Carpal tunnel syndrome among apprentice construction workers
Background In terms of lost‐work time and restricted workdays, surgery, and rehabilitation, one of the most costly occupational musculoskeletal disorders is carpal tunnel syndrome (CTS). The purpose of this study was to determine the prevalence of CTS among apprentice construction workers. Methods T...
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| Veröffentlicht in: | American journal of industrial medicine 2002-08, Vol.42 (2), p.107-116 |
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| creator | Rosecrance, John C. Cook, Thomas M. Anton, Dan C. Merlino, Linda A. |
| description | Background
In terms of lost‐work time and restricted workdays, surgery, and rehabilitation, one of the most costly occupational musculoskeletal disorders is carpal tunnel syndrome (CTS). The purpose of this study was to determine the prevalence of CTS among apprentice construction workers.
Methods
This cross‐sectional study included apprentices from four construction trades. Apprentices completed a self‐administered questionnaire and received electrophysiologic studies assessing median nerve function across the carpal tunnel. A surveillance case definition for CTS was based on characteristic hand symptoms and the presence of median mononeuropathy across the carpal tunnel.
Results
Of the 1,325 eligible apprentices, 1,142 (86.2%) participated in the study. The prevalence of CTS among apprentices was 8.2%; sheet metal workers had the highest rate (9.2%). In operating engineers, the prevalence of CTS was significantly higher (OR = 6.9; 95% CI = 2.6–18.2) among the heavy equipment mechanics than the drivers of those vehicles. Body mass index, age, and self‐reports of working overhead were associated with prevalent CTS. Less than 15% of the apprentices with CTS sought medical attention for their disorder.
Conclusions
Many construction workers begin developing CTS before or during their apprenticeship. Few apprentices seek medical attention for hand symptoms characteristic of CTS. The results of this study indicate a public health need for the implementation of prevention strategies for CTS in the construction industry. Am. J. Ind. Med. 42:107–116, 2002. © 2002 Wiley‐Liss, Inc. |
| doi_str_mv | 10.1002/ajim.10093 |
| format | Article |
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In terms of lost‐work time and restricted workdays, surgery, and rehabilitation, one of the most costly occupational musculoskeletal disorders is carpal tunnel syndrome (CTS). The purpose of this study was to determine the prevalence of CTS among apprentice construction workers.
Methods
This cross‐sectional study included apprentices from four construction trades. Apprentices completed a self‐administered questionnaire and received electrophysiologic studies assessing median nerve function across the carpal tunnel. A surveillance case definition for CTS was based on characteristic hand symptoms and the presence of median mononeuropathy across the carpal tunnel.
Results
Of the 1,325 eligible apprentices, 1,142 (86.2%) participated in the study. The prevalence of CTS among apprentices was 8.2%; sheet metal workers had the highest rate (9.2%). In operating engineers, the prevalence of CTS was significantly higher (OR = 6.9; 95% CI = 2.6–18.2) among the heavy equipment mechanics than the drivers of those vehicles. Body mass index, age, and self‐reports of working overhead were associated with prevalent CTS. Less than 15% of the apprentices with CTS sought medical attention for their disorder.
