학술논문

Personal and Workplace Factors and Median Nerve Function in a Pooled Study of 2396 US Workers
Document Type
article
Source
Journal of Occupational and Environmental Medicine. 57(1)
Subject
Chronic Pain
Prevention
Pain Research
Peripheral Neuropathy
Neurodegenerative
Neurosciences
Adult
Age Factors
Biomechanical Phenomena
Body Mass Index
Carpal Tunnel Syndrome
Female
Hand Strength
Humans
Male
Median Nerve
Middle Aged
Movement
Neural Conduction
Occupational Exposure
Physical Exertion
Posture
Professional Autonomy
Sex Factors
Surveys and Questionnaires
United States
Workplace
Wrist
Nursing
Public Health and Health Services
Environmental & Occupational Health
Language
Abstract
ObjectiveEvaluate associations between personal and workplace factors and median nerve conduction latency at the wrist.MethodsBaseline data on workplace psychosocial and physical exposures were pooled from four prospective studies of production and service workers (N = 2396). During the follow-up period, electrophysiologic measures of median nerve function were collected at regular intervals.ResultsSignificant adjusted associations were observed between age, body mass index, sex, peak hand force, duration of forceful hand exertions, Threshold Limit Value for Hand Activity Limit, forceful repetition rate, wrist extension, and decision latitude on median nerve latencies.ConclusionsOccupational and nonoccupational factors have adverse effects on median nerve function. Measuring median nerve function eliminates possible reporting bias that may affect symptom-based carpal tunnel syndrome case definitions. These results suggest that previously observed associations between carpal tunnel syndrome and occupational factors are not the result of such reporting bias.