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Occupational biomechanical risk factors for radial nerve entrapment in a 13-year prospective study among male construction workers
University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational Health Science and Psychology, Occupational Health Science. University of Gävle, Centre for Musculoskeletal Research. Umeå university.ORCID iD: 0000-0003-2939-0236
Umeå university.
Department of Public Health, Erasmus MC, Rotterdam.
University of Massachusetts Lowell.
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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 , 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, adult, ambulatory surgery, Article, biomechanics, body height, body weight, cohort analysis, construction worker, follow up, hand grip, human, incidence, major clinical study, male, medical examination, middle aged, nerve compression, occupational exposure, occupational health, priority journal, prospective study, radial nerve, risk factor, smoking
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Health Sciences
Identifiers
URN: urn:nbn:se:hig:diva-31386DOI: 10.1136/oemed-2018-105311Scopus ID: 2-s2.0-85062728256OAI: oai:DiVA.org:hig-31386DiVA, id: diva2:1383288
Available from: 2020-01-07 Created: 2020-01-07 Last updated: 2020-01-07Bibliographically approved

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Jackson, Jennie

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