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Waris, Pekka; Kuorinka, Ilkka; Kurppa, Kari; Luopajärvi, T.; Virolainen, Markku; Pesonen, Kimmo; Nummi, J; Kukkonen, Ritva

doi:10.5271/sjweh.2689

Cited by 78 publications

(4 citation statements)

References 25 publications

(15 reference statements)

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“…The diagnoses of De Quervain's tenosynovitis, lateral epicondylitis, and nerve entrapment syndromes, including carpal tunnel syndrome (median nerve), cubital tunnel syndrome (ulnar nerve), and Guyon's canal syndrome (ulnar nerve) were made based on pathognomonic clinical signs for upper extremity pathologies, after selection by a multidisciplinary team consisting of an occupational physician, hand surgeon, and occupational therapist [23]. These included pressure pain on the radial side of the wrist along with Finkelstein's test for De Quervain's tenosynovitis, lateral epicondyle pain, Maudsley's test for lateral epicondylitis, and the combination of Hoffman-Tinel sign and static two-point discrimination (2-PD) for finger sensibility for nerve entrapment syndromes, adding Phalen's test specifically for Carpal tunnel syndrome [26][27][28][29][30]. The presence of any of the above diagnoses in a study participant was considered to be a WMSDs diagnosis, which served as the gold standard for correlation analyses with other clinical endpoints and predictors.…”

Section: Clinical Signs Of Work-related Musculoskeletal Disordersmentioning

confidence: 99%

Predictors for Clinical Outcomes Related to Upper Extremity Musculoskeletal Disorders in a Healthy Working Population

Lotter¹,

Lieb²,

Molsner³

et al. 2021

IJERPH

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A wide range of endpoints and methods of analysis can be observed in occupational health studies in the context of work-related musculoskeletal disorders (WMSDs). Comparison of study results is therefore difficult. We investigated the association between different clinical endpoints and the presence of upper extremity WMSDs in a healthy working population. Furthermore, the influence of socio-demographic, work-related, and individual predictors on different endpoints was examined. Two self-administered questionnaires were distributed to 70 workers and employees. In addition, a standardized physical examination and an industry test were performed in this cross-sectional study. Correlations between WMSDs and clinical endpoints were analyzed with the Spearman method and prediction ellipses. Multiple regression models were used to study the strength of associations with a pre-defined set of potential influencing factors. The prevalence of WMSDs was 56% (39/70). Disabilities of Arm, Shoulder, and Hand (DASH) score/pain under strain showed the strongest correlations with WMSDs. When analyzing the correlation between WMSDs and pre-selected predictors, none of the predictors could be identified as a risk factor. The DASH score remains a close candidate for best surrogate endpoint for WMSDs detection. Standardized analysis methods could improve the methodological quality of future occupational health studies.

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Section: Clinical Signs Of Work-related Musculoskeletal Disordersmentioning

confidence: 99%

Predictors for Clinical Outcomes Related to Upper Extremity Musculoskeletal Disorders in a Healthy Working Population

Lotter¹,

Lieb²,

Molsner³

et al. 2021

IJERPH

View full text Add to dashboard Cite

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“…It consisted of active range of motion (ROM) manoeuvres of the wrist (as measured in 3 planes using the neutral zero method), grip strength by Jamar dynamometer (3 measurements per side), pain on a visual analogue scale (VAS) at rest and under strain, as well as a search for tender points for tenosynovitis. The examiner decided the diagnoses based on a standard set of criteria for pathognomonic clinical signs specific to upper extremity pathologies as proposed by Waris et al [23]. These included pain on the radial side of the wrist together with Finkelstein's test for de Quervain's disease, lateral epicondyle pain and Maudsley's test for tennis elbow, and the combination of Hoffman-Tinel sign and static 2-point discrimination (2-PD) for finger sensibility for nerve entrapment syndromes, adding Phalen's test specific for carpal tunnel syndrome [24][25][26][27][28].…”

Section: Clinical Datamentioning

confidence: 99%

Is Repetitive Workload a Risk Factor for Upper Extremity Musculoskeletal Disorders in Surgical Device Mechanics? A Cross-Sectional Analysis

