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

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MARC

Fältnamn	Indikatorer	Metadata
000		05441naa a2200865 4500
001		oai:DiVA.org:hig-31386
003		SwePub
008		200107s2019 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
009		oai:DiVA.org:umu-157109
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-313862 URI
024	7	a https://doi.org/10.1136/oemed-2018-1053112 DOI
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1571092 URI
040		a (SwePub)higd (SwePub)umu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Jackson, Jennieu Umeå universitet,Högskolan i Gävle,Arbetshälsovetenskap,Centrum för belastningsskadeforskning,Umeå university,Avdelningen för hållbar hälsa4 aut0 (Swepub:umu)jeja0082
245	1 0	a Occupational biomechanical risk factors for radial nerve entrapment in a 13-year prospective study among male construction workers
264		c 2019-03-08
264	1	b BMJ Publishing Group,c 2019
338		a print2 rdacarrier
520		a 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.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskap0 (SwePub)3032 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciences0 (SwePub)3032 hsv//eng
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Arbetsmedicin och miljömedicin0 (SwePub)303032 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Occupational Health and Environmental Health0 (SwePub)303032 hsv//eng
653		a elbow flexion/extension
653		a hand tools
653		a hand-arm vibration
653		a job exposure matrix
653		a nerve entrapment
653		a neuropathy
653		a repetitive
653		a static work
653		a upper extremity load
653		a adult
653		a ambulatory surgery
653		a Article
653		a biomechanics
653		a body height
653		a body weight
653		a cohort analysis
653		a construction worker
653		a follow up
653		a hand grip
653		a human
653		a incidence
653		a major clinical study
653		a male
653		a medical examination
653		a middle aged
653		a nerve compression
653		a occupational exposure
653		a occupational health
653		a priority journal
653		a prospective study
653		a radial nerve
653		a risk factor
653		a smoking
653		a Health-Promoting Work
653		a Hälsofrämjande arbete
700	1	a Olsson, Davidu Umeå universitet,Avdelningen för hållbar hälsa,Umeå university4 aut0 (Swepub:umu)daol0005
700	1	a Burdorf, Alexu Department of Public Health, Erasmus MC, Rotterdam, The Netherlands.4 aut
700	1	a Punnett, Laurau Department of Biomedical Engineering, University of Massachusetts Lowell, Lowell, Massachusetts, USA.4 aut
700	1	a Järvholm, Bengtu Umeå universitet,Avdelningen för hållbar hälsa,Umeå university4 aut0 (Swepub:umu)beja0001
700	1	a Wahlström, Jens,d 1972-u Umeå universitet,Avdelningen för hållbar hälsa,Umeå university4 aut0 (Swepub:umu)jewa0014
710	2	a Högskolan i Gävleb Arbetshälsovetenskap4 org
773	0	t Occupational and Environmental Medicined : BMJ Publishing Groupg 76:5, s. 326-331q 76:5<326-331x 1351-0711x 1470-7926
856	4	u https://doi.org/10.1136/oemed-2018-105311y Fulltext
856	4	u https://oem.bmj.com/content/oemed/76/5/326.full.pdf
856	4	u https://umu.diva-portal.org/smash/get/diva2:1295172/FULLTEXT02.pdfx primaryx Raw objecty fulltext:print
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-31386
856	4 8	u https://doi.org/10.1136/oemed-2018-105311
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-157109

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By the author/editor: Jackson, Jennie; Olsson, David; Burdorf, Alex; Punnett, Laura; Järvholm, Bengt; Wahlström, Jens, ...

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