title: Carpal tunnel syndrome among grocery store workers.
abstract: The California Department of Health Services evaluated carpal tunnel syndrome (CTS), a median nerve entrapment condition associated with forceful and repetitive wrist motion, among grocery store workers at a large California supermarket where a CTS cluster had been reported. 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 2.6-26.4) for a history of CTS-like symptoms between the high and low exposure level groups held up after adjustment for the potential confounders of age, sex, alcohol consumption, and high-risk 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.
authors.affiliation: California Department of Health Services, Occupational Health Program, Berkeley 94704.
authors.forename: A M
authors.initials: AM
authors.lastname: Osorio
authors.forename: R G
authors.initials: RG
authors.lastname: Ames
authors.forename: J
authors.initials: J
authors.lastname: Jones
authors.forename: J
authors.initials: J
authors.lastname: Castorina
authors.forename: D
authors.initials: D
authors.lastname: Rempel
authors.forename: W
authors.initials: W
authors.lastname: Estrin
authors.forename: D
authors.initials: D
authors.lastname: Thompson
mesh_terms: D000328:Adult; D002140:California / Q000453:epidemiology; D002349:Carpal Tunnel Syndrome / Q000175:diagnosis / Q000453:epidemiology*; D012090:Cumulative Trauma Disorders / Q000175:diagnosis / Q000453:epidemiology*; D005260:Female; D005511:Food Handling; D006801:Humans; D008297:Male; D009784:Occupational Diseases / Q000175:diagnosis / Q000453:epidemiology*; D015995:Prevalence; D012044:Regression Analysis; D012307:Risk Factors