Skip to main content
Top
Published in: International Archives of Occupational and Environmental Health 2/2014

01-02-2014 | Original Article

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

Authors: Pascal Rigouin, Catherine Ha, Julie Bodin, Audrey Petit Le Manac’h, Alexis Descatha, Marcel Goldberg, Yves Roquelaure

Published in: International Archives of Occupational and Environmental Health | Issue 2/2014

Login to get access

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.
Literature
go back to reference Armstrong T, Dale AM, Franzblau A, Evanoff BA (2008) Risk factors for carpal tunnel syndrome and median neuropathy in a working population. J Occup Environ Med 50:1355–1364CrossRef Armstrong T, Dale AM, Franzblau A, Evanoff BA (2008) Risk factors for carpal tunnel syndrome and median neuropathy in a working population. J Occup Environ Med 50:1355–1364CrossRef
go back to reference Atroshi I, Gummesson C, Johnsson R, Ornstein E, Ranstam J, Rosén I (1999) Prevalence of carpal tunnel syndrome in a general population. JAMA 282:153–158CrossRef Atroshi I, Gummesson C, Johnsson R, Ornstein E, Ranstam J, Rosén I (1999) Prevalence of carpal tunnel syndrome in a general population. JAMA 282:153–158CrossRef
go back to reference Becker J, Nora DB, Gomes I, Stringari FF, Seitensus R, Panosso JS, Ehlers JC (2002) An evaluation of gender, obesity, age and diabetes mellitus as risk factors for carpal tunnel syndrome. Clin Neurophysiol 113:1429–1434CrossRef Becker J, Nora DB, Gomes I, Stringari FF, Seitensus R, Panosso JS, Ehlers JC (2002) An evaluation of gender, obesity, age and diabetes mellitus as risk factors for carpal tunnel syndrome. Clin Neurophysiol 113:1429–1434CrossRef
go back to reference Bonfiglioli R, Mattioli S, Armstrong T, Graziosi F, Marinelli F, Farioli A, Violante F (2012) Validation of the ACGIH TLV for hand activity level in the OCTOPUS cohort: a two-year longitudinal study of carpal tunnel syndrome. Scand J Work Environ Health [Epub ahead of print] Bonfiglioli R, Mattioli S, Armstrong T, Graziosi F, Marinelli F, Farioli A, Violante F (2012) Validation of the ACGIH TLV for hand activity level in the OCTOPUS cohort: a two-year longitudinal study of carpal tunnel syndrome. Scand J Work Environ Health [Epub ahead of print]
go back to reference Bongers PM, Kremer AM, ter Laak J (2002) Are psychosocial factors, risk factors for symptoms and signs of the shoulder, elbow, or hand/wrist? A review of the epidemiological literature. Am J Ind Med 41:315–342CrossRef Bongers PM, Kremer AM, ter Laak J (2002) Are psychosocial factors, risk factors for symptoms and signs of the shoulder, elbow, or hand/wrist? A review of the epidemiological literature. Am J Ind Med 41:315–342CrossRef
go back to reference Bongers PM, Ijmker S, van den Heuvel S, Blatter BM (2006) Epidemiology of work related neck and upper limb problems: psychosocial and personal risk factors (part I) and effective interventions from a bio behavioural perspective (part II). J Occup Rehabil 16:279–302CrossRef Bongers PM, Ijmker S, van den Heuvel S, Blatter BM (2006) Epidemiology of work related neck and upper limb problems: psychosocial and personal risk factors (part I) and effective interventions from a bio behavioural perspective (part II). J Occup Rehabil 16:279–302CrossRef
