title: Detecting cumulative trauma disorders in workers performing repetitive tasks.
abstract: On-site testing of 157 poultry processors disclosed that 50% had three or more abnormal upper extremity findings out of a total of 22 possibles. The average worker had five to six abnormal findings. Impaired pinch strength, decreased vibration sensitivity in the fingertips, and reports of current numbness were the most prevalent. Of workers with signs, 25% reported no symptoms, whereas only 8% of workers reported symptoms but had no signs. The investigators concluded that this measurement method has utility for assessments of worker populations to determine prevalence of CTDs and, potentially, for preclinical detection of these disorders to permit early intervention, reduce medical costs, and minimize disability. The need for accurate measurement to enhance early detection and prevention is discussed.
authors.affiliation: Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, MO 63110, USA.
authors.forename: V L
authors.initials: VL
authors.lastname: Young
authors.forename: M K
authors.initials: MK
authors.lastname: Seaton
authors.forename: C A
authors.initials: CA
authors.lastname: Feely
authors.forename: C
authors.initials: C
authors.lastname: Arfken
authors.forename: D F
authors.initials: DF
authors.lastname: Edwards
authors.forename: C M
authors.initials: CM
authors.lastname: Baum
authors.forename: S
authors.initials: S
authors.lastname: Logan
mesh_terms: D000328:Adult; D000818:Animals; D001134:Arm Injuries / Q000175:diagnosis* / Q000503:physiopathology; D012090:Cumulative Trauma Disorders / Q000175:diagnosis* / Q000503:physiopathology; D005260:Female; D005385:Fingers / Q000503:physiopathology; D005525:Food-Processing Industry; D006225:Hand / Q000503:physiopathology; D006801:Humans; D008297:Male; D008475:Median Nerve / Q000503:physiopathology; D008875:Middle Aged; D009046:Motor Neurons / Q000502:physiology; D009119:Muscle Contraction / Q000502:physiology; D009784:Occupational Diseases / Q000175:diagnosis* / Q000503:physiopathology; D010146:Pain / Q000175:diagnosis / Q000503:physiopathology; D011200:Poultry; D011930:Reaction Time / Q000502:physiology; D012678:Sensation Disorders / Q000175:diagnosis / Q000503:physiopathology; D014110:Touch / Q000502:physiology; D014732:Vibration