ArticleOccupational and environmental medicine2016
Biomechanical and psychosocial exposures are independent risk factors for carpal tunnel syndrome: assessment of confounding using causal diagrams.
Article in Occupational and environmental medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
What it found
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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.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- Can we distinguish the roles of demographic and temporal changes in the incidence and prevalence of musculoskeletal disorders? A systematic review.Scandinavian journal of work, environment & health · 2022Pooled it
- Psychosocial Risk Factors and the Association With Carpal Tunnel Syndrome: A Systematic Review.Hand (New York, N.Y.) · 2018Pooled it
- Carpal tunnel syndrome and exposure to work-related biomechanical stressors and chemicals: Findings from the Constances cohort.PloS one · 2020Trial
- Role of Biomechanical Factors in Resolution of Carpal Tunnel Syndrome Among a Population of Workers.Journal of occupational and environmental medicine · 2019Trial
- What have we learned about risk assessment and interventions to prevent work-related musculoskeletal disorders and support work participation?Scandinavian journal of work, environment & health · 2024Review
- Comparison of Effects of Ultrasound Therapy and Nerve-Gliding Techniques on Patients with Carpal Tunnel Syndrome: A Randomized Clinical Trial.Anesthesiology and pain medicine · 2024Article
- Wearable Motion Capture Devices for the Prevention of Work-Related Musculoskeletal Disorders in Ergonomics-An Overview of Current Applications, Challenges, and Future Opportunities.Sensors (Basel, Switzerland) · 2023Review
- 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
- 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
- Adverse health manifestations in the hands of vibration exposed carpenters - a cross sectional study.Journal of occupational medicine and toxicology (London, England) · 2021Article
- Proportion and Number of Upper-Extremity Musculoskeletal Disorders Attributable to the Combined Effect of Biomechanical and Psychosocial Risk Factors in a Working Population.International journal of environmental research and public health · 2021Article
- Carpal Tunnel Syndrome: A National Survey to Monitor Knowledge and Operating Methods.International journal of environmental research and public health · 2021Article
- Interaction between occupational physical burdens and low job control on musculoskeletal pain: Analysis of the 5th Korean Working Environment Survey.Journal of occupational health · 2021Article
- Carpal Tunnel Syndrome Among Male French Farmers and Agricultural Workers: Is It Only Associated With Physical Exposure?Safety and health at work · 2020Article
- A Pilot Study of Five Types of Maximum Hand Strength among Manufacturing Industry Workers in Taiwan.International journal of environmental research and public health · 2019Article
- Occupational biomechanical risk factors for radial nerve entrapment in a 13-year prospective study among male construction workers.Occupational and environmental medicine · 2019Article
- Work-related neck and upper limb disorders - quantitative exposure-response relationships adjusted for personal characteristics and psychosocial conditions.BMC musculoskeletal disorders · 2019Article
- Theoretical impact of simulated workplace-based primary prevention of carpal tunnel syndrome in a French region.BMC public health · 2018Article
Corrections and comments
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Authors and funding
14 authors at 8 institutions in 1 country.
Funding
Abstract
backgroundBetween 2001 and 2010, six research groups conducted coordinated prospective studies of carpal tunnel syndrome (CTS) incidence among US workers from various industries to estimate exposure-response relationships.
objectiveThis analysis examined the presence and magnitude of confounding between biomechanical and workplace psychosocial factors and incidence of dominant-hand CTS.
methods1605 participants, without CTS at enrolment, were followed for up to 3.5 years (2471 person-years). Demographic information, medical history and workplace psychosocial stress measures were collected at baseline. Individual workplace biomechanical exposures were collected for each task and combined across the workweek using time-weighted averaging (TWA). CTS case criteria were based on symptoms and results of electrophysiological testing. HRs were estimated with Cox proportional hazard models. Confounding was assessed using causal diagrams and an empirical criterion of 10% or greater change in effect estimate magnitude.
resultsThere were 109 incident CTS cases (IR=4.41/100 person-years; 6.7% cumulative incidence). The relationships between CTS and forceful repetition rate, % time forceful hand exertion and the Threshold Limit Value for Hand Activity Level (TLV-HAL) were slightly confounded by decision latitude with effect estimates being attenuated towards the null (10-14% change) after adjustment. The risk of CTS among participants reporting high job strain was attenuated towards the null by 14% after adjusting for the HAL Scale or the % time forceful hand exertions.
conclusionsAlthough attenuation of the relationships between CTS and some biomechanical and work psychosocial exposures was observed after adjusting for confounding, the magnitudes were small and confirmed biomechanical and work psychosocial exposures as independent risk factors for incident CTS.
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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.