go back to reference Burt S, Crombie K, Jin Y, Wurzelbacher S, Ramsey J, Deddens J (2011) Workplace and individual risk factors for carpal tunnel syndrome. Occup Environ Med 68:928–933CrossRef Burt S, Crombie K, Jin Y, Wurzelbacher S, Ramsey J, Deddens J (2011) Workplace and individual risk factors for carpal tunnel syndrome. Occup Environ Med 68:928–933CrossRef
go back to reference De Krom MC, Knipschild PG, Kester A, Thijs C, Boekkooi P, Spaans F (1992) Carpal tunnel syndrome: prevalence in the general population. J Clin Epidemiol 45:373–376CrossRef De Krom MC, Knipschild PG, Kester A, Thijs C, Boekkooi P, Spaans F (1992) Carpal tunnel syndrome: prevalence in the general population. J Clin Epidemiol 45:373–376CrossRef
go back to reference Dempsey PG, Mathiassen SE, Jackson JA, O’Brien NV (2010) Influence of three principles of pacing on the temporal organisation of work during cyclic assembly and disassembly tasks. Ergonomics 53:1347–1358CrossRef Dempsey PG, Mathiassen SE, Jackson JA, O’Brien NV (2010) Influence of three principles of pacing on the temporal organisation of work during cyclic assembly and disassembly tasks. Ergonomics 53:1347–1358CrossRef
go back to reference Descatha A, Dale A-M, Franzblau A, Coomes J, Evanoff B (2011) Comparison of research case definitions for carpal tunnel syndrome. Scand J Work Environ Health 37:298–306CrossRef Descatha A, Dale A-M, Franzblau A, Coomes J, Evanoff B (2011) Comparison of research case definitions for carpal tunnel syndrome. Scand J Work Environ Health 37:298–306CrossRef
go back to reference Frazer MB, Norman RW, Wells RP, Neumann PW (2003) The effects of job rotation on the risk of reporting low back pain. Ergonomics 46:904–919CrossRef Frazer MB, Norman RW, Wells RP, Neumann PW (2003) The effects of job rotation on the risk of reporting low back pain. Ergonomics 46:904–919CrossRef
go back to reference Ha C, Roquelaure Y, Leclerc A, Touranchet A, Goldberg M, Imbernon E (2009) The French Musculoskeletal Disorders surveillance program: pays de la Loire network. Occup Environ Med 66:471–479CrossRef Ha C, Roquelaure Y, Leclerc A, Touranchet A, Goldberg M, Imbernon E (2009) The French Musculoskeletal Disorders surveillance program: pays de la Loire network. Occup Environ Med 66:471–479CrossRef
go back to reference Hagberg M, Silverstein B, Wells R, Smith M, Hendrick H, Carayon P, Pérusse M (1995) Work related musculoskeletal disorders (WMSDs): a reference book for prevention. Taylor & Francis, London Hagberg M, Silverstein B, Wells R, Smith M, Hendrick H, Carayon P, Pérusse M (1995) Work related musculoskeletal disorders (WMSDs): a reference book for prevention. Taylor & Francis, London
go back to reference Kuijer P, van der Beek A, van Dieën J, Visser B, Frings-Dresen M (2005) Effect of job rotation on need for recovery, musculoskeletal complaints, and sick leave due to musculoskeletal complaints: a prospective study among refuse collectors. Am J Ind Med 47:394–402CrossRef Kuijer P, van der Beek A, van Dieën J, Visser B, Frings-Dresen M (2005) Effect of job rotation on need for recovery, musculoskeletal complaints, and sick leave due to musculoskeletal complaints: a prospective study among refuse collectors. Am J Ind Med 47:394–402CrossRef
go back to reference Leclerc A, Franchi P, Cristofari MF, Delemotte B, Mereau P, Teyssier-Cotte C, Touranchet A (1998) Carpal tunnel syndrome and work organisation in repetitive work: a cross sectional study in France. Study group on repetitive work. Occup Environ Med 55:180–187CrossRef Leclerc A, Franchi P, Cristofari MF, Delemotte B, Mereau P, Teyssier-Cotte C, Touranchet A (1998) Carpal tunnel syndrome and work organisation in repetitive work: a cross sectional study in France. Study group on repetitive work. Occup Environ Med 55:180–187CrossRef
