{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T21:43:55Z","timestamp":1772142235277,"version":"3.50.1"},"reference-count":29,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2022,12,8]],"date-time":"2022-12-08T00:00:00Z","timestamp":1670457600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Organization for Norwegian Regional Safety Representation"},{"name":"Construction Industry"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,2,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Hand\u2013arm vibration (HAV) is a risk factor for carpal tunnel syndrome (CTS) and ulnar neuropathy at the elbow (UNE). It is unclear how ergonomic factors influence the relationship between HAV exposure and CTS and UNE.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>We aimed to assess the relationship between cumulative HAV exposure and CTS and UNE in workers exposed to HAV from two tools with different ergonomic profiles.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We performed nerve conduction studies (NCSs) of the sensory and motor median and ulnar nerves and recorded symptoms indicating CTS and UNE in workers exposed to HAV from impact wrenches or from rock drills. Exposure was measured as cumulative lifetime exposure. We used linear regression adjusted for age and body mass index to assess linear relationships.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Sixty-five workers participated (33 rock drill and 32 impact wrench operators). We found inverse linear associations between cumulative HAV exposure and median nerve sensory conduction velocity in impact wrench operators and ulnar nerve motor conduction velocity in rock drill operators (beta of 0.63 and 0.75). Based on NCS findings and symptoms, seven impact wrench operators had CTS and one UNE, and four rock drill operators had CTS and six UNE.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Our findings indicate that ergonomic factors influence the development of CTS and UNE under HAV exposure. The ergonomic profile seems to influence which type of neuropathy workers exposed to HAV will develop. Design of occupational exposure guidelines and future studies should be based on ergonomic profile and exposure characteristics for different tools and not merely HAV.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/occmed\/kqac118","type":"journal-article","created":{"date-parts":[[2022,12,8]],"date-time":"2022-12-08T16:37:53Z","timestamp":1670517473000},"page":"13-18","source":"Crossref","is-referenced-by-count":3,"title":["Influence of ergonomic factors on peripheral neuropathy under HAV exposure"],"prefix":"10.1093","volume":"73","author":[{"given":"D G","family":"Schulze","sequence":"first","affiliation":[{"name":"Department of Neurology, Oslo University Hospital and University of Oslo , 0424 Oslo , Norway"},{"name":"Institute of Clinical Medicine, University of Oslo , 0316 Oslo , Norway"},{"name":"Department of Research, Innovation and Education, Division of Clinical Neuroscience, Oslo University Hospital , 0424 Oslo , Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K B","family":"Nilsen","sequence":"additional","affiliation":[{"name":"Department of Neurology, Oslo University Hospital and University of Oslo , 0424 Oslo , Norway"},{"name":"Department of Research, Innovation and Education, Division of Clinical Neuroscience, Oslo University Hospital , 0424 Oslo , Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2506-9659","authenticated-orcid":false,"given":"T","family":"Clemm","sequence":"additional","affiliation":[{"name":"National Institute of Occupational Health , 0304 O slo , Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Grotle","sequence":"additional","affiliation":[{"name":"Department of Research, Innovation and Education, Division of Clinical Neuroscience, Oslo University Hospital , 0424 Oslo , Norway"},{"name":"Oslo Metropolitan University , 0130 Oslo , Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J A","family":"Zwart","sequence":"additional","affiliation":[{"name":"Institute of Clinical Medicine, University of Oslo , 0316 Oslo , Norway"},{"name":"Department of Research, Innovation and Education, Division of Clinical Neuroscience, Oslo University Hospital , 0424 Oslo , Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B","family":"Ulvestad","sequence":"additional","affiliation":[{"name":"National Institute of Occupational Health , 0304 Oslo , Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K C","family":"Nordby","sequence":"additional","affiliation":[{"name":"National Institute of Occupational Health , 0304 O slo , Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,12,8]]},"reference":[{"key":"2023021417195307300_CIT0001","doi-asserted-by":"crossref","first-page":"1680","DOI":"10.1016\/j.clinph.2013.01.025","article-title":"Hand\u2013arm vibration syndrome: clinical characteristics, conventional electrophysiology and quantitative sensory testing","volume":"124","author":"Rolke","year":"2013","journal-title":"Clin Neurophysiol"},{"key":"2023021417195307300_CIT0002","doi-asserted-by":"crossref","first-page":"234","DOI":"10.5271\/sjweh.784","article-title":"Incidence of ulnar nerve entrapment at the elbow in repetitive work","volume":"30","author":"Descatha","year":"2004","journal-title":"Scand J Work Environ Health"},{"key":"2023021417195307300_CIT0003","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1093\/rheumatology\/ker108","article-title":"Carpal tunnel syndrome and its relationship to occupation: a meta-analysis","volume":"51","author":"Barcenilla","year":"2012","journal-title":"Rheumatology (Oxford)"},{"key":"2023021417195307300_CIT0004","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1093\/occmed\/kqz142","article-title":"Is carpal tunnel syndrome caused by work with vibrating tools?","volume":"70","author":"Lawson","year":"2020","journal-title":"Occup Med (Lond)"},{"key":"2023021417195307300_CIT0005","doi-asserted-by":"crossref","first-page":"10010","DOI":"10.1038\/s41598-021-89577-7","article-title":"Work-related risk factors for ulnar nerve entrapment in the Northern Finland Birth Cohort of 1966","volume":"11","author":"Miettinen","year":"2021","journal-title":"Sci Rep"},{"key":"2023021417195307300_CIT0006","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1177\/1753193410396636","article-title":"Hand\u2013arm vibration syndrome: a common occupational hazard in industrialized countries","volume":"36","author":"Heaver","year":"2011","journal-title":"J Hand Surg Eur Vol"},{"key":"2023021417195307300_CIT0007","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1007\/s00420-018-1359-7","article-title":"International consensus criteria for diagnosing and staging hand\u2013arm vibration syndrome","volume":"92","author":"Poole","year":"2019","journal-title":"Int Arch Occup Environ Health"},{"key":"2023021417195307300_CIT0008","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1136\/bmj.39282.623553.AD","article-title":"Carpal tunnel syndrome.","volume":"335","author":"Bland","year":"2007","journal-title":"Br Med J"},{"key":"2023021417195307300_CIT0009","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1002\/mus.23913","article-title":"Electrodiagnosis of ulnar neuropathy at the elbow (UNE): a Bayesian approach","volume":"49","author":"Logigian","year":"2014","journal-title":"Muscle Nerve"},{"key":"2023021417195307300_CIT0010","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1136\/oemed-2019-105926","article-title":"Dose\u2013response relationship between hand\u2013arm vibration exposure and vibrotactile thresholds among roadworkers","volume":"77","author":"Clemm","year":"2020","journal-title":"Occup Environ Med"},{"key":"2023021417195307300_CIT0011","volume-title":"ISO 5349-1:2001 Mechanical vibration\u2014measurement and evaluation of human exposure to hand-transmitted vibration. Part 1: general requirements","author":"International Organization for Standardization.","year":"2001"},{"key":"2023021417195307300_CIT0012","volume-title":"VIBRISKS final technical report, protocol for epidemiological studies of hand-transmitted vibration, annex 1, appendix 8a","author":"Griffin","year":"2007"},{"key":"2023021417195307300_CIT0013","doi-asserted-by":"crossref","first-page":"1280","DOI":"10.1002\/1097-4598(200008)23:8<1280::AID-MUS20>3.0.CO;2-Y","article-title":"A neurophysiological grading scale for carpal tunnel syndrome","volume":"23","author":"Bland","year":"2000","journal-title":"Muscle Nerve"},{"key":"2023021417195307300_CIT0014","doi-asserted-by":"crossref","first-page":"683807","DOI":"10.3389\/fneur.2021.683807","article-title":"Clinical utility of the 6-item CTS, Boston-CTS, and hand-diagram for carpal tunnel syndrome","volume":"12","author":"Schulze","year":"2021","journal-title":"Front Neurol"},{"key":"2023021417195307300_CIT0015","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/j.cnp.2019.11.005","article-title":"Impact of technical variations on the ring-finger test for carpal tunnel syndrome","volume":"5","author":"Schulze","year":"2020","journal-title":"Clin Neurophysiol Pract"},{"key":"2023021417195307300_CIT0016","doi-asserted-by":"crossref","first-page":"1253","DOI":"10.1002\/mus.880151106","article-title":"Lumbrical and interossei recording in carpal tunnel syndrome","volume":"15","author":"Preston","year":"1992","journal-title":"Muscle