4-bcde83f90f38
https://lup.lub.lu.se/record/c0323682-4122-4d61-b3e4-bcde83f90f38URI
https://doi.org/10.1136/oemed-2018-105619DOI

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Language:English
Summary in:English

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Objectives: We conducted a large cohort study to investigate the association between work-related wrist movements and carpal tunnel syndrome (CTS). Methods: Electro-goniometric measurements of wrist movements were performed for 30 jobs (eg, office work, child care, laundry work and slaughterhouse work). We measured wrist angular velocity, mean power frequency (MPF) and range of motion (ROM). We established a cohort of Danish citizens born 1940-1979 who held one of these jobs from age 18-80 years, using Danish national registers with annual employment information from 1992 to 2014. We updated the cohort by calendar year with job-specific and sex-specific means of measured exposures. Dates of a first diagnosis or operation because of CTS were retrieved from the Danish National Patient Register. The risk of CTS by quintiles of preceding exposure levels was assessed by adjusted incidence rate ratios (IRRadj) using Poisson regression models. Results: We found a clear exposure-response association between wrist angular velocity and CTS with an IRRadj of 2.31 (95% CI 2.09 to 2.56) when exposed to the highest level compared with the lowest. MPF also showed an exposure-response pattern, although less clear, with an IRRadj of 1.83 (1.68 to 1.98) for the highest compared with the lowest exposure level. ROM showed no clear pattern. Exposure-response patterns were different for men and women. Conclusions: High levels of wrist movement were associated with an increased risk of CTS. Preventive strategies should be aimed at jobs with high levels of wrist movements such as cleaning, laundry work and slaughterhouse work.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Ortopedi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Orthopaedics hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Arbetsmedicin och miljömedicin hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Occupational Health and Environmental Health hsv//eng
carpal tunnel syndrome
electro-goniometry
work-related carpal tunnel syndrome
work-related disorders of the upper limb
wrist movement

Added entries (persons, corporate bodies, meetings, titles ...)

Mikkelsen, SigurdBispebjerg Hospital (author)
Thygesen, Lau CasparUniversity of Southern Denmark (author)
Hansson, Gert ÅkeLund University,Lunds universitet,Genetisk arbets- och miljömedicin,Forskargrupper vid Lunds universitet,Genetic Occupational and Environmental Medicine,Lund University Research Groups,Regional Laboratories Region Skåne(Swepub:lu)ymed-gah (author)
Thomsen, Jane FrølundBispebjerg Hospital (author)
Bispebjerg HospitalUniversity of Southern Denmark (creator_code:org_t)

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In:Occupational and environmental medicine: BMJ1351-07111470-7926

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