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Comparing the Characteristics of CTS by the Frequency of Exposure to Wrist-burdening Work: CTS Surveillance System, 2001-2004  

Jung, Suk-Chul (Department of Occupational and Environmental Medicine, College of Medicine, Dankook University)
Chae, Yoo-Mi (Department of Occupational and Environmental Medicine, College of Medicine, Dankook University)
Roh, Sang-Chul (Department of Occupational and Environmental Medicine, College of Medicine, Dankook University)
Publication Information
Annals of Occupational and Environmental Medicine / v.22, no.2, 2010 , pp. 85-94 More about this Journal
Abstract
Objective: We investigated the differences among the patients who were diagnosed with carpal tunnel syndrome according to the frequency of exposure to wrist-burdening work by using carpal tunnel syndrome surveillance system. Methods: The study subjects were a total of 855 patients from 1,017 patients who were diagnosed with carpal tunnel syndrome in 9 university hospitals from May, 2001 to October, 2004, and we excluded 161 patients who had no clear information for their occupational status. The subjects were classified into three groups according to four types of wrist-burdening work: 1) repetitive use of wrists, 2) inappropriate posture of the hand, 3) use of vibrating tools, and 4) overpressure work on the hand or palm, - as defined in the operational definition by the National Institute for Occupational Safety and Health (NIOSH). The subjects with two or more types of wrist-burdening work were classified as 'high risk group', the subjects with one type of wrist-burdening work were classified as 'intermediate risk group', and the subjects with none of the types of wrist-burdening work were classified as 'low risk group'. We used chi-square test, Fisher's exact test and ANOVA for comparing the characteristics according to the 3 subgroup. Results: The mean age in the high risk group was the lowest(53 years), and there was a significant difference among the groups for the mean age(p<0.05). The high risk group included the most males with 39(22.0%). The subjects in the high risk group had significantly more jobs in agriculture forestry fisheries, factory work, and simple labor and less comorbidities, including diabetes and rheumatoid arthritis(p<0.05). The subjects in the intermediate risk group had a higher proportion of service workers. There were significant differences for the symptoms of carpal tunnel syndrome according to the frequency of exposure to wrist-burdening work. The subjects in the high risk group showed the highest proportion of work-related aggravation of symptoms with 88(76.5%) and the highest mean number of days absent from work(6 days) as related to carpal tunnel syndrome. Conclusion: Worker in agriculture forestry fisheries, factory work, and simple labor showed significantly more frequent carpal tunnel syndrome, and so management strategies are needed to prevent them from developing carpal tunnel syndrome.
Keywords
Carpal tunnel syndrome; Wrist-burdening work; Occupation;
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1 Nordstrom DL, Vierkant RA, DeStefano F, Layde PM. Risk factors for carpal tunnel syndrome in a general population. Occup Environ Med 1997;54(10):734-40.   DOI   ScienceOn
2 Mattioli S, Baldasseroni A, Curti S, Cooke RM, Mandes A, Zanardi F, Farioli A, Buiatti E, Campo G, Violante FS. Incidence rates of surgically treated idiopathic carpal tunnel syndrome in blue- and white-collar workers and housewives in Tuscany, Italy. Occup Environ Med 2009;66(5):299-304.   DOI   ScienceOn
3 Roquelaure Y, Ha C, Pelier-Cady MC, Nicolas G, Descatha A, Leclerc A, Raimbeau G, Goldberg M, Imbernon E. Work increases the incidence of carpal tunnel syndrome in the general population. Muscle Nerve 2008;37(4):477-82.   DOI   ScienceOn
4 Davis L, Wellman H, Punnett L. Surveillance of work-related carpal tunnel syndrome in Massachusetts, 1992-1997: a report from the Massachusetts Sentinel Event Notification System for Occupational Risks (SENSOR). Am J Ind Med 2001;39(1):58-71.   DOI   ScienceOn
5 Maghsoudipour M, Moghimi S, Dehghaan F, Rahimpanah A. Association of occupational and non-occupational risk factors with the prevalence of work related carpal tunnel syndrome. J Occup Rehabil 2008;18(2):152-6.   DOI   ScienceOn
