Relationships and Mechanisms Between Occupational Risk Factors and Distal Upper Extremity Disorders
Abstract
Objective: The relationships between workplace risk factors and upper extremity injuries from epidemiological and laboratory studies were examined. Background: Epidemiological studies are associated with several limitations, affecting the strength of association between risk factors and the development of injuries. Method: In this narrative review, we identified epidemiological and laboratory studies (published primarily since 1997) investigating exposure to workplace risk factors (force, repetition, posture, vibration) and risk of hand/wrist tendon–related disorders, epicondylitis, and carpal tunnel syndrome (CTS). Results: Forceful exertions are strongly associated with hand/wrist tendon–related disorders, epicondylitis, and CTS. Dose–response relationships were found for epicondylitis (repetition) and CTS (posture). Interactions demonstrate multiplicative effects of risk factors for injury risk. Laboratory studies display clear associations between task demands and biomechanical measures linked to mechanisms for upper extremity injuries with animal models providing further evidence of a dose–response between risk factors and injury. Conclusion: Forceful, repetitive work requiring non-neutral postures are associated with increasing risk of hand/wrist tendon–related disorders, epicondylitis, and CTS as evidenced by epidemiology studies and laboratory-based investigations of humans and animals. Application: Understanding the relationship between exposure levels of workplace risk factors and upper extremity disorders can improve injury prevention and rehabilitation strategies.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Most studies in hand therapy have focused on maximizing physical recovery and medical or occupational therapy procedures.
“Most studies conducted in hand therapy have focused on maximizing physical recovery and adjustments with regard to medical or occupational therapy procedures [12-15].”
Cites
Archives of Physical Medicine and Rehabilitation
Karin, A., & Kristina, A. (1976) · Journal of Sound and Vibration · doi:10.1016/0022-460x(76)90695-7 · Cited by 5,508 · see citing works
Journal of Occupational Medicine
Norman, L. G. (1959) · Occupational and Environmental Medicine · doi:10.1136/oem.16.4.332-a · Cited by 2,324 · see citing works
Hong, Q. N., Gonzalez‐Reyes, A., & Pluye, P. (2018) · Journal of Evaluation in Clinical Practice · doi:10.1111/jep.12884 · Cited by 1,107 · see citing works
British Journal of industrial medicine
(1987) · Journal of Sound and Vibration · doi:10.1016/0022-460x(87)90429-9 · Cited by 1,050 · see citing works
Occupational factors and carpal tunnel syndrome
Silverstein, B. A., Fine, L. J., & Armstrong, T. J. (1987) · American Journal of Industrial Medicine · doi:10.1002/ajim.4700110310 · Cited by 885 · see citing works
Prevalence and Determinants of Lateral and Medial Epicondylitis: A Population Study
Shiri, R., Viikari-Juntura, E. R. A., Varonen, H., & Heliövaara, M. (2006) · American Journal of Epidemiology · doi:10.1093/aje/kwj325 · Cited by 755 · see citing works
The carpal tunnel syndrome. A study of carpal canal pressures.
Gelberman, R. H., Hergenröeder, P. T., Hargens, A. R., Lundborg, G., & Akeson, W. H. (1981) · Journal of Bone and Joint Surgery · doi:10.2106/00004623-198163030-00009 · Cited by 745 · see citing works
Hand wrist cumulative trauma disorders in industry.