go back to reference Maghsoudipour M, Moghimi S, Dehghaan F, Rahimpanah A (2008) Association of occupational and non-occupational risk factors with the prevalence of work related carpal tunnel syndrome. J Occup Rehabil 18:152–156CrossRef Maghsoudipour M, Moghimi S, Dehghaan F, Rahimpanah A (2008) Association of occupational and non-occupational risk factors with the prevalence of work related carpal tunnel syndrome. J Occup Rehabil 18:152–156CrossRef
go back to reference Mathiassen SE (2006) Diversity and variation in biomechanical exposure: what is it, and why would we like to know? Appl Ergon 37:419–427CrossRef Mathiassen SE (2006) Diversity and variation in biomechanical exposure: what is it, and why would we like to know? Appl Ergon 37:419–427CrossRef
go back to reference Mattioli S, Baldasseroni A, Bovenzi M, Curti S, Cooke RMT, Campo G, Barbieri PG, Ghersi R, Broccoli M, Cancellieri MP, Colao AM, Dell’omo M, Fateh-Moghadam P, Franceschini F, Fucksia S, Galli P, Gobba F, Lucchini R, Mandes A, Marras T, Sgarrella C, Borghesi S, Fierro M, Zanardi F, Mancini G, Violante FS (2009) Risk factors for operated carpal tunnel syndrome: a multicenter population-based case-control study. BMC Public Health 9:343CrossRef Mattioli S, Baldasseroni A, Bovenzi M, Curti S, Cooke RMT, Campo G, Barbieri PG, Ghersi R, Broccoli M, Cancellieri MP, Colao AM, Dell’omo M, Fateh-Moghadam P, Franceschini F, Fucksia S, Galli P, Gobba F, Lucchini R, Mandes A, Marras T, Sgarrella C, Borghesi S, Fierro M, Zanardi F, Mancini G, Violante FS (2009) Risk factors for operated carpal tunnel syndrome: a multicenter population-based case-control study. BMC Public Health 9:343CrossRef
go back to reference Niedhammer I (2002) Psychometric properties of the French version of the Karasek Job Content Questionnaire: a study of the scales of decision latitude, psychological demands, social support, and physical demands in the GAZEL cohort. Int Arch Occup Environ Health 75:129–144CrossRef Niedhammer I (2002) Psychometric properties of the French version of the Karasek Job Content Questionnaire: a study of the scales of decision latitude, psychological demands, social support, and physical demands in the GAZEL cohort. Int Arch Occup Environ Health 75:129–144CrossRef
go back to reference Palmer DH, Hanrahan LP (1995) Social and economic costs of carpal tunnel surgery. Instr Course Lect 44:167–172 Palmer DH, Hanrahan LP (1995) Social and economic costs of carpal tunnel surgery. Instr Course Lect 44:167–172
go back to reference Palmer KT, Harris EC, Coggon D (2007) Carpal tunnel syndrome and its relation to occupation: a systematic literature review. Occup Med (Lond) 57:57–66CrossRef Palmer KT, Harris EC, Coggon D (2007) Carpal tunnel syndrome and its relation to occupation: a systematic literature review. Occup Med (Lond) 57:57–66CrossRef
go back to reference Palmer KT, Harris EC, Linaker C, Cooper C, Coggon D (2012) Optimising case definitions of upper limb disorder for aetiological research and prevention: a review. Occup Environ Med 69:71–78CrossRef Palmer KT, Harris EC, Linaker C, Cooper C, Coggon D (2012) Optimising case definitions of upper limb disorder for aetiological research and prevention: a review. Occup Environ Med 69:71–78CrossRef
