ArticleOccupational and environmental medicine2015
Biomechanical risk factors for carpal tunnel syndrome: a pooled study of 2474 workers.
Article in Occupational and environmental medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
54 citing papers in PubMed, 3 syntheses or guidelines pooled it, 185 citations in OpenAlex.
- The impact of handheld devices on the wrist and thumb: a systematic review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Pooled it
- Prevalence of musculoskeletal disorders among garment workers: a systematic review and meta-analysis.BMJ open · 2025Pooled it
- The associations of mobile touch screen device use with musculoskeletal symptoms and exposures: A systematic review.PloS one · 2017Pooled it
- Role of Biomechanical Factors in Resolution of Carpal Tunnel Syndrome Among a Population of Workers.Journal of occupational and environmental medicine · 2019Trial
- Impact of keyboard typing on the morphological changes of the median nerve.Journal of occupational health · 2017Trial
- Longitudinal Outcomes Following a Randomized Controlled Trial of Dynamic Splint Stretching for Carpal Tunnel Syndrome.Hand (New York, N.Y.) · 2016Trial
- A comparison of task-based and job-based estimation of physical behavior compositions in grocery store workers.Annals of work exposures and health · 2026Article
- Magnitude of musculoskeletal disorder and associated factors among patients with diabetes mellitus in Ethiopia: Systematic review and meta-analyses.Journal of public health research · 2025Review
- Prevalence and Risk Factors of Self-Reported Symptoms Consistent with Carpal Tunnel Syndrome Among Dentists in Jordan.Journal of clinical medicine · 2025Article
- Occupational Carpal Tunnel Syndrome: a scoping review of causes, mechanisms, diagnosis, and intervention strategies.Frontiers in public health · 2024Article
- Comparison of the observer, single-frame video and computer vision hand activity levels.Ergonomics · 2023Article
- Work-Related Risk Factors for Rotator Cuff Syndrome in a Prospective Study of Manufacturing and Healthcare Workers.Human factors · 2023Article
- Article
- 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
- The impaired healing hypothesis: a mechanism by which psychosocial stress and personal characteristics increase MSD risk?Ergonomics · 2022Article
- Occupational and non-occupational risk factors correlating with the severity of clinical manifestations of carpal tunnel syndrome and related work disability among workers who work with a computer.Arhiv za higijenu rada i toksikologiju · 2022Article
- Prevalence status and associated factors of wrist postural injury in the Chinese occupational population.Frontiers in public health · 2022Article
- Isolating In-Situ Grip and Push Force Distribution from Hand-Handle Contact Pressure with an Industrial Electric Nutrunner.Sensors (Basel, Switzerland) · 2021Article
- Training Load and Injury: Causal Pathways and Future Directions.Sports medicine (Auckland, N.Z.) · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors at 10 institutions in 1 country.
Funding
Abstract
backgroundBetween 2001 and 2010, five research groups conducted coordinated prospective studies of carpal tunnel syndrome (CTS) incidence among US workers from various industries and collected detailed subject-level exposure information with follow-up of symptoms, electrophysiological measures and job changes.
objectiveThis analysis examined the associations between workplace biomechanical factors and incidence of dominant-hand CTS, adjusting for personal risk factors.
methods2474 participants, without CTS or possible polyneuropathy at enrolment, were followed up to 6.5 years (5102 person-years). Individual workplace exposure measures of the dominant hand were collected for each task and included force, repetition, duty cycle and posture. Task exposures were combined across the workweek using time-weighted averaging to estimate job-level exposures. CTS case-criteria were based on symptoms and results of electrophysiological testing. HRs were estimated using Cox proportional hazard models.
resultsAfter adjustment for covariates, analyst (HR=2.17; 95% CI 1.38 to 3.43) and worker (HR=2.08; 95% CI 1.31 to 3.39) estimated peak hand force, forceful repetition rate (HR=1.84; 95% CI 1.19 to 2.86) and per cent time spent (eg, duty cycle) in forceful hand exertions (HR=2.05; 95% CI 1.34 to 3.15) were associated with increased risk of incident CTS. Associations were not observed between total hand repetition rate, per cent duration of all hand exertions, or wrist posture and incident CTS.
conclusionsIn this prospective multicentre study of production and service workers, measures of exposure to forceful hand exertion were associated with incident CTS after controlling for important covariates. These findings may influence the design of workplace safety programmes for preventing work-related CTS.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.