Instituto Henriqueta Teixeira

Instituto Henriqueta Teixeira

Artigo

27.03.10

Association of Occupational and Non-occupational Risk Factors with the Prevalence of Work Related Carpal Tunnel Syndrome.
Maryam Maghsoudipour - Sasan Moghimi - Faize Dehghaan - Azar Rahimpanah.

Abstract :

Purpose
Several occupational and personal risk factors cause the development of carpal tunnel syndrome(CTS). The purpose of the study was to evaluate both nonoccupational and occupational factors associated with CTS in industrial workers. Methods A cross sectional study was designed with 400 industrial workers (77% male, 23% female) randomly selected. Workers’ upper extremities were examined and related signs and symptoms were assessed. Questionnaires about personal and occupational risk factors were completed and suspicious cases were referred for NCV (nerve conduction velocity) testing and documentation of diagnosis. Results About 395 workers from automobile industry factories in Iran were assessed by interview and electrodiagnostic studies. Among 395 workers, 47 met the definition of CTS to yield a prevalence of 11.9%. These 47 workers averaged 29.85 years of age (SD = 6.28), and the mean age of the healthy group was 27.95 (SD = 4.86). 395 workers included 91 women (23%) and 304 men (77%). Using multivariate logistic regression model the largest adjusted odds ratios of personal and occupational factors for CTS were: exertion of force over one kilogram 6.38 (1.91–2.02); bending/twisting of the hands/wrists[30, 5.62 (0.56–55.6); history of cigarette smoking 4.68 (1.80–11.80); rapid movement of hands 4.44 (1.41–14.02); and use of vibrating tools 3.23 (1.46–7.15). Conclusion Some occupational factors including force exertion, bending/twisting of the hands, rapid movement of the hands and vibration are associated with CTS.

Keywords Carpal tunnel syndrome - Repetitive manual work - Electrodiagnosis - Force.

M. Maghsoudipour - F. Dehghaan - A. Rahimpanah

University of Social Welfare and Rehabilitation, Koodakyar St., Daneshjoo Bvd., Tehran 1984738153, Iran

e-mail: maryammaghsoudi@yahoo.com

S. Moghimi: Farabi Eye Hospital, Tehran University of Medical Science, Tehran, Iran

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