Silverstein, B. A., Fine, L. J., & Armstrong, T. (1986) · Occupational and Environmental Medicine · doi:10.1136/oem.43.11.779 · Cited by 666 · see citing works
Flexor tendon forces: In vivo measurements
Schuind, F. A., García‐Elías, M., Cooney, W. P., & An, K. (1992) · The Journal Of Hand Surgery · doi:10.1016/0363-5023(92)90408-h · Cited by 495 · see citing works
Soslowsky, L. J., Thomopoulos, S., Tun, S., Flanagan, C. L., Keefer, C. C., Mastaw, J., & Carpenter, J. E. (2000) · Journal of Shoulder and Elbow Surgery · doi:10.1067/mse.2000.101962 · Cited by 450 · see citing works
Microscopic histopathology of chronic refractory lateral epicondylitis
Regan, W. D., Wold, L. E., Coonrad, R. W., & Morrey, B. F. (1992) · The American Journal of Sports Medicine · doi:10.1177/036354659202000618 · Cited by 372 · see citing works
Lundborg, G., Gelberman, R. H., Minteer, M. A., Lee, Y. F., & Hargens, A. R. (1982) · The Journal Of Hand Surgery · doi:10.1016/s0363-5023(82)80175-5 · Cited by 352 · see citing works
The Basic Science of Tendinopathy
Xu, Y., & Murrell, G. A. C. (2008) · Clinical Orthopaedics and Related Research · doi:10.1007/s11999-008-0286-4 · Cited by 349 · see citing works
Dale, A. M., Adamson, C. H., Rempel, D. M., Gerr, F., Hegmann, K. T., Silverstein, B. A., Burt, S. E., Garg, A., Kapellusch, J. M., Merlino, L. A., et al. (2013) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.3351 · Cited by 334 · see citing works
Elbow tendinopathy: tennis elbow
Nirschl, R. P., & Ashman, E. S. (2003) · Clinics in Sports Medicine · doi:10.1016/s0278-5919(03)00051-6 · Cited by 311 · see citing works
Wren, T. A. L., Lindsey, D. P., Beaupré, G. S., & Carter, D. R. P. (2003) · Annals of Biomedical Engineering · doi:10.1114/1.1569267 · Cited by 275 · see citing works
Surveillance case definitions for work related upper limb pain syndromes.
Harrington, J. M., Carter, J. T., Birrell, L. N., & Gompertz, D. (1998) · Occupational and Environmental Medicine · doi:10.1136/oem.55.4.264 · Cited by 243 · see citing works
Lateral and medial epicondylitis: Role of occupational factors
Shiri, R., & Viikari‐Juntura, E. (2011) · Best Practice & Research Clinical Rheumatology · doi:10.1016/j.berh.2011.01.013 · Cited by 230 · see citing works
Inflammation and the pathophysiology of work-related musculoskeletal disorders
Barbe, M. F., & Barr, A. E. (2006) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2006.03.001 · Cited by 227 · see citing works
In Vitro fatigue of Human Tendons
Schechtman, H., & Bader, D. L. (1997) · Journal of Biomechanics · doi:10.1016/s0021-9290(97)00033-x · Cited by 218 · see citing works
Stress carpal tunnel pressures in patients with carpal tunnel syndrome and normal patients
Szabo, R. M., & Chidgey, L. K. (1989) · The Journal Of Hand Surgery · doi:10.1016/0363-5023(89)90178-0 · Cited by 209 · see citing works
Chronic achilles paratenonitis with tendinosis: An experimental model in the rabbit
Backman, C., Boquist, L., Fridén, J. O., Lorentzon, R., & Toolanen, G. (1990) · Journal of Orthopaedic Research® · doi:10.1002/jor.1100080410 · Cited by 203 · see citing works
Tendinopathy: Update on Pathophysiology
Scott, A., Backman, L. J., & Speed, C. (2015) · Journal of Orthopaedic & Sports Physical Therapy · doi:10.2519/jospt.2015.5884 · Cited by 196 · see citing works
Ergonomics considerations in hand and wrist tendinitis
Armstrong, T. J., Fine, L. J., Goldstein, S. A., Lifshitz, Y. R., & Silverstein, B. A. (1987) · The Journal Of Hand Surgery · doi:10.1016/s0363-5023(87)80244-7 · Cited by 195 · see citing works
