Risk factors for hand-wrist disorders in repetitive work
| Autor: | Johan Hviid Andersen, Inger Pryds Loft, Jane Frølund Thomsen, Anette Kærgaard, Poul Frost, Erik Overgaard, Jens Peter Bonde, Sigurd Mikkelsen, Niels Fallentin |
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| Jazyk: | angličtina |
| Rok vydání: | 2007 |
| Předmět: |
musculoskeletal diseases
Adult Questionnaires medicine.medical_specialty Work Cumulative Trauma Disorders Denmark etiology Pain Physical examination Stress Psychological Tendonitis Wrist methods Occupational medicine Cohort Studies Musculoskeletal disorder Risk Factors Surveys and Questionnaires medicine Odds Ratio Prevalence Humans Prospective Studies Physical Examination Tenosynovitis medicine.diagnostic_test business.industry Incidence Public Health Environmental and Occupational Health Human factors and ergonomics Hand Injuries medicine.disease Wrist Injuries Occupational Diseases medicine.anatomical_structure Tendinopathy Physical therapy Original Article business Stress Psychological Follow-Up Studies |
| Zdroj: | Thomsen, J F, Mikkelsen, S, Andersen, JH, Fallentin, N, Loft, I P, Frost, P, Kaergaard, A, Bonde, J P & Overgaard, E 2007, ' Risk factors for hand-wrist disorders in repetitive work ', Occupational and Environmental Medicine, vol. 64, no. 8, pp. 527-533 . https://doi.org/10.1136/oem.2005.021170 |
| DOI: | 10.1136/oem.2005.021170 |
| Popis: | Pain in the hand‐wrist region may be a sign of an inflammatory or degenerative process involving the tendons and occasionally the tendon sheaths too. Depending on the structures involved the condition is diagnosed as tendonitis, peritendonitis or tenosynovitis. Hand complaints are common among manual workers with self‐reported prevalence around 30–45%.1,2 Symptoms are not always accompanied by clinical findings. Several studies found very low prevalence of clinical tenosynovitis with swelling and/or crepitation but with a considerable variation—from no cases of clinical tenosynovitis at all, up to more than 18%, apparently with more or less the same case definition.1,2,3,4,5 Some studies support the hypothesis that mechanical load put on the wrist could be a factor in the development of wrist tendonitis.1,5,6,7 According to newer biomechanical models mechanical load is the product of a combination of the intensity of hand use, expressed as the percentage of rest periods, and ergonomic factors (number of wrist movements), force involved in the movements and the position of the wrist.8 It is, however, quite difficult to get a precise picture of the actual hand load put on a person's hand during the working day because the same person often performs different work tasks with different combinations of possible risk factors. At the same time, personal factors (for example, gender, medical conditions, previous trauma, and leisure time activities) also seem to play an important role in musculoskeletal disorders and therefore should be equally monitored.9,10,11 This paper reports results on hand‐wrist pain and possible tendonitis from the prospective Danish PRIM health study (Project on Research and Intervention in Monotonous Work). The study involved workers from different industrial settings engaged in different types of monotonous work. This study reports the role of physical factors as a possible cause for hand‐wrist disorders. |
| Databáze: | OpenAIRE |
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