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Occupational biomechanical risk factors for radial nerve entrapment in a 13-year prospective study among male construction workers
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Section of Sustainable Health.ORCID iD: 0000-0003-2939-0236
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Section of Sustainable Health.
Department of Public Health, Erasmus MC, Rotterdam, The Netherlands..
Department of Biomedical Engineering, University of Massachusetts Lowell, Lowell, Massachusetts, USA..
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2019 (English)In: Occupational and Environmental Medicine, ISSN 1351-0711, E-ISSN 1470-7926, Vol. 76, no 5, p. 326-331Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2019. Vol. 76, no 5, p. 326-331
Keywords [en]
elbow flexion/extension, hand tools, hand-arm vibration, job exposure matrix, nerve entrapment, neuropathy, repetitive, static work, upper extremity load
National Category
Occupational Health and Environmental Health
Identifiers
URN: urn:nbn:se:umu:diva-157109DOI: 10.1136/oemed-2018-105311PubMedID: 30850390OAI: oai:DiVA.org:umu-157109DiVA, id: diva2:1295172
Funder
Forte, Swedish Research Council for Health, Working Life and WelfareAvailable from: 2019-03-11 Created: 2019-03-11 Last updated: 2020-01-31Bibliographically approved

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Jackson, Jennie AOlsson, DavidJärvholm, BengtWahlström, Jens

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