Lotter¹,

Lieb²,

Breul³

et al. 2020

IJERPH

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To assess the prevalence of upper extremity work-related musculoskeletal disorders (WMSDs) among surgical device mechanics compared to a control group, a total of 70 employees were included and assigned to three occupational groups (grinders, packers, and control). Personal factors, work exposure, manual skill, and complaints were assessed by two self-administered questionnaires and an industry test. WMSDs were diagnosed in a standardised clinical examination. The two-one-sided t-tests (TOST) procedure was used to test the clinical equivalence of the respective grinding and packaging groups vs. the control group in terms of the Disabilities of the Arm, Shoulder and Hand (DASH) score. Thirty-nine study participants (56%) experienced at least one WMSD at the elbow, forearm, and/or wrist, mainly with signs of epicondylitis and nerve entrapment at the medial elbow. The risk of grinders developing upper extremity WMSD was about 2.5-times higher and packers had an 8.6-fold higher risk of a clinically relevant DASH > 29 compared to the control group. However, these differences were not statistically significant. The groups were also proven to be clinically equivalent in terms of DASH score. Surgical device mechanics do not seem to have worse DASH values or be at higher risk of upper limb WMSDs compared to a control group. This is the first study to analyse and compare different workplaces in this industry that are also common in other industries.

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“…Health assessment involved an interview and physical examination by a physiotherapist following a standard protocol. Diagnoses of tension neck syndrome were determined using predetermined criteria [Waris et al 1979]. In problem cases, orthopedic and physiatric teams determined case status.…”

Section: -7mentioning

confidence: 99%

“…A higher prevalence of deQuervain's disease was noted among men than women. Kuorinka and Koskinen [1979] Diagnoses of tenosynovitis and peritendinitis were later determined from these findings using predetermined criteria (localized tenderness and pain during movement, low-grip force, swelling of wrist tendons [Waris et al 1979]).…”

Section: Studies Reporting On the Association Of Posture And Hand/wri...mentioning

confidence: 99%

Karpaltunnelsyndrom als Berufskrankheit: Zeitliche Zusammenhänge zwischen Exposition und Auftreten der Erkrankung

Schröder¹,

Dulon²,

Schedlbauer³

et al. 2020

ASU

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Carpal tunnel syndrome as an occupational disease: temporal relationship between exposure and onset of the disease Objective: It is sometimes difficult to assess carpal tunnel syndrome (CTS) as an occupational disease (OD) due to the lack of clear statements in the scientific argumentation on the duration of exposure prior to the onset of CTS. We therefore conducted a review of the literature on the duration of exposure in the case of CTS. In addition, we analysed OD files on the duration of exposure for insured persons suspected of having CTS. Methods: The literature search was conducted in the PubMed, Cinahl and Web of Science databases for the period from 2014 to 2019. Information on the duration of exposure was taken from the OD files of the Occupational Accident Insurance for Healthcare and Welfare Services (BGW) for the purpose of explorative data analysis. Results: Nine studies were included in the review. The findings on the association between duration of exposure and CTS risk were inconsistent. In six studies, exposure periods of at least nine years were associated with an increased risk of CTS. Shorter exposure times were associated with an insignificant increase in CTS risk in only one study. In two studies, there was no association between duration of exposure and the development of CTS. In the BGW claims data, the median duration of exposure until the diagnosis of CTS was 24 years. Only a small number of insured persons (8 %) had a period of exposure of less than five years before the development of CTS. Conclusion: No reliable conclusion can be drawn on the association between duration of exposure and CTS on the basis of the nine included studies. The duration of exposure in the claims data was mostly long. There were a few cases in which CTS developed after less than five years of exposure. There is no justification for rejecting CTS as an OD if the duration of exposure is long. Keywords: carpal tunnel syndrome – occupational disease – latency period – accident insurance – claims data

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Cited by 78 publications

References 25 publications

Predictors for Clinical Outcomes Related to Upper Extremity Musculoskeletal Disorders in a Healthy Working Population

Predictors for Clinical Outcomes Related to Upper Extremity Musculoskeletal Disorders in a Healthy Working Population

Is Repetitive Workload a Risk Factor for Upper Extremity Musculoskeletal Disorders in Surgical Device Mechanics? A Cross-Sectional Analysis

Karpaltunnelsyndrom als Berufskrankheit: Zeitliche Zusammenhänge zwischen Exposition und Auftreten der Erkrankung

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