Age-related differences in measures of upper extremity impairment.
BACKGROUND
Upper extremity cumulative trauma disorders (CTDs) are among the most prevalent and costly occupational injuries. These disorders include nerve compression syndromes, tenosynovitis, epicondylitis, tendinitis, and arthritis. These have been related in the past to repetitive use of the upper extremity. The expected increase in the age of the American work force and the assumption that older workers are more susceptible to the disorders prompted this investigation of the relationship of age to signs and symptoms of upper extremity impairment.


METHODS
A battery measuring seven objective signs and four reported symptoms of upper extremity cumulative trauma disorders was administered to two stratified random samples of workers. One group (n = 157) processed cooked poultry and the second group (n = 118) performed data entry at VDT terminals. Workers were separated into three age groups (younger: 20-35 years, middle-aged: 36-50 years, and older: 51-71 years).


RESULTS
A series of analyses of variance were computed to determine whether the older workers were more impaired. No significant age differences were found for sign, symptom, or total scores in either sample, and no significant Age x Gender interaction was present. Older workers were more impaired for vibratory sensation, cutaneous pressure, and motor latency.


CONCLUSIONS
The results support the hiring of older workers for general tasks in the workplace without significant worry of increased susceptibility to CTDs.
Higgs
P E
PE
Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis.
Edwards
D F
DF
Seaton
M K
MK
Feely
C A
CA
Young
V L
VL
D000293:Adolescent; D000328:Adult; D000375:Aging / Q000502:physiology; D001134:Arm Injuries / Q000175:diagnosis*; D012090:Cumulative Trauma Disorders / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008297:Male; D008462:Meat-Packing Industry; D008875:Middle Aged; D009784:Occupational Diseases / Q000175:diagnosis*