The use of ergonomic measures to prevent and control the occurrence of cumulative trauma disorders: carpal tunnel syndrome and cubital tunnel syndrome

2002 ◽  
Author(s):  
K. Babski ◽  
L.L. Crumpton
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Cubital Tunnel Syndrome ◽  
Cumulative Trauma Disorders ◽  
Cubital Tunnel ◽  
Cumulative Trauma ◽  
Tunnel Syndrome ◽  
Trauma Disorders ◽  
And Control

UPAYA MEMPERTAHANKAN ERGONOMIK SERTA MENCEGAH HAZARD PSIKOSOSIAL

2020 ◽  
Author(s):  
Sera Manik
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Cumulative Trauma Disorders ◽  
Low Back ◽  
Cumulative Trauma ◽  
Tunnel Syndrome ◽  
Trauma Disorders

Ergonomi menjadi pilar kesehatan dan menjadi salah satu indikator kesejahteraan. perbaikan ergonomi perlu dilakukan sebagai salah satu upaya pencegahan terhadap penyakit CTDs (Cumulative Trauma Disorders) akibat faktor risiko kerja postur janggal, beban, frekuensi dan durasi yang bersumber dari pekerjaan, seperti nyeri tengkuk, nyeri pinggang bawah atau low back pain, rasa baal pada jari telunjuk, jari tengah dan jari manis yang disertai nyeri terbakar pada malam hari, kekakuan, lemah dan nyeri saat tangan digunakan dan dikenal dengan nama Carpal Tunnel Syndrome. Dalam ergonomi, postur tubuh adalah faktor yang sangat penting, salah satunya postur duduk yang setiap orang lakukan setiap hari dalam durasi berjam-jam. Tujuan utama membuat desain ergonomi untuk kursi atau tempat duduk dan meja adalah menciptakan sedemikian rupa bentuk kursi dan meja belajar, sehingga dapat mempertahankan postur tulang punggung yang fi siologis, dengan demikian diharapkan kerja otot tidak perlu berkontraksi secara berlebihan. Masalah ketidaksesuaian aspek ergonomi antara sarana kerja dan manusia serta pengaruhnya terhadap kesehatan belum mendapatkan perhatian yang serius di Indonesia. Hal ini terbukti dengan masih banyaknya tempat-tempat kerja yang belum berpedoman dengan kaidah ergonomi dalam hal penyediaan peralatan kerja bagi tenaga kerja. Ketepatan dimensi merupakan salah satu faktor penentu kenyamanan yang menunjang aspek fungsional dari suatu rancangan. Untuk menghasilkan suatu desain yang tepat dimensi perlu pertimbangan yang matang dan observasi yang cermat terkait dengan faktor manusia sebagai pengguna produk.

scholarly journals Correction

AAOHN Journal ◽  
1995 ◽  
Vol 43 (10) ◽  
pp. 506-506
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Goal Attainment ◽  
Cumulative Trauma Disorders ◽  
Government Printing ◽  
Cumulative Trauma ◽  
Tunnel Syndrome ◽  
Program Plan ◽  
The Government ◽  
Trauma Disorders

In the August 1995 issue (vol. 43, no. 8), in the article, “A Program Plan Addressing Carpal Tunnel Syndrome: The Utility of King's Goal Attainment Theory,” there was an error in the first entry of the references. The reference cites a report “Cumulative trauma disorders in the workplace: Costs, prevention, and progress,” indicating that is was published by the Government Printing Office. The publisher should be The Bureau of National Affairs, Inc. (BNA), a privately held publisher of print and electronic news and information in Washington, D.C. There is no connection with the Government Printing Office. Copies of this report are available from BNA PLUS at (800) 452-7773 or (202) 452-4322.

Evaluation of PROMIS Outcomes for Surgical Treatment of Cubital Tunnel Syndrome With and Without Carpal Tunnel Syndrome

Hand ◽  
2021 ◽  
pp. 155894472110289
Author(s):  
Amy Phan ◽  
Warren Hammert
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Postoperative Period ◽  
Cubital Tunnel Syndrome ◽  
Cubital Tunnel ◽  
Measurement Information ◽  
Level Of Evidence ◽  
Patient Reported ◽  
Tunnel Syndrome ◽  
Measurement Information System

Background: Assessment of outcomes for cubital tunnel syndrome (CuTS) surgeries has been difficult due to heterogeneity in outcome reporting. Our objective was to evaluate the outcomes for 2 cohorts treated surgically for isolated CuTS and for combined CuTS and carpal tunnel syndrome (CTS) using Patient Reported Outcomes Measurement Information System (PROMIS). Methods: There were 29 patients in the isolated CuTS cohort and 30 patients in the combined CuTS and CTS cohort. PROMIS Physical Function (PF), Pain Interference (PI), Depression, and Upper Extremity (UE) were completed preoperatively and 1-week, 6-weeks, and 3-months postoperatively. Responsiveness was evaluated by standardized response means (SRM). Results: Significant improvements from the 1-week to 6-week postoperative period are shown in the isolated CuTS cohort for PROMIS PF ( P = .002), PI ( P = .0002), and UE ( P = .02), but scores plateau after 6-weeks postoperatively. A similar pattern for the same time points was seen for the combined CuTS and CTS group for PROMIS PF ( P = .001), PI ( P = .02), and UE ( P = .04), with a plateau of scores beyond 6 weeks postoperatively. PROMIS UE was more responsive (SRM range: 0.11-1.03) than the PF (SRM range: 0.02-0.52) and PI (SRM range: 0.11-0.40), which were both mildly responsive for both cohorts. Conclusions: PROMIS lacks the sensitivity to show improvement beyond 6-weeks postoperatively for both isolated CuTS and combined CuTS and CTS. Patients with combined nerve compressions follow similar trajectories in the postoperative period as those with isolated CuTS. Level of Evidence: Level IV.

