Computer Professionals and Carpal Tunnel Syndrome (CTS)

• Autorzy: Ali K. M. , Sathiyasekaran B. W. C.
• Języki publikacji: EN

Abstrakty

EN

Carpal Tunnel Syndrome (CTS) is an important problem among computer professionals. Hence the prevalence of CTS among computer professionals and risk factors were studied. 648 subjects were selected from 4,276 computer professionals from 21 companies with a simple random sampling method. CTS was diagnosed based on clinical features.The prevalence of CTS was found to be 13.1% (95% CI 10.5–15.7%). Subjects with over 8 years of computer work, over 12 hrs of work per day and system administrators were at a higher risk for CTS (OR 3.3, 4.9 and 2.5 respectively). Flexed or extended hand position had higher risk for CTS. Higher risk for CTS was found with higher exposure to computer work. Ergonomic considerations are important in facilitating proper positioning of hand while working with a computer. Further studies on CTS risk factors among computer professionals are essential for planning prevention.

Słowa kluczowe

EN

musculoskeletal disorders; cross-sectional study; occupational disorder; Tinel’s sign; Phalen’s sign; wrist; hand; body mass index

PL

nadgarstek; ręka; praca a choroby; komputer; choroby narządów ruchu; pozycja przy pracy; choroba zawodowa; syndrom cieśni nadgarstka

• Wydawca: Taylor & Francis
• Czasopismo: International Journal of Occupational Safety and Ergonomics
• Rocznik: 2006
• Tom: Vol. 12, No. 3
• Strony: 319--325
• Opis fizyczny: Bibliogr. 27 poz., tab.

Twórcy

autor

Ali K. M.

• Department of Community Medicine, Sri Ramachandra Medical College & Research Institute, Porur, Chennai (Madras), India

autor

Sathiyasekaran B. W. C.

• Department of Community Medicine, Sri Ramachandra Medical College & Research Institute, Porur, Chennai (Madras), India

