Format

Send to

Choose Destination
See comment in PubMed Commons below
Occup Med (Lond). 2007 Jan;57(1):57-66. Epub 2006 Nov 2.

Carpal tunnel syndrome and its relation to occupation: a systematic literature review.

Author information

1
MRC Epidemiology Resource Centre, University of Southampton, Southampton, UK. ktp@mrc.soton.ac.uk

Abstract

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.

PMID:
17082517
DOI:
10.1093/occmed/kql125
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments

    Supplemental Content

    Full text links

    Icon for Silverchair Information Systems
    Loading ...
    Support Center