Risk factors for hand-wrist disorders in repetitive work

J. F. Thomsen; S. Mikkelsen; JH Andersen; N. Fallentin; I. P. Loft; P. Frost; A. Kaergaard; J. P. Bonde; E. Overgaard

doi:10.1136/oem.2005.021170

Risk factors for hand-wrist disorders in repetitive work

J. F. Thomsen, S. Mikkelsen, JH Andersen, N. Fallentin, I. P. Loft, P. Frost, A. Kaergaard, J. P. Bonde, E. Overgaard

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review

Abstract

OBJECTIVES: To identify the risk of hand-wrist disorders related to repetitive movements, use of hand force and wrist position in repetitive monotonous work. METHODS: Using questionnaires and physical examinations, the prevalence and incidence of hand-wrist pain and possible extensor tendonitis (wrist pain and palpation tenderness) were determined in 3123 employees in 19 industrial settings. With the use of questionnaires and video recordings of homogenous work tasks number of wrist movements, hand force requirements and wrist position were analysed as risk factors for hand-wrist disorders, controlling for potential personal and psychosocial confounders. All participants were re-examined three times during a follow-up period of three years. RESULTS: Force but not repetition and position was related to hand-wrist pain and possible tendonitis in the baseline analyses showing an exposure-response pattern. Odds ratios for the risk of hand pain was 1.7 (95% CI 1.3 to 2.2) and for possible tendonitis 1.9 (95% CI 1.1 to 3.3). There was no significant interaction between the ergonomic factors. In the follow-up analyses force remained a risk factor for hand pain (OR 1.4, 95% CI 1.1 to 1.8) and for possible tendonitis (OR 2.9, 95% CI 1.3 to 6.8). Repetition was also a risk factor for the onset of hand-wrist pain (OR 1.6, 95% CI 1.2 to 2.3). CONCLUSIONS: Increasing levels of force were associated with prevalent and incident hand-wrist pain and possible extensor tendonitis. The results for repetition were less consistent. Working with the hand in a non-neutral position could not be identified as a risk factor

Originalsprog	Engelsk
Tidsskrift	Occupational & Environmental Medicine
Vol/bind	64
Nummer	8
Sider (fra-til)	527-533
Antal sider	7
ISSN	1470-7926
DOI	https://doi.org/10.1136/oem.2005.021170
Status	Udgivet - 2007

Emneord

Adult
Cohort Studies
Cumulative Trauma Disorders
Denmark
etiology
Follow-Up Studies
Hand Injuries
Humans
Incidence
methods
Occupational Diseases
Odds Ratio
Pain
Physical Examination
Prevalence
Prospective Studies
Questionnaires
Risk Factors
Stress,Psychological
Tendinopathy
Work
Wrist Injuries

Adgang til dokumentet

10.1136/oem.2005.021170

Citationsformater

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title = "Risk factors for hand-wrist disorders in repetitive work",

abstract = "OBJECTIVES: To identify the risk of hand-wrist disorders related to repetitive movements, use of hand force and wrist position in repetitive monotonous work. METHODS: Using questionnaires and physical examinations, the prevalence and incidence of hand-wrist pain and possible extensor tendonitis (wrist pain and palpation tenderness) were determined in 3123 employees in 19 industrial settings. With the use of questionnaires and video recordings of homogenous work tasks number of wrist movements, hand force requirements and wrist position were analysed as risk factors for hand-wrist disorders, controlling for potential personal and psychosocial confounders. All participants were re-examined three times during a follow-up period of three years. RESULTS: Force but not repetition and position was related to hand-wrist pain and possible tendonitis in the baseline analyses showing an exposure-response pattern. Odds ratios for the risk of hand pain was 1.7 (95% CI 1.3 to 2.2) and for possible tendonitis 1.9 (95% CI 1.1 to 3.3). There was no significant interaction between the ergonomic factors. In the follow-up analyses force remained a risk factor for hand pain (OR 1.4, 95% CI 1.1 to 1.8) and for possible tendonitis (OR 2.9, 95% CI 1.3 to 6.8). Repetition was also a risk factor for the onset of hand-wrist pain (OR 1.6, 95% CI 1.2 to 2.3). CONCLUSIONS: Increasing levels of force were associated with prevalent and incident hand-wrist pain and possible extensor tendonitis. The results for repetition were less consistent. Working with the hand in a non-neutral position could not be identified as a risk factor",

keywords = "Adult, Cohort Studies, Cumulative Trauma Disorders, Denmark, etiology, Follow-Up Studies, Hand Injuries, Humans, Incidence, methods, Occupational Diseases, Odds Ratio, Pain, Physical Examination, Prevalence, Prospective Studies, Questionnaires, Risk Factors, Stress,Psychological, Tendinopathy, Work, Wrist Injuries",

author = "Thomsen, {J. F.} and S. Mikkelsen and JH Andersen and N. Fallentin and Loft, {I. P.} and P. Frost and A. Kaergaard and Bonde, {J. P.} and E. Overgaard",

year = "2007",

doi = "10.1136/oem.2005.021170",

language = "English",

volume = "64",

pages = "527--533",

journal = "Occupational & Environmental Medicine",

issn = "1470-7926",

publisher = "B M J Group",

number = "8",

}

TY - JOUR

T1 - Risk factors for hand-wrist disorders in repetitive work

AU - Thomsen, J. F.