Conclusions
Many construction workers begin developing CTS before or during their apprenticeship. Few apprentices seek medical attention for hand symptoms characteristic of CTS. The results of this study indicate a public health need for the implementation of prevention strategies for CTS in the construction industry. Am. J. Ind. Med. 42:107–116, 2002. © 2002 Wiley‐Liss, Inc.</description><identifier>ISSN: 0271-3586</identifier><identifier>EISSN: 1097-0274</identifier><identifier>DOI: 10.1002/ajim.10093</identifier><identifier>PMID: 12125086</identifier><identifier>CODEN: AJIMD8</identifier><language>eng</language><publisher>New York: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adult ; Biological and medical sciences ; carpal tunnel syndrome ; Carpal Tunnel Syndrome - epidemiology ; Carpal Tunnel Syndrome - prevention & control ; construction ; Cross-Sectional Studies ; Facility Design and Construction ; Female ; Health Services Needs and Demand ; Humans ; Injuries of the limb. Injuries of the spine ; Male ; Medical sciences ; musculoskeletal disorders ; nerve conduction studies ; Occupational Diseases - epidemiology ; Occupational Diseases - prevention & control ; Prevalence ; Public Health ; surveillance ; Surveys and Questionnaires ; Traumas. Diseases due to physical agents</subject><ispartof>American journal of industrial medicine, 2002-08, Vol.42 (2), p.107-116</ispartof><rights>Copyright © 2002 Wiley‐Liss, Inc.</rights><rights>2002 INIST-CNRS</rights><rights>Copyright 2002 Wiley-Liss, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4903-8b292e22b36dc21d5b6b14115c5b2eea25cfde2bb05c690880d34f99cea02a8e3</citedby><cites>FETCH-LOGICAL-c4903-8b292e22b36dc21d5b6b14115c5b2eea25cfde2bb05c690880d34f99cea02a8e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fajim.10093$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fajim.10093$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13823658$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12125086$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rosecrance, John C.</creatorcontrib><creatorcontrib>Cook, Thomas M.</creatorcontrib><creatorcontrib>Anton, Dan C.</creatorcontrib><creatorcontrib>Merlino, Linda A.</creatorcontrib><title>Carpal tunnel syndrome among apprentice construction workers</title><title>American journal of industrial medicine</title><addtitle>Am. J. Ind. Med</addtitle><description>Background
In terms of lost‐work time and restricted workdays, surgery, and rehabilitation, one of the most costly occupational musculoskeletal disorders is carpal tunnel syndrome (CTS). The purpose of this study was to determine the prevalence of CTS among apprentice construction workers.
Methods
This cross‐sectional study included apprentices from four construction trades. Apprentices completed a self‐administered questionnaire and received electrophysiologic studies assessing median nerve function across the carpal tunnel. A surveillance case definition for CTS was based on characteristic hand symptoms and the presence of median mononeuropathy across the carpal tunnel.
Results
Of the 1,325 eligible apprentices, 1,142 (86.2%) participated in the study. The prevalence of CTS among apprentices was 8.2%; sheet metal workers had the highest rate (9.2%). In operating engineers, the prevalence of CTS was significantly higher (OR = 6.9; 95% CI = 2.6–18.2) among the heavy equipment mechanics than the drivers of those vehicles. Body mass index, age, and self‐reports of working overhead were associated with prevalent CTS. Less than 15% of the apprentices with CTS sought medical attention for their disorder.
Conclusions
Many construction workers begin developing CTS before or during their apprenticeship. Few apprentices seek medical attention for hand symptoms characteristic of CTS. The results of this study indicate a public health need for the implementation of prevention strategies for CTS in the construction industry. Am. J. Ind. Med. 42:107–116, 2002. © 2002 Wiley‐Liss, Inc.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>carpal tunnel syndrome</subject><subject>Carpal Tunnel Syndrome - epidemiology</subject><subject>Carpal Tunnel Syndrome - prevention & control</subject><subject>construction</subject><subject>Cross-Sectional Studies</subject><subject>Facility Design and Construction</subject><subject>Female</subject><subject>Health Services Needs and Demand</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>musculoskeletal disorders</subject><subject>nerve conduction studies</subject><subject>Occupational Diseases - epidemiology</subject><subject>Occupational Diseases - prevention & control</subject><subject>Prevalence</subject><subject>Public Health</subject><subject>surveillance</subject><subject>Surveys and Questionnaires</subject><subject>Traumas. Diseases due to physical agents</subject><issn>0271-3586</issn><issn>1097-0274</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90EFP2zAUB3BrAq2F7cIHmHIZB6SAnx07jrQLqrZS1DFV2sbRcpyXKW3iBDsR9NuT0jJunN47_P7vSX9CzoBeAqXsyqyrZrdl_AOZAs3SmLI0OSLTcUDMhZITchLCmlKARCYfyQQYMEGVnJJvM-M7U0f94BzWUdi6wrcNRqZp3b_IdJ1H11cWI9u60PvB9lXrosfWb9CHT-S4NHXAz4d5Sv78-P57dhMvf80Xs-tlbJOM8ljlLGPIWM5lYRkUIpc5JADCipwhGiZsWSDLcyqszKhStOBJmWUWDWVGIT8l5_u7nW8fBgy9bqpgsa6Nw3YIGpSAVAIf4cUeWt-G4LHUna8a47caqN51pXdd6ZeuRvzlcHXIGyze6KGcEXw9ABOsqUtvnK3Cm-OKcSnU6GDvHqsat--81Ne3i5-vz-N9pgo9Pv3PGL_RMuWp0Pd3c72Sq0T9zeZ6xp8B-GuQYA</recordid><startdate>200208</startdate><enddate>200208</enddate><creator>Rosecrance, John C.