Evaluation of occupational and non-occupational risk factors associated with carpal tunnel syndrome-related symptoms in office workers

Cristina-Manuela Mocanu, Diana-Teodora Axente
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Abstract

Abstract Background: While the main occupational and non-occupational risk factors associated with carpal tunnel syndrome are known, we still need to understand which of these factors has a stronger correlation with carpal tunnel-related symptoms in office workers and to improve future work-space recommendations accordingly. Objective: This study aimed to investigate the relationship between occupational and non-occupational risk factors and carpal tunnel syndrome-related symptoms among office workers who use a computer in their dayto-day activities. Methods: The data used in this study were collected from May to September 2022 through an online questionnaire from one respondent to another through different forms of social media, using the snowball method. The recorded data were further analysed using an SPSS program. In this way, we analysed quantitative variables by calculating the means, the medians, the standard deviation and the normal distribution and qualitative variables by reporting them as absolute values and percentages of the total. We compared different subgroups of samples using the chi-square test and the binary regression method. A p-value of less than 0.05 was the threshold of statistical significance. Results: This study evaluated 130 office workers and identified and analysed the complex relationships between occupational and non-occupational risk factors of CTS and CTS symptoms grouped as pain, sensory function impairment and motor function impairment. Through data analysis and further logistic regression analysis, we concluded that while sensory function impairment is mostly associated with occupational factors such as computer typing with one hand, pain and motor function impairment are associated with both non-occupational, well-known risk factors (female sex, high BMI) and number of hours on the computer outside of work, and occupational risk factors like using both a mouse and an external keyboard, having a chair with adequate arm support and typing with one hand. Conclusion: Both occupational and non-occupational risk factors contribute to the development of CTS-related symptoms. Our dataset highlights the complex relationship between CTS occupational and non-occupational risk factors in office workers, thus providing insights for future workplace recommendations and preventive strategies.
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评估与办公室工作人员腕管综合征相关症状有关的职业和非职业风险因素
摘要 背景:虽然与腕管综合征相关的主要职业和非职业风险因素已众所周知,但我们仍需了解这些因素中哪些与办公室工作人员的腕管相关症状有更强的相关性,并据此改进未来的工作空间建议。研究目的本研究旨在调查在日常活动中使用电脑的办公室工作人员的职业和非职业风险因素与腕管综合征相关症状之间的关系。研究方法本研究使用的数据是在 2022 年 5 月至 9 月期间,通过不同形式的社交媒体,采用 "滚雪球 "的方法,从一个受访者到另一个受访者,以在线问卷的形式收集的。我们使用 SPSS 程序对所记录的数据进行了进一步分析。这样,我们通过计算平均数、中位数、标准差和正态分布来分析定量变量,并通过报告绝对值和占总数的百分比来分析定性变量。我们使用卡方检验和二元回归法对不同的样本分组进行了比较。P 值小于 0.05 是统计学意义的临界值。研究结果本研究对 130 名办公室工作人员进行了评估,确定并分析了 CTS 的职业和非职业风险因素与 CTS 症状(分为疼痛、感觉功能障碍和运动功能障碍)之间的复杂关系。通过数据分析和进一步的逻辑回归分析,我们得出结论:感觉功能障碍主要与单手输入电脑等职业因素有关,而疼痛和运动功能障碍则与众所周知的非职业风险因素(女性性别、高体重指数)和工作以外使用电脑的时数有关,也与同时使用鼠标和外接键盘、拥有一把手臂有足够支撑的椅子和单手输入电脑等职业风险因素有关。结论职业和非职业风险因素都会导致 CTS 相关症状的出现。我们的数据集凸显了办公室工作人员 CTS 职业风险因素和非职业风险因素之间的复杂关系,从而为未来的工作场所建议和预防策略提供了启示。
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