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Organizational and psychosocial risk factors for carpal tunnel syndrome: a cross-sectional study of French workers

Abstract :

PURPOSE: The aim of the study was to examine the organizational and psychosocial risk factors for carpal tunnel syndrome (CTS) in workers exposed to various levels of work-related constraints, with a special focus on factors related to the work organization.

METHODS: From 3,710 workers, representative of a French region's working population, trained occupational physicians diagnosed a total of 156 cases of CTS between 2002 and 2005. Diagnoses were established by standardized physical examination, while personal factors and work exposure were assessed by self-administered questionnaires. Statistical associations between CTS and personal and work-related factors were analyzed for each gender using logistic regression modeling.

RESULTS: Among the factors related to work organization, working with temporary workers was associated with CTS for women (OR = 1.99, 95 % CI 1.23-3.25), but not for men. Task rotation during the job (OR = 2.45 95 % CI 1.41-4.24) and work pace dependent on quantified targets (OR = 1.93 95 % CI 1.08-3.46) were associated with CTS only for men. The work-related psychosocial factors highlighted by the logistic modeling were high psychological demand for women (OR = 1.90, 95 % CI 1.17-3.09) and low skill discretion (OR = 1.77, 95 % CI 1.01-3.11) for men.

CONCLUSION: This study has identified some psychosocial factors and factors related to work organization associated with clinically diagnosed and symptom-only cases of CTS as well as personal and biomechanical factors. However, due to the cross-sectional design of the study, no causal conclusion could be drawn and longitudinal studies are necessary to confirm these results.

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https://hal.univ-angers.fr/hal-03390151
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Soumis le : jeudi 21 octobre 2021 - 11:03:19
Dernière modification le : mercredi 30 mars 2022 - 10:00:08
Archivage à long terme le : : samedi 22 janvier 2022 - 18:39:21

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rigouin-2014-iaoeh-147.pdf
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Pascal Rigouin, Catherine Ha, Julie Bodin, Audrey Petit, Alexis Descatha, et al.. Organizational and psychosocial risk factors for carpal tunnel syndrome: a cross-sectional study of French workers. International Archives of Occupational and Environmental Health, Springer Verlag, 2014, 87, pp.147-54. ⟨10.1007/s00420-013-0846-0⟩. ⟨hal-03390151⟩

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