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), pp. 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.

Item Type: Article
Digital Object Identifier (DOI): doi:10.1093/occmed/kql125
ISSNs: 0962-7480 (print)
Keywords: carpal tunnel, classification, neuropathy, occupational risk factors
ePrint ID: 62034
Date :
Date Event
2 November 2007Published
Date Deposited: 11 Sep 2008
Last Modified: 16 Apr 2017 17:30
Further Information:Google Scholar

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