ArticleScandinavian journal of work, environment & health2014
Exposure-response relationships for the ACGIH threshold limit value for hand-activity level: results from a pooled data study of carpal tunnel syndrome.
Article in Scandinavian journal of work, environment & health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 60 citations in OpenAlex.
- Comparison of the observer, single-frame video and computer vision hand activity levels.Ergonomics · 2023Article
- Occupational demands associated with rotator cuff disease surgery in the UK Biobank.Scandinavian journal of work, environment & health · 2023Article
- Work-relatedness of carpal tunnel syndrome: Systematic review including meta-analysis and GRADE.Health science reports · 2022Article
- Occupational risk factors for work disability following carpal tunnel syndrome: a pooled prospective study.Occupational and environmental medicine · 2022Article
- Musculoskeletal Complaints in Occupational Therapists Compared to the General Population: A Cross-Sectional Study in Germany.International journal of environmental research and public health · 2020Article
- Modeling the Effect of the 2018 Revised ACGIHJournal of occupational and environmental hygiene · 2019Article
- Work-related neck and upper limb disorders - quantitative exposure-response relationships adjusted for personal characteristics and psychosocial conditions.BMC musculoskeletal disorders · 2019Article
- Incident CTS in a large pooled cohort study: associations obtained by a Job Exposure Matrix versus associations obtained from observed exposures.Occupational and environmental medicine · 2018Article
- Observed Differences between Males and Females in Surgically Treated Carpal Tunnel Syndrome Among Non-manual Workers: A Sensitivity Analysis of Findings from a Large Population Study.Annals of work exposures and health · 2018Article
- Carpal tunnel syndrome prevalence: an evaluation of workers at a raw poultry processing plant.International journal of occupational and environmental health · 2017Article
- Risk assessment of manual handling operations at work with the key indicator method (KIM-MHO) - determination of criterion validity regarding the prevalence of musculoskeletal symptoms and clinical conditions within a cross-sectional study.BMC musculoskeletal disorders · 2017Article
- Biomechanical and psychosocial exposures are independent risk factors for carpal tunnel syndrome: assessment of confounding using causal diagrams.Occupational and environmental medicine · 2016Article
- Impact of Work Organizational Factors on Carpal Tunnel Syndrome and Epicondylitis.Journal of occupational and environmental medicine · 2016Article
- Psychosocial Factors Related to Lateral and Medial Epicondylitis: Results From Pooled Study Analyses.Journal of occupational and environmental medicine · 2016Article
- Association between work-related biomechanical risk factors and the occurrence of carpal tunnel syndrome: an overview of systematic reviews and a meta-analysis of current research.BMC musculoskeletal disorders · 2015Review
- Associations between Distal Upper Extremity Job Physical Factors and Psychosocial Measures in a Pooled Study.BioMed research international · 2015Article
Corrections and comments
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Authors and funding
14 authors at 10 institutions in 1 country.
Funding
Abstract
objectivesThis paper aimed to quantify exposure-response relationships between the American Conference of Governmental Industrial Hygienists' (ACGIH) threshold limit value (TLV) for hand-activity level (HAL) and incidence of carpal tunnel syndrome (CTS).
methodsManufacturing and service workers previously studied by six research institutions had their data combined and re-analyzed. CTS cases were defined by symptoms and abnormal nerve conduction. Hazard ratios (HR) were calculated using proportional hazards regression after adjusting for age, gender, body mass index, and CTS predisposing conditions.
resultsThe longitudinal study comprised 2751 incident-eligible workers, followed prospectively for up to 6.4 years and contributing 6243 person-years of data. Associations were found between CTS and TLV for HAL both as a continuous variable [HR 1.32 per unit, 95% confidence interval (95% CI) 1.11-1.57] and when categorized using the ACGIH action limit (AL) and TLV. Those between the AL and TLV and above the TLV had HR of 1.7 (95% CI 1.2-2.5) and 1.5 (95% CI 1.0-2.1), respectively. As independent variables (in the same adjusted model) the HR for peak force (PF) and HAL were 1.14 per unit (95% CI 1.05-1.25), and 1.04 per unit (95% CI 0.93-1.15), respectively.
conclusionThose with exposures above the AL were at increased risk of CTS, but there was no further increase in risk for workers above the TLV. This suggests that the current AL may not be sufficiently protective of workers. Combinations of PF and HAL are useful for predicting risk of CTS.
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