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Occupational biomechanical risk factors for radial nerve entrapment in a 13-year prospective study among male construction workers
OBJECTIVES: The aim was to assess the association between occupational biomechanical exposure and the occurrence of radial nerve entrapment (RNE) in construction workers over a 13-year follow-up period. METHODS: A cohort of 229 707 male construction workers who participated in a national occupationa...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6581089/ https://www.ncbi.nlm.nih.gov/pubmed/30850390 http://dx.doi.org/10.1136/oemed-2018-105311 |
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author | Jackson, Jennie A Olsson, David Burdorf, Alex Punnett, Laura Järvholm, Bengt Wahlström, Jens |
author_facet | Jackson, Jennie A Olsson, David Burdorf, Alex Punnett, Laura Järvholm, Bengt Wahlström, Jens |
author_sort | Jackson, Jennie A |
collection | PubMed |
description | OBJECTIVES: The aim was to assess the association between occupational biomechanical exposure and the occurrence of radial nerve entrapment (RNE) in construction workers over a 13-year follow-up period. METHODS: A cohort of 229 707 male construction workers who participated in a national occupational health surveillance programme (1971–1993) was examined prospectively (2001–2013) for RNE. Height, weight, age, smoking status and job title (construction trade) were obtained on health examination. RNE case status was defined by surgical release of RNE, with data from the Swedish national registry for out-patient surgery records. A job exposure matrix was developed, and biomechanical exposure estimates were assigned according to job title. Highly correlated exposures were summed into biomechanical exposure scores. Negative binomial models were used to estimate the relative risks (RR) (incidence rate ratios) of RNE surgical release for the biomechanical factors and exposure sum scores. Predicted incidence was assessed for each exposure score modelled as a continuous variable to assess exposure–response relationships. RESULTS: The total incidence rate of surgically treated RNE over the 13-year observation period was 3.53 cases per 100 000 person-years. There were 92 cases with occupational information. Increased risk for RNE was seen in workers with elevated hand-grip forces (RR=1.79, 95% CI 0.97 to 3.28) and exposure to hand-arm vibration (RR=1.47, 95% CI 1.08 to 2.00). CONCLUSIONS: Occupational exposure to forceful handgrip work and vibration increased the risk for surgical treatment of RNE. |
format | Online Article Text |
id | pubmed-6581089 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-65810892019-07-02 Occupational biomechanical risk factors for radial nerve entrapment in a 13-year prospective study among male construction workers Jackson, Jennie A Olsson, David Burdorf, Alex Punnett, Laura Järvholm, Bengt Wahlström, Jens Occup Environ Med Workplace OBJECTIVES: The aim was to assess the association between occupational biomechanical exposure and the occurrence of radial nerve entrapment (RNE) in construction workers over a 13-year follow-up period. METHODS: A cohort of 229 707 male construction workers who participated in a national occupational health surveillance programme (1971–1993) was examined prospectively (2001–2013) for RNE. Height, weight, age, smoking status and job title (construction trade) were obtained on health examination. RNE case status was defined by surgical release of RNE, with data from the Swedish national registry for out-patient surgery records. A job exposure matrix was developed, and biomechanical exposure estimates were assigned according to job title. Highly correlated exposures were summed into biomechanical exposure scores. Negative binomial models were used to estimate the relative risks (RR) (incidence rate ratios) of RNE surgical release for the biomechanical factors and exposure sum scores. Predicted incidence was assessed for each exposure score modelled as a continuous variable to assess exposure–response relationships. RESULTS: The total incidence rate of surgically treated RNE over the 13-year observation period was 3.53 cases per 100 000 person-years. There were 92 cases with occupational information. Increased risk for RNE was seen in workers with elevated hand-grip forces (RR=1.79, 95% CI 0.97 to 3.28) and exposure to hand-arm vibration (RR=1.47, 95% CI 1.08 to 2.00). CONCLUSIONS: Occupational exposure to forceful handgrip work and vibration increased the risk for surgical treatment of RNE. BMJ Publishing Group 2019-05 2019-03-08 /pmc/articles/PMC6581089/ /pubmed/30850390 http://dx.doi.org/10.1136/oemed-2018-105311 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Workplace Jackson, Jennie A Olsson, David Burdorf, Alex Punnett, Laura Järvholm, Bengt Wahlström, Jens Occupational biomechanical risk factors for radial nerve entrapment in a 13-year prospective study among male construction workers |
title | Occupational biomechanical risk factors for radial nerve entrapment in a 13-year prospective study among male construction workers |
title_full | Occupational biomechanical risk factors for radial nerve entrapment in a 13-year prospective study among male construction workers |
title_fullStr | Occupational biomechanical risk factors for radial nerve entrapment in a 13-year prospective study among male construction workers |
title_full_unstemmed | Occupational biomechanical risk factors for radial nerve entrapment in a 13-year prospective study among male construction workers |
title_short | Occupational biomechanical risk factors for radial nerve entrapment in a 13-year prospective study among male construction workers |
title_sort | occupational biomechanical risk factors for radial nerve entrapment in a 13-year prospective study among male construction workers |
topic | Workplace |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6581089/ https://www.ncbi.nlm.nih.gov/pubmed/30850390 http://dx.doi.org/10.1136/oemed-2018-105311 |
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