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Forceful and repetitive wrist motion was measured, in three exposure levels, through a job classification scheme based upon type of work tasks and average time per week spent performing these tasks. A medical questionnaire and measurements of median sensory nerve conduction were used to measure CTS. CTS prevalence was 23% based upon a sample of 56 participants drawn from a workforce of 69 employees. A relative risk of 8.3 (95% confidence interval 2.6\u201326.4) for a history of CTS\u2010like symptoms between the high and low exposure level groups held up after adjustment for the potential confounders of age, sex, alcohol consumption, and high\u2010risk medical history. It was concluded that the basic principles of good ergonomic design should be used to prevent or diminish the risk of musculoskeletal injury in the workplace. \u00a9 1994 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/ajim.4700250209","type":"journal-article","created":{"date-parts":[[2007,4,20]],"date-time":"2007-04-20T19:17:08Z","timestamp":1177096628000},"page":"229-245","source":"Crossref","is-referenced-by-count":64,"title":["Carpal tunnel syndrome among grocery store workers"],"prefix":"10.1002","volume":"25","author":[{"given":"Ana Maria","family":"Osorio","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard G.","family":"Ames","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Jones","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Castorina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Rempel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Estrin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Thompson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2007,1,19]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"481","article-title":"Carpal tunnel syndrome and selected personal attributes","volume":"21","author":"Armstrong T","year":"1979","journal-title":"J Occup Med"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/15298668291409433"},{"key":"e_1_2_1_4_1","first-page":"197","article-title":"Some histological changes in carpal tunnel contents and their biomechanical implications","volume":"26","author":"Armstrong TJ","year":"1984","journal-title":"J Occup Med"},{"key":"e_1_2_1_5_1","first-page":"37","article-title":"CTS in grocery checkers: Cluster of work\u2010related illness","volume":"147","author":"Barnhart S","year":"1987","journal-title":"Western J Med"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/14.4.218"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(47)90093-7"},{"key":"e_1_2_1_8_1","first-page":"255","article-title":"Personal and occupational factors associated with carpal tunnel syndrome","volume":"23","author":"Cannon LJ","year":"1981","journal-title":"J Occup Med"},{"key":"e_1_2_1_9_1","unstructured":"Department of Industrial Relations (DIR) State of California(1984): \u201cDoctor's First Report Data Base Figures\u201d Sacramento California."},{"key":"e_1_2_1_10_1","unstructured":"Department of Industrial Relations (DIR) State of California(1985): \u201cCalifornia Work Injuries and Illness\u201d Sacramento California."},{"key":"e_1_2_1_11_1","unstructured":"Employment Development Department (EDD) State of California(1986): \u201cAugust 1985 Statistics\u201d Sacramento California."},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.5271\/sjweh.2408"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.4700040508"},{"key":"e_1_2_1_14_1","unstructured":"IvergardTBK(1972): \u201cErgonomic Study of Check\u2010out System for Self\u2010Service Shops in Sweden.\u201d PhD Thesis University of Loughborough."},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.5213.1633"},{"key":"e_1_2_1_16_1","first-page":"106","volume-title":"Electrodiagnosis in Diseases of Nerve and Muscle: Principles and Practice","author":"Kimura J","year":"1983"},{"key":"e_1_2_1_17_1","first-page":"953","article-title":"Prevalence of carpal tunnel syndrome in female supermarket checkers","volume":"29","author":"Margolis W","year":"1987","journal-title":"J Occup Med"},{"key":"e_1_2_1_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006254-197803000-00001"},{"key":"e_1_2_1_19_1","first-page":"702","article-title":"Program for logistic regression on the IBM PC","volume":"121","author":"McGee DL","year":"1968","journal-title":"Am J Epid"},{"key":"e_1_2_1_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.4700200207"},{"key":"e_1_2_1_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1951.02920330018006"},{"key":"e_1_2_1_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-197203000-00007"},{"key":"e_1_2_1_23_1","unstructured":"RosenstockL BarnhartS LongstrethW MasonS HeyerN(1985):CTS in Seattle grocery workers. 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