6 Chan L, Turner JA, Comstock BA, Levenson LM, Hollingworth W, Heagerty PJ, Kliot M, Jarvik JG. The relationship between electrodiagnostic findings and patient symptoms and function in carpal tunnel syndrome. Arch Phys Med Rehabil 2007;88(1):19-24.   DOI   ScienceOn
7 Kearns J, Gresch EE, Weichel CY, Eby P, Pallapothu SR. Pre- and post-employment median nerve latency in pork processing employees. J Occup Environ Med 2000;42(1):96-100.   DOI   ScienceOn
8 Rempel D, Evanoff B, Amadio PC, de Krom M, Franklin G, Franzblau A, Gray R, Gerr F, Hagberg M, Hales T, Katz JN, Pransky G. Consensus criteria for the classification of carpal tunnel syndrome in epidemiologic studies. Am J Public Health 1998;88(10):1447-51.   DOI   ScienceOn
9 Roquelaure Y, Ha C, Fouquet N, Descatha A, Leclerc A, Goldberg M, Imbernon E. Attributable risk of carpal tunnel syndrome in the general population: implications for intervention programs in the workplace. Scand J Work Environ Health 2009;35(5):342-8.   ScienceOn
10 Priganc VW, Henry SM. The relationship among five common carpal tunnel syndrome tests and the severity of carpal tunnel syndrome. J Hand Ther 2003;16(3):225-36.   DOI   ScienceOn
11 Schottland JR, Kirschberg GJ, Fillingim R, Davis VP, Hogg F. Median nerve latencies in poultry processing workers: an approach to resolving the role of industrial "cumulative trauma"in the development of carpal tunnel syndrome. J Occup Med 1991;33(5):627-31.
12 Oh KW, Chang MJ, Lee JM, Lee YK, Kim YT. Epidemiologic report of diabetes in Korea. Clinical Diabetes 2007;8(4):361-5. (Korean)
13 Blanc PD, Faucett J, Kennedy JJ, Cisternas M, Yelin E. Self-reported carpal tunnel syndrome: predictors of work disability from the National Health Interview Survey Occupational Health Supplement. Am J Ind Med 1996;30(3):362-8.   DOI   ScienceOn
14 Dillon C, Petersen M, Tanaka S. Self-reported hand and wrist arthritis and occupation: data from the U.S. National Health Interview Survey-Occupational Health Supplement. Am J Ind Med 2002;42(4):318-27.   DOI   ScienceOn
15 Werner RA, Andary M. Carpal tunnel syndrome: pathophysiology and clinical neurophysiology. Clin Neurophysiol 2002;113(9):1373-81   DOI   ScienceOn
16 Silverstein BA, Fine LJ, Armstrong TJ. Occupational factors and carpal tunnel syndrome. Am J Ind Med 1987;11(3):343-58.   DOI   ScienceOn
17 National Institute for Occupaitonal Safety and Health. Musculoskeletal disorders and workplace factors. Available: http://www.cdc.gov/niosh/docs/97-141/ergotxt5a.html. [cited 1 Sep 2009].
18 Mondelli M, Giannini F, Giacchi M. Carpal tunnel syndrome incidence in a general population. Neurology 2002;58(2):289-94.   ScienceOn
19 Matte TD, Baker EL, Honchar PA. The selection and definition of target work-related condition for surveillance under SENSOR. Am J Public Health 1989;79:21-5.
20 Katz JN, Larson MG, Fossel AH, Liang MH. Validation of a surveillance case definition of carpal tunnel syndrome. Am J Public Health 1991;81(2):189-93.   DOI   ScienceOn
21 Yagev Y, Carel RS, Yagev R. Assessment of work-related risks factors for carpal tunnel syndrome. Isr Med Assoc J 2001;3(8):569-71
22 Lee JM, Kim SK, Kim JM. Carpal tunnel syndrome in meat-processing workers. Korean J Occup Environ Med 1999;11(3):407-14. (Korean)
23 Ahn YS, Kang YJ. Analysis of work-related carpal tunnel syndrome compensated with the industrial accident compensation insurance from 2000 to 2002. J Korean Acad Rehabil Med 2005;29(5):469-78. (Korean)
24 Son JE, Jang TW, Kim YK, Hong YS, Jung KY, Kim DI, Lee KJ, Ha NJ, Kim SB, Kim JY. Survey on the prevalence of carpal tunnel syndrome in simple repetitive workers who use upper extremities. Korean J Occup Environ Med 2001;13(3):209-19. (Korean)
25 Kim SA, Kim JS, Jeon HR, Jung SJ, Kim SW, Lee CY, Ham JO, Yoo JY, Choi TS, Goo HB, Cho MH, Woo KH. Surveillance of work-related diseases in Kumi. Korean J Occup Environ Med 2003;15(1):95-110. (Korean)
26 Jeong WC, Kwon HJ, Ha M, Roh SC, Kwon BS, Hyun JG, Lee SJ, Lee JM, Kwon JY, Kim JS, Baek NJ, Lee H, Lee KW, Lee SK. Surveillance of work-related carpal tunnel syndrome in Korea. Korean J Occup Environ Med 2004;16(1):37-47. (Korean)
27 Wieslander G, Norback D, Gothe CJ, Juhlin L. Carpal tunnel syndrome (CTS) and exposure to vibration, repetitive wrist movements, and heavy manual work: a case-referent study. Br J Ind Med 1989;46(1):43-7.