</creator><creator>Cook, Thomas M.</creator><creator>Anton, Dan C.</creator><creator>Merlino, Linda A.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley-Liss</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7U2</scope><scope>C1K</scope></search><sort><creationdate>200208</creationdate><title>Carpal tunnel syndrome among apprentice construction workers</title><author>Rosecrance, John C. ; Cook, Thomas M. ; Anton, Dan C. ; Merlino, Linda A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4903-8b292e22b36dc21d5b6b14115c5b2eea25cfde2bb05c690880d34f99cea02a8e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>carpal tunnel syndrome</topic><topic>Carpal Tunnel Syndrome - epidemiology</topic><topic>Carpal Tunnel Syndrome - prevention & control</topic><topic>construction</topic><topic>Cross-Sectional Studies</topic><topic>Facility Design and Construction</topic><topic>Female</topic><topic>Health Services Needs and Demand</topic><topic>Humans</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>musculoskeletal disorders</topic><topic>nerve conduction studies</topic><topic>Occupational Diseases - epidemiology</topic><topic>Occupational Diseases - prevention & control</topic><topic>Prevalence</topic><topic>Public Health</topic><topic>surveillance</topic><topic>Surveys and Questionnaires</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rosecrance, John C.</creatorcontrib><creatorcontrib>Cook, Thomas M.</creatorcontrib><creatorcontrib>Anton, Dan C.</creatorcontrib><creatorcontrib>Merlino, Linda A.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>American journal of industrial medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rosecrance, John C.</au><au>Cook, Thomas M.</au><au>Anton, Dan C.</au><au>Merlino, Linda A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Carpal tunnel syndrome among apprentice construction workers</atitle><jtitle>American journal of industrial medicine</jtitle><addtitle>Am. J. Ind. Med</addtitle><date>2002-08</date><risdate>2002</risdate><volume>42</volume><issue>2</issue><spage>107</spage><epage>116</epage><pages>107-116</pages><issn>0271-3586</issn><eissn>1097-0274</eissn><coden>AJIMD8</coden><abstract>Background
In terms of lost‐work time and restricted workdays, surgery, and rehabilitation, one of the most costly occupational musculoskeletal disorders is carpal tunnel syndrome (CTS). The purpose of this study was to determine the prevalence of CTS among apprentice construction workers.
Methods
This cross‐sectional study included apprentices from four construction trades. Apprentices completed a self‐administered questionnaire and received electrophysiologic studies assessing median nerve function across the carpal tunnel. A surveillance case definition for CTS was based on characteristic hand symptoms and the presence of median mononeuropathy across the carpal tunnel.
Results
Of the 1,325 eligible apprentices, 1,142 (86.2%) participated in the study. The prevalence of CTS among apprentices was 8.2%; sheet metal workers had the highest rate (9.2%). In operating engineers, the prevalence of CTS was significantly higher (OR = 6.9; 95% CI = 2.6–18.2) among the heavy equipment mechanics than the drivers of those vehicles. Body mass index, age, and self‐reports of working overhead were associated with prevalent CTS. Less than 15% of the apprentices with CTS sought medical attention for their disorder.
Conclusions
Many construction workers begin developing CTS before or during their apprenticeship. Few apprentices seek medical attention for hand symptoms characteristic of CTS. The results of this study indicate a public health need for the implementation of prevention strategies for CTS in the construction industry. Am. J. Ind. Med. 42:107–116, 2002. © 2002 Wiley‐Liss, Inc.</abstract><cop>New York</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>12125086</pmid><doi>10.1002/ajim.10093</doi><tpages>10</tpages></addata></record> |
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| ispartof | American journal of industrial medicine, 2002-08, Vol.42 (2), p.107-116 |
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| subjects | Adult Biological and medical sciences carpal tunnel syndrome Carpal Tunnel Syndrome - epidemiology Carpal Tunnel Syndrome - prevention & control construction Cross-Sectional Studies Facility Design and Construction Female Health Services Needs and Demand Humans Injuries of the limb. Injuries of the spine Male Medical sciences musculoskeletal disorders nerve conduction studies Occupational Diseases - epidemiology Occupational Diseases - prevention & control Prevalence Public Health surveillance Surveys and Questionnaires Traumas. Diseases due to physical agents |
| title | Carpal tunnel syndrome among apprentice construction workers |
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