Bibliografia

• 1.Punnet L, Bergqvist U. Visual display unit work and upper extremity musculoskeletal disorders: a review of epidemiological findings (Ergonomic expert committee document No. 1). Stockholm, Sweden: National Institute for Working Life; 1997.
• 2.Jensen C, Finsen L, Sogaard K, Christensen H. Musculoskeletal symptoms and duration of computer and mouse use. Int J Ind Ergron 2002;30:265–75.
• 3.Jensen C, Ryholt CU, Burr H, Villadsen E, Christensen H. Work-related psychosocial, physical and individual factors associated with musculoskeletal symptoms in computer users. Work Stress. 2002;16(2):107–20.
• 4.Bernard B, Sauter S, Fine L, Petersen M, Hales T. Job task and psychosocial risk factors for work-related musculoskeletal disorders among news paper employees. Scand J Work Environ Health. 1994;20(6):417–26.
• 5.Karlqvist LK, Hagberg M, Koster M, Wenemark M, Anell R. Musculoskeletal symptoms among computer-assisted design (CAD) operators and evaluation of a selfassessment questionnaire. Int J Occup Environ Health. 1996;2(3):185–94.
• 6.Fogleman M, Lewis RJ. Factors associated with self-reported musculoskeletal discomfort in video display terminal (VDT) users. Int J Ind Ergon. 2002;29:311–8.
• 7.Demure B, Luippold RS, Bigelow C, Ali D, Mundt KA, Liese B. Video display terminal workstation improvement program: 1. Baseline associations between musculoskeletal discomfort and ergonomic features of workstations. J Occup Environ Med. 2000;42(8):783–91.
• 8.Karlqvist L. Avoid the mouse trap! Musculoskeletal injuries can be reduced by placing the mouse within shoulder space. Lakartidningen. 1998;95(36):3768–71. In Swedish.
• 9.Bergqvist U, Wolgast E, Nilsson B, Voss M. Musculoskeletal disorders among visual display terminal workers: individual, ergonomic, and work organizational factors. Ergonomics. 1995;38(4):763–76.
• 10.Aaras A, Fostervold KI, Ro O, Thoresen M, Larsen S. Postural load during VDU work: a comparison between various work postures. Ergonomics. 1997;40(11):1255–68.
• 11.Karlqvist LK, Bernmark E, Ekenvall L, Hagberg M, Isaksson A, Rosto T. Computer mouse position as a determinant of posture, muscular load and perceived exertion. Scand J Work Environ Health. 1998;24(1):62–73.
• 12.Psihogios JP, Sommerich CM, Mirka GA, Moon SD. A field evaluation of monitor placement effects in VDT users. Appl Ergon. 2001;32(4):313–25.
• 13.Tittiranonda P, Burastero S, Rempel D. Risk factors for musculoskeletal disorders among computer users. Occup Med. 1999;14(1):17–38, iii.
• 14.Seppala P. Experience of stress, musculoskeletal discomfort, and eyestrain in computer-based office work: a study in municipal workplaces. Int J Hum Comput Interact. 2001;13:279–304.
• 15.Marcus M, Gerr F. Upper extremity musculoskeletal symptoms among female office workers: associations with video display terminal use and occupational psychosocial stressors. Am J Ind Med. 1996;29(2):161–70.
• 16.Phillip E, Wright II. Carpal tunnel syndrome and ulnar tunnel syndromes and stenosing tenosynovitis. In: Canale ST, editor. Campbell’s operative orthopaedics. 9th ed. St. Louis, MO, USA: Mosby; 1998. p. 3685–701.
• 17.Lewis LC, Mireles DZ. Occupational health hazard: carpal tunnel syndrome. Semin Perioper Nurs. 1997;6(2):105–10.
• 18.Murata K, Araki S, Okajima F, Saito Y. Subclinical impairement in the median nerve across the carpal tunnel among female VDT operators. Int Arch Occup Environ Health. 1996;68(2):75–9.
• 19.Stevens JC, Witt JC, Smith BE, Weaver AL. The frequency of carpal tunnel syndrome in computer users at a medical facility. Neurology. 2001;56(11):1568–70.
• 20.Ecstasia. Dorland’s illustrated medical dictionary. 27th ed. Philadelphia, PA, USA:Saunders; 1998.
• 21.Gorsche RG, Wiley JP, Renger RF, Brant RF, Gemer TY, Sasyniuk TM. Prevalence and incidence of carpal tunnel syndrome in a meat packaging plant. Occup Environ Med. 1999;56:417–22.
• 22.de Krom MC, Knipschild PG, Kester AD, Thijs CT, Boekkooi PF, Spaans F. Carpal tunnel syndrome—prevalence in general population. J Clin Epidemiol. 1992;45(4):373–6.
• 23.Atorshi I, Gummenson C, Johnsson R, Ornstein E, Ranstam J, Rosen I. Prevalence of carpal syndrome in a general population. JAMA. 1999;282(2):153–8.
• 24.Papanicolaou GD, Mac Cabe SJ, Firell J. The prevalence and characteristics of nerve compression symptoms in the general population. J Hand Surg (Am). 2001;26(3):460–6.
• 25.Nakazawa T, Okubo Y, Suwazono Y, Kobayashi E, Komine S, Kato N, et al. Association between duration of daily VDT use and subjective symptoms. Am J Ind Med. 2002;42(5):421–6.
• 26.Matias AC, Salvendy G, Kuczek T. Predictive models of carpal tunnel syndrome causation among VDT operators. Ergonomics. 1998;41(2):213–26.
• 27.Robert D. Beckenbaugh. Carpal tunnel syndrome. In: Cooney WP, Linscheid RL, Dobyns JH, editors. The wrist diagnosis and operative treatment. St. Louis, MO, USA: Mosby; 1998. p. 1197–233.