scholarly journals A Clinical Scoring System for Distinguishing Patients With Coincident Cubital Tunnel Syndrome Among Patients With Carpal Tunnel Syndrome

Hand ◽  
2016 ◽  
Vol 12 (1) ◽  
pp. 43-49
Author(s):  
Justin Koh ◽  
Kodi K. Azari ◽  
Prosper Benhaim
Keyword(s):  
High Risk ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Scoring System ◽  
Cubital Tunnel Syndrome ◽  
Cubital Tunnel ◽  
Predictive Values ◽  
Cutoff Value ◽  
Tunnel Syndrome ◽  
Tunnel Syndromes

Background: Coincident carpal and cubital tunnel syndromes present a diagnostic challenge, exacerbated by the limitations of nerve conduction study (NCS) for confirming cubital tunnel syndrome. This study develops a diagnostic scoring system, the Koh-Benhaim (KB) score, to identify patients with coincident compression neuropathies. Methods: A retrospective review of 515 patients was performed from patients surgically treated for carpal and/or cubital tunnel release. These patients were divided as patients with isolated carpal tunnel syndrome (n = 337) or coincident carpal and cubital tunnel syndromes (n = 178), then characterized according to demographics, medical history, physical examination, and NCS results. Univariate and multivariate logistic regression identified predictors of coincident neuropathy. A clinical score was constructed by integerizing regression coefficients of predictive factors. Receiver operating characteristic (ROC) curves were generated for each iteration of the score. Sensitivities, specificities, and positive and negative predictive values were calculated to identify the best cutoff value. Results: Decreased intrinsic muscle strength, decreased ulnar sensation, positive elbow flexion test, positive cubital tunnel Tinel’s sign, and abnormal NCS result were selected. The cutoff value for high risk of coincident compression was 3 points: positive predictive value, 82.9% and specificity, 93.4%. Model performance was very good—ROC area under the curve of 0.917. Conclusions: A KB score of 3 or greater represents high risk of coincident cubital tunnel compression. The variables involved are routinely used to assess the cubital tunnel, and all component factors of the KB score were of equivalent clinical weight in assessing patients with potential coincident compression neuropathy.

scholarly journals So What Can be Done to Avoid Getting Cumulative Trauma Disorders?

1999 ◽  
Vol 7 (6) ◽  
pp. 26-29
Author(s):  
Jan Minshew
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Nationwide Survey ◽  
University Of Michigan ◽  
Cumulative Trauma ◽  
Cumulative Trauma Disorder ◽  
Tunnel Syndrome ◽  
Rising Incidence ◽  
Trauma Disorders ◽  
The University

The first article reporting the rising incidence of carpal tunnel syndrome in histotechnologists was written by Pearl Gervais and published in the Louisiana Society for Histotechnology newsletter in 1991. Following that article, the growing interest in the number of injuries within the profession prompted a nationwide survey of histotechnologists. The results of that survey appeared in the first part of a three part article published in the Journal of Histotechnology, 18:139,1995. The articles were written by a group of professionals from the University of Michigan. Carpal Tunnel Syndrome (CTS) was used as the model for potential Cumulative Trauma Disorder (CTD).

Cubital Tunnel Syndrome in a Patient in Long-Term Haemodialysis

1994 ◽  
Vol 19 (5) ◽  
pp. 636-637 ◽  
Author(s):  
T. KONISHIIKE ◽  
H. HASHIZUME ◽  
K. NISHIDA ◽  
H. INOUE ◽  
K. MORIWAKI
Keyword(s):  
Case Report ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Granulation Tissue ◽  
Muscular Atrophy ◽  
Cubital Tunnel Syndrome ◽  
Cubital Tunnel ◽  
Tunnel Syndrome ◽  
Haemodialysis Treatment

The onset mechanism of cubital tunnel syndrome and carpal tunnel syndrome may be similar in haemodialysis patients. Carpal tunnel syndrome is well recognized as a consequence of dialysis-associated amyloidosis. This case report documents the development of cubital tunnel syndrome in a patient on haemodialysis treatment for 10 years. Proliferating granulation tissue at the elbow had entrapped and displaced the ulnar nerve. This was corrected surgically, and the patient experienced immediate relief of the numbness and the “tingling”, but the muscular atrophy had not improved after 8 months.

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