• Title/Summary/Keyword: Wrist

Search Result 1,157, Processing Time 0.029 seconds

Carpal Tunnel Syndrome Among Male French Farmers and Agricultural Workers: Is It Only Associated With Physical Exposure?

  • Roquelaure, Yves;Jego, Sylvaine;Geoffroy-Perez, Beatrice;Chazelle, Emilie;Descatha, Alexis;Evanoff, Bradley;Garlantezec, Ronan;Bodin, Julie
    • Safety and Health at Work
    • /
    • v.11 no.1
    • /
    • pp.33-40
    • /
    • 2020
  • Background: Exploratory study to investigate whether co-exposure to physical wrist stressors and chemicals is associated with carpal tunnel syndrome (CTS) in French male farmers and agricultural workers. Methods: Cross-sectional study of 711 men aged 30-65 years and working as either farmers or agricultural workers in 2009-2010 within a cohort covered by the French Agricultural Workers' and Farmers' Mutual Benefit Fund. CTS and exposure to physical wrist stressors and chemicals were assessed using a self-administered questionnaire. Associations between CTS and personal/medical factors, exposure to physical wrist stressors, exposure to chemicals, and co-exposure to physical wrist stressors and chemicals were studied using multivariate logistic regression models. Results: Forty-four men {5.6% [95% confidence interval (CI) 4.0-7.7]} reported that they had suffered from unilateral/bilateral CTS during the last 12 months. CTS was associated with age, current smoking [odds ratio (OR) = 2.1 (1.0-4.5)], and exposure to physical wrist stressors [OR = 2.6 (1.1-5.9)]. An association was found between CTS and co-exposure to physical wrist stressors and chemicals [OR = 3.3 (0.8-14.3), p = 0.044] in comparison with the no-exposure group. Conclusions: This exploratory study shows an association of CTS with exposure to biomechanical wrist stressors in male farmers and agricultural workers and suggests an association of CTS with co-exposure to physical wrist stressors and chemicals. Owing to the limitations of the study, this result must be confirmed by a prospective study with objective assessments of the outcome and exposure before drawing conclusions on the possible synergistic effects of mechanical stressors and chemicals on the impairment of the median nerve.

MTF Evaluation according to change in posture and channel during CT examination for wrist Joint : X-axis and Z-axis changes around Isocenter (손목관절 CT 검사 시 자세 변화와 채널 변경에 따른 MTF 평가 : Isocenter를 중심으로 X-축, Z-축 변화)

  • Seo, Min Jae;Lim, Jong Chon;Jung, Dabin;Han, Dong Kyoon
    • Journal of the Korean Society of Radiology
    • /
    • v.14 no.6
    • /
    • pp.811-817
    • /
    • 2020
  • This study aims to evaluate the Modulation Transfer Function (MTF) according to the change in the number of channels of the CT examination device by changing the posture of the patient to the X-axis and Y-axis in the wrist joint CT examination. Using a CT device and a wrist phantom, the test was performed by moving 0 (matched), 5, 10, and 15 cm in the X-axis around the isocenter, and the Z-axis was rotated by -20° and -40°. For the test, 16, -40 and 64 channels were used to check whether there was a difference for each number of channels. The examined images were compared by measuring the MTF values of the ulna and left and right sides of the radius. In the experiment where the isocenter was moved along the X-axis, the MTF value decreased with an increase in the moving distance, and the MTF value was found to be unaffected by the number of channels. In the experiment in which the wrist joint was rotated by -20° and -40° on the Z-axis, the degree of deviation and MTF were found to be irrelevant. It was not related to the number of channels either. In conclusion, the movement of the wrist along the X-axis should be restrained as much as possible for a wrist joint CT scan, whereas deviation around the Z-axis depending on the environment for the patient would not affect the MTF of the image.

A Study on the Musculoskeletal Disorders among the Visiting Housekeeper (가사노동자의 근골격계질환 자각증상과 관련요인)

  • Yoon, Songyi;Choi, Jae-Wook;Kim, Hae-Joon;Lee, Eun-il
    • Korean Journal of Occupational Health Nursing
    • /
    • v.15 no.1
    • /
    • pp.14-29
    • /
    • 2006
  • Purpose: The purposes of this study were to survey the extent of pain and discomfort in the musculoskeletal system among visiting housekeepers, above all concerning neck, shoulder, back, wrist, knee, and arm pain and to find possible relations between symptoms and various working conditions. Method: A questionnaire was answered by 174 woman visiting housekeepers living in Kyeonggi-do and Seoul from December 1, 2003 to February 30, 2004. The symptoms of musculoskeletal system were coded by the pain index which illustrates the extent of the symptoms, and analyzed in view of NIOSH guideline and Kim, et. al.'s notion. Result: 1. As to the complaint rate of subjective musculoskeletal symptoms by body region, the figure was the highest for shoulder with 78.2%, followed by back with 66.7%, knee 53.6%, neck 56.3%, wrist 40.2%, and arm 29.2%, respectively. The logistic analysis showed shoulder pain and arm pain have no relation with working and health conditions, and back pain was significantly related to current health condition. In same way, knee pain and wrist pain were found to be mainly related to marital status. 2. Following the NIOSH guideline, the positive rate of subjective musculoskeletal symptoms was found out in following order: shoulder 69.5%, back 59.2%, knee 54%, neck 46%, wrist 32.8%, and arm 25.3%. To investigate the main cause of each disease, the symptoms were classified by pain index, where the value of more than 3 comes to the NIOSH case, and analyzed in term of complaint rate using discrete logistical method : shoulder pain was highly related to the housekeeping time after work, back pain was to current health condition and the heavy weight carrying and neck, wrist, arm pain were commonly related to the ordinary health condition. For knee pain, working speed was a main cause. 3. In view of Kim et. al.'s standard, where the pain index is over 7, the positive rate was showed in order slightly different from previous analyses : shoulder 33.3%. knee 29.9%, back 28.2%, neck 17.2%, wrist 17.2%, and 16.7%. From the logistical analysis, insufficient rest was shown as the main cause of shoulder, back, arm and wrist pain. For neck pain, ordinary health condition was mainly related. In case of knee pain, any apparent relation is not found. Conclusion: According to the logistic regression analysis of musculoskeletal system, there was strong suggestion that the less insufficient physical rest, the more significant disorder complaint. This means that the most musculoskeletal symptom among the visiting housekeepers can be prevented and cured by sufficient physical resting.