Nerve"},{"key":"2023021417195307300_CIT0017","doi-asserted-by":"crossref","first-page":"124","DOI":"10.12945\/j.aorta.2016.16.014","article-title":"The mystery of the Z-score","volume":"4","author":"Curtis","year":"2016","journal-title":"Aorta (Stamford)"},{"key":"2023021417195307300_CIT0018","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1111\/j.1600-0404.1997.tb00271.x","article-title":"Neurophysiological classification and sensitivity in 500 carpal tunnel syndrome hands","volume":"96","author":"Padua","year":"1997","journal-title":"Acta Neurol Scand"},{"key":"2023021417195307300_CIT0019","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1097\/WNP.0b013e318231c2cc","article-title":"Carpal tunnel syndrome and ulnar neuropathy at the wrist: comorbid disease or not?","volume":"28","author":"Kiylioglu","year":"2011","journal-title":"J Clin Neurophysiol"},{"key":"2023021417195307300_CIT0020","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1002\/mus.22046","article-title":"Ulnar nerve conduction abnormalities in carpal tunnel syndrome","volume":"44","author":"Yemisci","year":"2011","journal-title":"Muscle Nerve"},{"key":"2023021417195307300_CIT0021","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.pmr.2012.08.019","article-title":"Clinical features and electrodiagnosis of ulnar neuropathies","volume":"24","author":"Landau","year":"2013","journal-title":"Phys Med Rehabil Clin N Am"},{"key":"2023021417195307300_CIT0022","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1590\/S0004-282X2012000500005","article-title":"Combined nerve conduction index in diabetic polyneuropathy","volume":"70","author":"Heise","year":"2012","journal-title":"Arq Neuropsiquiatr"},{"key":"2023021417195307300_CIT0023","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1016\/S0895-4356(00)00314-0","article-title":"Adjusting for multiple testing\u2014when and how?","volume":"54","author":"Bender","year":"2001","journal-title":"J Clin Epidemiol"},{"key":"2023021417195307300_CIT0024","doi-asserted-by":"crossref","first-page":"506","DOI":"10.5271\/sjweh.3352","article-title":"Prognosis of ulnar neuropathy and ulnar neuropathy-like symptoms in relation to occupational biomechanical exposures and lifestyle","volume":"39","author":"Svendsen","year":"2013","journal-title":"Scand J Work Environ Health"},{"key":"2023021417195307300_CIT0025","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ergon.2016.07.001","article-title":"Vibrations transmitted from human hands to upper arm, shoulder, back, neck, and head","volume":"62","author":"Xu","year":"2017","journal-title":"Int J Ind Ergon"},{"key":"2023021417195307300_CIT0026","doi-asserted-by":"crossref","first-page":"1462","DOI":"10.1002\/mus.1169","article-title":"Prolonged median sensory latency as a predictor of future carpal tunnel syndrome","volume":"24","author":"Werner","year":"2001","journal-title":"Muscle Nerve"},{"key":"2023021417195307300_CIT0027","doi-asserted-by":"crossref","first-page":"1355","DOI":"10.1097\/JOM.0b013e3181845fb1","article-title":"Risk factors for carpal tunnel syndrome and median neuropathy in a working population","volume":"50","author":"Armstrong","year":"2008","journal-title":"J Occup Environ Med"},{"key":"2023021417195307300_CIT0028","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1007\/s004200000177","article-title":"Vibration-induced multifocal neuropathy in forestry workers: electrophysiological findings in relation to vibration exposure and finger circulation","volume":"73","author":"Bovenzi","year":"2000","journal-title":"Int Arch Occup Environ Health"},{"key":"2023021417195307300_CIT0029","volume-title":"Guide to Good Practice on Hand\u2013Arm Vibration","author":"Griffin","year":"2007"}],"container-title":["Occupational Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/occmed\/article-pdf\/73\/1\/13\/49179266\/kqac118.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/occmed\/article-pdf\/73\/1\/13\/49179266\/kqac118.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,14]],"date-time":"2023-02-14T18:01:06Z","timestamp":1676397666000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/occmed\/article\/73\/1\/13\/6884032"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,8]]},"references-count":29,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,12,8]]},"published-print":{"date-parts":[[2023,2,14]]}},"URL":"https:\/\/doi.org\/10.1093\/occmed\/kqac118","relation":{},"ISSN":["0962-7480","1471-8405"],"issn-type":[{"value":"0962-7480","type":"print"},{"value":"1471-8405","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,1,1]]},"published":{"date-parts":[[2022,12,8]]}}}