OBJECTIVES: The purpose of this study was to identify personal variables and nonoccupational risk factors for carpal tunnel syndrome and to analyse the strength of association of these factors. METHODS: We performed a case-control study with 162 cases and 300 controls. We studied consecutive patients with an electrophysiologically confirmed diagnosis of symptomatic carpal tunnel syndrome. Univariate analysis was performed in the case group and control comparing them for presence of various risk factors. Multivariate analysis was carried out through logistic regression. RESULTS: The mean BMI and age were greater in the case group than in the control. Multivariate analysis showed that BMI (OR = 1.05, 95% CI = 1.01-1.11) and arterial hypertension (OR = 4.63, 95% CI = 2.88-7.44) were the only factors significantly associated with carpal tunnel syndrome. The age, cigarette smoking and alcohol drinking were at the edge of significance. CONCLUSIONS: Carpal tunnel syndrome is the most common peripheral neuropathy and has been related to occupational activities in some but not all studies. Clarifying this relationship has important implications for workers' compensation systems. Based on our findings, BMI and arterial hypertension are considered to be the most significant risk factors of carpal tunnel syndrome in our study.
- MeSH
- lidé MeSH
- logistické modely MeSH
- rizikové faktory MeSH
- studie případů a kontrol MeSH
- syndrom karpálního tunelu * epidemiologie etiologie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
Úvod: Práca spojená s nadmernou fyzickou záťažou, vykonávaná dlhodobo a jednostranne môže predstavovať pre zamestnancov riziko poškodenia zdravia s postihnutím štruktúr pohybového systému končatín. V dôsledku vzniku profesionálneho ochorenia z dlhodobého, nadmerného a jednostranného zaťaženia končatín dochádza každoročne k vyradeniu mnohých zamestnancov z pracovného procesu. Uplatnenie sa na iných pracoviskách/profesiách v dôsledku ochorenia je často problémom. Výber prác je významne obmedzený s ohľadom na zdravotný stav a kvalifikáciu pracovníka. Súbor a metodika: Pre analýzu pracovnej expozície boli zo súboru 62 šičiek náhodne vybrané 2 šičky. Analýza bola vykonaná v podniku na šitie autopoťahov – u dvoch typov modelov (Toyota Avensis, Renault Clio). Z časových snímok a vykonaných analýz pracovných činností sú prezentované výsledky početnosti pohybov vykonávaných ľavou a pravou rukou pri jednotlivých pracovných činnostiach. Počty pohybov boli počítané pomocou programu Kinovea, analýzy v programe Microsoft Excel a EpiInfo. Výsledky boli porovnané s limitmi stanovenými legislatívou. Výsledky: Pri analýze početnosti pohybov a ich porovnaní s odporúčanými limitmi počty vysoko prekračovali prípustné limity za minútu a za pracovnú zmenu. Zamestnanci spoločnosti vykonávali za pracovnú zmenu oboma rukami približne 53.300 pohybov v oblasti drobných svalov rúk a predlaktí. Pri 20 % a 30 % Fmax boli prekročené takmer všetky celozmenové limity. Kritérium dlhodobosti, nadmernosti a jednostrannosti u šičiek bolo jednoznačne splnené. Viac zaťažovaná sa javila ľavá ruka (najmä pri zložitejších operáciách), ktorá vykonávala pomerne väčšie spektrum a rozsah pohybov v porovnaní s pravou rukou. Záver: Z výsledkov vyplýva, že u profesie šič/-ka autopoťahov bola autormi objektivizovaná výrazná expozícia rizikovému faktoru fyzického zaťaženia horných končatín, čo môže zapríčiniť vznik profesionálnej choroby z dlhodobého, nadmerného a jednostranného zaťaženia horných končatín. Z tohto hľadiska je kritérium na preradenie z 2. do 3. kategórie prác v zmysle Vyhlášky MZ SR č. 542/2007 Z. z. u uvedenej profesie vo faktore fyzická záťaž adekvátne.
Introduction: Work associated with excessive physical load performed for a long time and unilaterally can be the health risk associated with damage of upper extremities structures. As a result of the occupational diseases due to the repetitive strain injury, many employees are laid off from the working process every year. Applying to other workplaces/professions as a result of occupational diseases is often a problem. The choice of works is significantly limited with regard to health state and qualifications of employees. Material and method: Two seamstresses were randomly selected from ensemble of 62 seamstresses for analysis of working exposure. The analysis was performed in car seat cover sewing industry in 2 types of models (Toyota Avensis, Renault Clio). From the time frames and performed analyses of working activities are presented the results of the number of movements performed by the left and right upper extremities in individual working activities. The numbers of movements were calculated by Kinovea, and analyzed in the program Microsoft Excel and EpiInfo. The results were compared with the limits set by legislation. Results: When analyzing the number of movements and their comparison with the recommended limits, the numbers highly exceeded the allowable limits per minute and for working shift. The employees of the company performed approximately 53.000 movements of small muscules of hand and forearm. The all full-scale limits were exceeded in 20% and 30% Fmax values. The excessive, long-term, unilateral character criteria among seamstress were clearly fulfilled. The left hand was apparently more loaded (especially in the complicated operations) in performing relatively larger spectrum and the range of movements compared with the right hand. Conclusion: Based of our results the authors objectified a significant exposure to the risk factor of physical load of upper extremities among seamstress of car seat cover sewing industry, which may cause occupational diseases due to the repetitive strain injury of upper extremities. From this reason the criterion for the replacement from the 2nd to the 3rd classification of work within the meaning of Decree of the Ministry of Health of the Slovak Republic no. 542/2007 Coll. in the given profession in the category of physical load, is adequate.
INTRODUCTION: The most common occupational disease is carpal tunnel syndrome. The aim of this study was to translate and validate the Slovakian version of BCTSQ. METHODS: The original questionnaire was translated into the Slovakian language by two expert translators. Cronbach's alpha coefficient was used to analyze the internal consistency of the questionnaire. Construction validity was evaluated by using Pearson's correlation coefficient and Spearman's rank correlation. The results were processed in the statistical program SPSS 24. The level of significance p > 0.05 was considered significant. To analyze the validity, a factor analysis of the BCTSQ and the correlation between BCTSQ and SF-36 were obtained. RESULTS: A total of 32 employees at risk of local muscular overload completed the BCTSQ and Health Questionnaire SF-36. Cronbach's alpha for SSS was >0.8. The alpha coefficient for FSS was >0.9. The Pearson's coefficient and Spearman's rank correlation was >0.9 for each domain. Cronbach's alpha for SF-36 was >0.7 and the Pearson's coefficient and Spearman's rank correlation was >0.6 and p-values <0.001. CONCLUSIONS: The questionnaire has sufficient reliability, validity and can be a suitable tool for the evaluation of subjective response of employees at the risk of local muscular overload, as well as of patients with carpal tunnel syndrome.
- MeSH
- diagnostické sebehodnocení * MeSH
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- překlady MeSH
- syndrom karpálního tunelu diagnóza MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- validační studie MeSH
- Geografické názvy
- Slovenská republika MeSH