go back to reference Rempel D, Evanoff B, Amadio PC, de Krom M, Franklin G, Franzblau A, Gray R, Gerr F, Hagberg M, Hales T, Katz JN, Pransky G (1998) Consensus criteria for the classification of carpal tunnel syndrome in epidemiologic studies. Am J Public Health 88:1447–1451CrossRef Rempel D, Evanoff B, Amadio PC, de Krom M, Franklin G, Franzblau A, Gray R, Gerr F, Hagberg M, Hales T, Katz JN, Pransky G (1998) Consensus criteria for the classification of carpal tunnel syndrome in epidemiologic studies. Am J Public Health 88:1447–1451CrossRef
go back to reference Roquelaure Y, Mechali S, Dano C, Fanello S, Benetti F, Bureau D, Mariel J, Martin YH, Derriennic F, Penneau-Fontbonne D (1997) Occupational and personal risk factors for carpal tunnel syndrome in industrial workers. Scand J Work Environ Health 23:364–369CrossRef Roquelaure Y, Mechali S, Dano C, Fanello S, Benetti F, Bureau D, Mariel J, Martin YH, Derriennic F, Penneau-Fontbonne D (1997) Occupational and personal risk factors for carpal tunnel syndrome in industrial workers. Scand J Work Environ Health 23:364–369CrossRef
go back to reference Roquelaure Y, Mariel J, Dano C, Fanello S, Penneau-Fontbonne D (2001) Prevalence, incidence and risk factors of carpal tunnel syndrome in a large footwear factory. Int J Occup Med Environ Health 14:357–367 Roquelaure Y, Mariel J, Dano C, Fanello S, Penneau-Fontbonne D (2001) Prevalence, incidence and risk factors of carpal tunnel syndrome in a large footwear factory. Int J Occup Med Environ Health 14:357–367
go back to reference Roquelaure Y, Ha C, Leclerc A, Touranchet A, Sauteron M, Melchior M, Imbernon E, Goldberg M (2006) Epidemiologic surveillance of upper-extremity musculoskeletal disorders in the working population. Arthritis Rheum 55:765–778CrossRef Roquelaure Y, Ha C, Leclerc A, Touranchet A, Sauteron M, Melchior M, Imbernon E, Goldberg M (2006) Epidemiologic surveillance of upper-extremity musculoskeletal disorders in the working population. Arthritis Rheum 55:765–778CrossRef
go back to reference Roquelaure Y, Ha C, Pelier-Cady M, Nicolas G, Descatha A, Leclerc A, Raimbeau G, Goldberg M, Imbernon E (2008) Work increases the incidence of carpal tunnel syndrome in the general population. Muscle Nerve 37:477–482CrossRef Roquelaure Y, Ha C, Pelier-Cady M, Nicolas G, Descatha A, Leclerc A, Raimbeau G, Goldberg M, Imbernon E (2008) Work increases the incidence of carpal tunnel syndrome in the general population. Muscle Nerve 37:477–482CrossRef
go back to reference Roquelaure Y, Petit LeManach A, Ha C, Poisnel C, Bodin J, Descatha A, Imbernon E (2012) Working in temporary employment and exposure to musculoskeletal constraints. Occup Med (Lond) 62(7):514–518CrossRef Roquelaure Y, Petit LeManach A, Ha C, Poisnel C, Bodin J, Descatha A, Imbernon E (2012) Working in temporary employment and exposure to musculoskeletal constraints. Occup Med (Lond) 62(7):514–518CrossRef
go back to reference Rosecrance JC, Cook TM, Anton DC, Merlino LA (2002) Carpal tunnel syndrome among apprentice construction workers. Am J Ind Med 42:107–116CrossRef Rosecrance JC, Cook TM, Anton DC, Merlino LA (2002) Carpal tunnel syndrome among apprentice construction workers. Am J Ind Med 42:107–116CrossRef
go back to reference Shiri R, Miranda H, Heliövaara M, Viikari-Juntura E (2009) Physical work load factors and carpal tunnel syndrome: a population-based study. Occup Environ Med 66:368–373CrossRef Shiri R, Miranda H, Heliövaara M, Viikari-Juntura E (2009) Physical work load factors and carpal tunnel syndrome: a population-based study. Occup Environ Med 66:368–373CrossRef
