• Title/Summary/Keyword: Hand grip force

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Meta-Analysis: Association Between Wrist Posture and Carpal Tunnel Syndrome Among Workers

  • You, Doohee;Smith, Allan H.;Rempel, David
    • Safety and Health at Work
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    • v.5 no.1
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    • pp.27-31
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    • 2014
  • Background: Carpal tunnel syndrome (CTS) is a common work-related peripheral neuropathy. In addition to grip force and repetitive hand exertions, wrist posture (hyperextension and hyperflexion) may be a risk factor for CTS among workers. However, findings of studies evaluating the relationship between wrist posture and CTS are inconsistent. The purpose of this paper was to conduct a meta-analysis of existing studies to evaluate the evidence of the relationship between wrist posture at work and risk of CTS. Methods: PubMed and Google Scholar were searched to identify relevant studies published between 1980 and 2012. The following search terms were used: "work related", "carpal tunnel syndrome", "wrist posture", and "epidemiology". The studies defined wrist posture as the deviation of the wrist in extension or flexion from a neutral wrist posture. Relative risk (RR) of individual studies for postural risk was pooled to evaluate the overall risk of wrist posture on CTS. Results: Nine studies met the inclusion criteria. All were cross-sectional or case-control designs and relied on self-report or observer's estimates for wrist posture assessment. The pooled RR of work-related CTS increased with increasing hours of exposure to wrist deviation or extension/flexion [RR = 2.01; 95% confidence interval (CI): 1.646-2.43; p < 0.01: Shore-adjusted 95% CI: 1.32-2.97]. Conclusion: We found evidence that prolonged exposure to non-neutral wrist postures is associated with a twofold increased risk for CTS compared with low hours of exposure to non-neutral wrist postures. Workplace interventions to prevent CTS should incorporate training and engineering interventions that reduce sustained non-neutral wrist postures.

A study about Eom Heun's poetry (십성당(十省堂) 엄흔(嚴昕)의 시세계(詩世界))

  • Kwon, Hyok-myong
    • (The)Study of the Eastern Classic
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    • no.49
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    • pp.137-160
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    • 2012
  • This paper focuses on analyzing Eom Heun's grip on reality and attitudes through his literary works. He realized his time as a corrupted world that lack of morality. This actually was a criticism for the existing political force at that time, and he embodied it by using the image of wind, frost, mole cricket, ant, and so on. During that time, he tried to stick to his opinion on integrity. For that, he criticized men of the day who had an apathetic attitude. On the other hand, he praised pine and grass as an image of faith and fidelity. We may verify his world view by reading his literary works.