  • PDF

Development of Wrist Tunnel Syndrome Prevention Smart Gloves using CNT-based Tensile Fabric Sensor: Focusing on Mouse Use (CNT 기반의 인장 직물 센서를 사용한 손목터널증후군 예방 스마트장갑 개발: 마우스사용을 중심으로)

  • Chun, Se-Hwan;Kim, Sang-Un;Kim, Joo-Yong
    • Science of Emotion and Sensibility
    • /
    • v.24 no.4
    • /
    • pp.117-128
    • /
    • 2021
  • In this work, we study smart gloves that can prevent carpal tunnel syndrome when using a mouse. Because the left and right wrist movements are fine, a tensile fabric sensor with a large gauge factor and low hysteresis was required before the study. A universal testing machine was used to calculate each gauge rate on four different fabrics, and the fabric with the least hysteresis was selected. In addition, three attachment methods were analyzed using Arduino to select a method with a large sensor value change. For prototypes made by attaching to the selected fabric, data patterns were analyzed using Arduino. The first method identifies only one sensor (A sensor), and the second identifies two sensors (A and B sensors). When the wrist is bent to the right, tensile fabric sensors are attached to both the left (A sensor) and right (B sensor) sides of the wrist, the A sensor is strained, increasing the △sensor value, and the B sensor is relaxed, decreasing the △sensor value. However, when the wrist was bent to the left, the pattern was analyzed in the opposite direction. Through this study, we examined smart gloves to prevent carpal tunnel syndrome with an algorithm that turns on the LED when the wrist is bent, and based on the results of this study, we will directly use mice on 10 people to identify problems and solve problems when used.

Development and Application of the Sleeve-type Restraints for Intensive Care Unit Patients (중환자실 환자를 위한 소매형 억제대의 개발 및 적용)

  • Ko, Hyun-Young;Kang, Jiyeon
    • Korean Journal of Adult Nursing
    • /
    • v.25 no.6
    • /
    • pp.665-678
    • /
    • 2013
  • Purpose: The purpose of this study was to develop sleeve-type restraints and to compare the sleeve-type and conventional wrist restraints. Methods: Forty four pairs of intensive care unit (ICU) patients and their families participated in the experiment. The nurses applied sleeve-type restraints to the patients in the experimental group, and wrist restraints to the control group. The trained research assistant measured ROMs, skin temperature, edema, and skin lesions of both upper extremities (UEs) before, 24, 48, and 72 hours after the restraints applied. The emotional response of family was measured 72 hours after the restraints applied. Thirty one ICU nurses evaluated the efficiency of both types of restraints. Results: Compared to the control group, changes of ROMs, edema, and skin abrasions on both U/Es of the experimental group indicated a significant difference in physical side effects. The emotional response scores of the experimental group were significantly lower than those of the control group. The mean efficiency scores for the sleeve-type restraints were significantly higher than those for the wrist restraints. Conclusion: The results indicate that the sleeve-type restraints are better than wrist restraints with respect to physical side effects, emotional responses of family members, and application efficiency.

Pulse wave analysis system using wrist type oximeter for u-Health service (u-Health 서비스 지원을 위한 착용형 옥시미터를 이용한 맥파 분석 시스템)

  • Jung, Sang-Joong;Seo, Yong-Su;Chung, Wan-Young
    • Journal of Sensor Science and Technology
    • /
    • v.19 no.1
    • /
    • pp.17-24
    • /
    • 2010
  • This paper describes a real time reliable monitoring method and analysis system using wrist type oximeter for ubiquitous healthcare service based on IEEE 802.15.4 standard. Photoplethysmograph(PPG) is simple and cost effective technique to measure blood volume change. In order to obtain and monitor physiological body signals continuously, a small size and low power consumption wrist type oximeter is designed for the measurement of oxygen saturation of a patient unobtrusively. The measured data is transferred to a central PC or server computer by using wireless sensor nodes in wireless sensor network for storage and analysis purposes. LabVIEW server program is designed to monitor stress indicator from heart rate variability(HRV) and process the measured PPG to accelerated plethysmograph(APG) by appling second order derivatives in server PC. These experimental results demonstrate that APG can precisely describe the features of an individual's PPG and be used as estimation of vascular elasticity for blood circulation.

The Use and Findings of Ultrasound in the Wrist Joint (완관절의 초음파 소견 및 이용)

  • Kim, Jung-Han;Kim, Joo-Yong;Kwon, Yong-Uk
    • The Journal of Korean Orthopaedic Ultrasound Society
    • /
    • v.7 no.2
    • /
    • pp.132-137
    • /
    • 2014
  • We can test for small structures located at the surface layer as high resolution ultrasonic techniques and small probes were developed. Accordingly ultrasound became a useful tool in the diagnosis and treatment of wrist diseases. It is important to understand the anatomical structures and apply clinical features as well as these technical aspects when using ultrasound. The purpose of this article is to evaluate the usefulness and approach of ultrasound about typical diseases according to the area of the wrist pain.

  • PDF