go back to reference Silverstein B, Fan ZJ, Smith CK, Bao S, Howard N, Spielholz P, Bonauto D, Viikari-Juntura E (2009) Gender adjustment or stratification in discerning upper extremity musculoskeletal disorder risk? Scand J Work Environ Health 35:113–126CrossRef Silverstein B, Fan ZJ, Smith CK, Bao S, Howard N, Spielholz P, Bonauto D, Viikari-Juntura E (2009) Gender adjustment or stratification in discerning upper extremity musculoskeletal disorder risk? Scand J Work Environ Health 35:113–126CrossRef
go back to reference Sluiter JK, Rest KM, Frings-Dresen MH (2001) Criteria document for evaluating the work-relatedness of upper-extremity musculoskeletal disorders. Scand J Work Environ Health 27(Suppl 1):1–102CrossRef Sluiter JK, Rest KM, Frings-Dresen MH (2001) Criteria document for evaluating the work-relatedness of upper-extremity musculoskeletal disorders. Scand J Work Environ Health 27(Suppl 1):1–102CrossRef
go back to reference Stevens J, Beard C, O’Fallon W, Kurland L (1992) Conditions associated with carpal tunnel syndrome. Mayo Clinc Proc Mayo Clin 67:541CrossRef Stevens J, Beard C, O’Fallon W, Kurland L (1992) Conditions associated with carpal tunnel syndrome. Mayo Clinc Proc Mayo Clin 67:541CrossRef
go back to reference van Rijn RM, Huisstede BMA, Koes BW, Burdorf A (2009) Associations between work-related factors and the carpal tunnel syndrome—a systematic review. Scand J Work Environ Health 35:19–36CrossRef van Rijn RM, Huisstede BMA, Koes BW, Burdorf A (2009) Associations between work-related factors and the carpal tunnel syndrome—a systematic review. Scand J Work Environ Health 35:19–36CrossRef
go back to reference Wang P, Rempel DM, Harrison RJ, Chan J (2007) Work-organisational and personal factors associated with upper body musculoskeletal disorders among sewing machine operators. Occup Environ Med 64:806–813CrossRef Wang P, Rempel DM, Harrison RJ, Chan J (2007) Work-organisational and personal factors associated with upper body musculoskeletal disorders among sewing machine operators. Occup Environ Med 64:806–813CrossRef
go back to reference Wells R, McFall K, Dickerson CR (2010) Task selection for increased mechanical exposure variation: relevance to job rotation. Ergonomics 53:314–323CrossRef Wells R, McFall K, Dickerson CR (2010) Task selection for increased mechanical exposure variation: relevance to job rotation. Ergonomics 53:314–323CrossRef
go back to reference Werner RA, Franzblau A, Gell N, Ulin SS, Armstrong TJ (2005) A longitudinal study of industrial and clerical workers: predictors of upper extremity tendonitis. J Occup Rehabil 15:37–46CrossRef Werner RA, Franzblau A, Gell N, Ulin SS, Armstrong TJ (2005) A longitudinal study of industrial and clerical workers: predictors of upper extremity tendonitis. J Occup Rehabil 15:37–46CrossRef
Metadata
Title
Organizational and psychosocial risk factors for carpal tunnel syndrome: a cross-sectional study of French workers
Authors
Pascal Rigouin
Catherine Ha
Julie Bodin
Audrey Petit Le Manac’h
Alexis Descatha
Marcel Goldberg
Yves Roquelaure
Publication date
01-02-2014
Publisher
Springer Berlin Heidelberg
Published in
International Archives of Occupational and Environmental Health / Issue 2/2014
Print ISSN: 0340-0131
Electronic ISSN: 1432-1246
DOI
https://doi.org/10.1007/s00420-013-0846-0

Other articles of this Issue 2/2014

International Archives of Occupational and Environmental Health 2/2014 Go to the issue