Carpal tunnel syndrome and its relation to occupation: a systematic literature review
Palmer, Keith T., Harris, E. Clare and Coggon, David (2007) Carpal tunnel syndrome and its relation to occupation: a systematic literature review. Occupational Medicine, 57, (1), 57-66. (doi:10.1093/occmed/kql125).
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Objectives To assess occupational risk factors for carpal tunnel syndrome (CTS), we conducted a systematic literature review.
Methods We identified relevant primary research from two major reviews in the 1990s and supplemented this material by a systematic search of the MEDLINE and EMBASE biomedical databases from the start of the electronic record to 1 January 2005. Reports were obtained and their bibliographies checked for other relevant publications. From each paper, we abstracted a standardized set of information on study populations, exposure contrasts and estimates of effect.
Results Altogether, we summarized 38 primary reports, with analyses based either on a comparison of job titles (22) or of physical activities in the job (13) or both (3). We found reasonable evidence that regular and prolonged use of hand-held vibratory tools increases the risk of CTS >2-fold and found substantial evidence for similar or even higher risks from prolonged and highly repetitious flexion and extension of the wrist, especially when allied with a forceful grip. The balance of evidence on keyboard and computer work did not indicate an important association with CTS.
Discussion Although the papers that we considered had limitations, a substantial and coherent body of evidence supports preventive policies aimed at avoiding highly repetitive wrist–hand work. There is a case for extending social security compensation for CTS in the United Kingdom to cover work of this kind.
|Digital Object Identifier (DOI):||doi:10.1093/occmed/kql125|
|Keywords:||carpal tunnel, classification, neuropathy, occupational risk factors|
|Subjects:||R Medicine > RZ Other systems of medicine
|Divisions:||University Structure - Pre August 2011 > School of Medicine > Developmental Origins of Health and Disease
University Structure - Pre August 2011 > School of Medicine > Community Clinical Sciences
University Structure - Pre August 2011 > School of Medicine
|Date Deposited:||11 Sep 2008|
|Last Modified:||06 Aug 2015 02:50|
|RDF:||RDF+N-Triples, RDF+N3, RDF+XML, Browse.|
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