AU - Mikkelsen, S.

AU - Andersen, JH

AU - Fallentin, N.

AU - Loft, I. P.

AU - Frost, P.

AU - Kaergaard, A.

AU - Bonde, J. P.

AU - Overgaard, E.

PY - 2007

Y1 - 2007

N2 - OBJECTIVES: To identify the risk of hand-wrist disorders related to repetitive movements, use of hand force and wrist position in repetitive monotonous work. METHODS: Using questionnaires and physical examinations, the prevalence and incidence of hand-wrist pain and possible extensor tendonitis (wrist pain and palpation tenderness) were determined in 3123 employees in 19 industrial settings. With the use of questionnaires and video recordings of homogenous work tasks number of wrist movements, hand force requirements and wrist position were analysed as risk factors for hand-wrist disorders, controlling for potential personal and psychosocial confounders. All participants were re-examined three times during a follow-up period of three years. RESULTS: Force but not repetition and position was related to hand-wrist pain and possible tendonitis in the baseline analyses showing an exposure-response pattern. Odds ratios for the risk of hand pain was 1.7 (95% CI 1.3 to 2.2) and for possible tendonitis 1.9 (95% CI 1.1 to 3.3). There was no significant interaction between the ergonomic factors. In the follow-up analyses force remained a risk factor for hand pain (OR 1.4, 95% CI 1.1 to 1.8) and for possible tendonitis (OR 2.9, 95% CI 1.3 to 6.8). Repetition was also a risk factor for the onset of hand-wrist pain (OR 1.6, 95% CI 1.2 to 2.3). CONCLUSIONS: Increasing levels of force were associated with prevalent and incident hand-wrist pain and possible extensor tendonitis. The results for repetition were less consistent. Working with the hand in a non-neutral position could not be identified as a risk factor

AB - OBJECTIVES: To identify the risk of hand-wrist disorders related to repetitive movements, use of hand force and wrist position in repetitive monotonous work. METHODS: Using questionnaires and physical examinations, the prevalence and incidence of hand-wrist pain and possible extensor tendonitis (wrist pain and palpation tenderness) were determined in 3123 employees in 19 industrial settings. With the use of questionnaires and video recordings of homogenous work tasks number of wrist movements, hand force requirements and wrist position were analysed as risk factors for hand-wrist disorders, controlling for potential personal and psychosocial confounders. All participants were re-examined three times during a follow-up period of three years. RESULTS: Force but not repetition and position was related to hand-wrist pain and possible tendonitis in the baseline analyses showing an exposure-response pattern. Odds ratios for the risk of hand pain was 1.7 (95% CI 1.3 to 2.2) and for possible tendonitis 1.9 (95% CI 1.1 to 3.3). There was no significant interaction between the ergonomic factors. In the follow-up analyses force remained a risk factor for hand pain (OR 1.4, 95% CI 1.1 to 1.8) and for possible tendonitis (OR 2.9, 95% CI 1.3 to 6.8). Repetition was also a risk factor for the onset of hand-wrist pain (OR 1.6, 95% CI 1.2 to 2.3). CONCLUSIONS: Increasing levels of force were associated with prevalent and incident hand-wrist pain and possible extensor tendonitis. The results for repetition were less consistent. Working with the hand in a non-neutral position could not be identified as a risk factor

KW - Adult

KW - Cohort Studies

KW - Cumulative Trauma Disorders

KW - Denmark

KW - etiology

KW - Follow-Up Studies

KW - Hand Injuries

KW - Humans

KW - Incidence

KW - methods

KW - Occupational Diseases

KW - Odds Ratio

KW - Pain

KW - Physical Examination

KW - Prevalence

KW - Prospective Studies

KW - Questionnaires

KW - Risk Factors

KW - Stress,Psychological

KW - Tendinopathy

KW - Work

KW - Wrist Injuries

U2 - 10.1136/oem.2005.021170

DO - 10.1136/oem.2005.021170

M3 - Journal article

C2 - 17387137

SN - 1470-7926

VL - 64

SP - 527

EP - 533

JO - Occupational & Environmental Medicine

JF - Occupational & Environmental Medicine

IS - 8

ER -