28 Kang JK, Paek DM, Ma HI, Song MA, Lee HK, Choi JK. Carpal tunnel syndrome among workers in a condom industry. Korean J Prev Med 1996;29(3):507-20. (Korean)
29 Falkiner S, Myers S. When exactly can carpal tunnel syndrome be considered work-related? ANZ J Surg 2002;72(3):204-9.   DOI   ScienceOn
30 Lee WJ, Lee EI, Cha CW. Carpal tunnel syndrome among packing workers in a rayon manufacturing factory. Korean J Prev Med 1992;25(1):26-33. (Korean)
31 Osorio AM, Ames RG, Jones J, Castorina J, Rempel D, Estrin W, Thompson D. Carpal tunnel syndrome among grocery store workers. Am J Ind Med 1994;25(2):229-45.   DOI   ScienceOn
32 Daniell WE, Fulton-Kehoe D, Franklin GM. Work-related carpal tunnel syndrome in Washington State workers'compensation: utilization of surgery and the duration of lost work. Am J Ind Med 2009;52(12):931-42.   DOI   ScienceOn
33 Rosecrance JC, Cook TM, Anton DC, Merlino LA. Carpal tunnel syndrome among apprentice construction workers. Am J Ind Med 2002;42(2):107-16.   DOI   ScienceOn
34 Hagberg M, Morgenstern H, Kelsh M. Impact of occupations and job tasks on the prevalence of carpal tunnel syndrome. Scand J Work Environ Health 1992;18(6):337-45.   ScienceOn
35 Nordstrom DL, Vierkant RA, DeStefano F, Layde PM. Risk factors for carpal tunnel syndrome in a general population. Occup Environ Med 1997;54(10):734-40.   DOI   ScienceOn
36 Kieran O, Kalva S. Carpal tunnel syndrome. In: Rom WN. Environmental and Occupational Medicine 4th Ed. Lippincott-Raven Pub, Philadelphia. 2007. pp 937-40.
37 Tanaka S, Wild DK, Seligman PJ, Halperin WE, Behrens VJ, Putz-Anderson V. Prevalence and workrelatedness of self-reported carpal tunnel syndrome among U.S. workers: analysis of the Occupational Health supplement data of 1988 National Health Interview Survey. Am J Ind Med 1995;27(4):451-70.   DOI   ScienceOn
38 Roquelaure Y, Ha C, Nicolas G, Pelier-Cady MC, Mariot C, Descatha A, Leclerc A, Raimbeau G, Goldberg M, Imbernon E. Attributable risk of carpal tunnel syndrome according to industry and occupation in a general population. Arthritis Rheum 2008;59(9):1341-8.   DOI   ScienceOn
39 Bongers FJ, Schellevis FG, van den Bosch WJ, van der Zee J. Carpal tunnel syndrome in general practice (1987 and 2001): incidence and the role of occupational and non-occupational factors. Br J Gen Pract 2007;57(536):36-9.
40 US Bureau of Labor Statistics. Nonfatal Occupational Injuries and illnesses Requiring Days Away From Work 2007. Available: http://www.bls.gov/iif/home.htm. [cited 1 May 2009].
41 Lincoln AE, Vernick JS, Ogaitis S, Smith GS, Mitchell CS, Agnew J. Interventions for the primary prevention of work-related carpal tunnel syndrome. Am J Prev Med 2000;18(4):37-50.   DOI