Okutsu, I., Ninomiya, S., Hamanaka, I., Kuroshima, N., & Inanami, H. (1989) · Journal of Bone and Joint Surgery · doi:10.2106/00004623-198971050-00006 · Cited by 194 · see citing works
Haahr, J. P., & Andersen, J. H. (2003) · Occupational and Environmental Medicine · doi:10.1136/oem.60.5.322 · Cited by 190 · see citing works
Quantifying exposure in occupational manual tasks with cumulative trauma disorder potential
Moore, A. E., Wells, R. P., & Ranney, D. (1991) · Ergonomics · doi:10.1080/00140139108964888 · Cited by 177 · see citing works
Subrupture tendon fatigue damage
Fung, D. T. H., Wang, V. M., Laudier, D. M., Shine, J. H., Basta‐Pljakic, J., Jepsen, K. J., Schaffler, M. B., & Flatow, E. L. (2008) · Journal of Orthopaedic Research® · doi:10.1002/jor.20722 · Cited by 172 · see citing works
Early response to tendon fatigue damage accumulation in a novel in vivo model
Fung, D. T. H., Wang, V. M., Andarawis‐Puri, N., Basta‐Pljakic, J., Li, Y., Laudier, D. M., Sun, H. B., Jepsen, K. J., Schaffler, M. B., & Flatow, E. L. (2009) · Journal of Biomechanics · doi:10.1016/j.jbiomech.2009.08.039 · Cited by 171 · see citing works
Occupation and epicondylitis: a population-based study
Walker-Bone, K. E., Palmer, K. T., Reading, I., Coggon, D., & Cooper, C. C. (2011) · Lara D. Veeken · doi:10.1093/rheumatology/ker228 · Cited by 171 · see citing works
Fatigue Rupture of Wallaby Tail Tendons
Wang, X. T., Ker, R. F., & Alexander, R. M. (1995) · Journal of Experimental Biology · doi:10.1242/jeb.198.3.847 · Cited by 169 · see citing works
Pathophysiological Tissue Changes Associated With Repetitive Movement: A Review of the Evidence
Barr, A. E., & Barbe, M. F. (2002) · Physical Therapy · doi:10.1093/ptj/82.2.173 · Cited by 166 · see citing works
Barbe, M., Barr, A., Gorzelany, I., Amin, M., Gaughan, J., & Safadi, F. (2003) · Journal of Orthopaedic Research · doi:10.1016/s0736-0266(02)00086-4 · Cited by 162 · see citing works
Intracarpal canal pressures: the role of finger, hand, wrist and forearm position
Werner, R. A., Armstrong, T., BIR, C. A., & Aylard, M. (1997) · Clinical Biomechanics · doi:10.1016/s0268-0033(96)00044-7 · Cited by 159 · see citing works
Method for the measurement of friction between tendon and pulley
Uchiyama, S., Coert, J. H., Berglund, L., Amadio, P. C., & An, K. (1995) · Journal of Orthopaedic Research® · doi:10.1002/jor.1100130113 · Cited by 159 · see citing works
Fatigue Quality of Mammalian Tendons
Ker, R. F., Wang, X. T., & Pike, A. V. L. (2000) · Journal of Experimental Biology · doi:10.1242/jeb.203.8.1317 · Cited by 152 · see citing works
Carpal tunnel syndrome: contribution of flexor tendons.
Smith, E. M., Sonstegard, D., & Wh, A. (1977) · PubMed · Cited by 146 · see citing works
Barbe, M. F., Gallagher, S., Massicotte, V. S., Tytell, M., Popoff, S. N., & Barr-Gillespie, A. E. (2013) · BMC Musculoskeletal Disorders · doi:10.1186/1471-2474-14-303 · Cited by 135 · see citing works
Anatomic Factors Related to the Cause of Tennis Elbow
Bunata, R. E., Brown, D. S., & Capelo, R. (2007) · Journal of Bone and Joint Surgery · doi:10.2106/00004623-200709000-00010 · Cited by 135 · see citing works
In vivo measurement of carpal tunnel pressure in the functioning hand
Seradge, H., Jia, Y., & Owens, W. (1995) · The Journal Of Hand Surgery · doi:10.1016/s0363-5023(05)80443-5 · Cited by 134 · see citing works
Evidence of tendon microtears due to cyclical loading in an in vivo tendinopathy model
Nakama, L. H., King, K. B., Abrahamsson, S., & Rempel, D. M. (2005) · Journal of Orthopaedic Research® · doi:10.1016/j.orthres.2005.03.006 · Cited by 134 · see citing works
Pressure and Nerve Lesion in the Carpal Tunnel
Werner, C.-O., Elmqvist, D., & Ohlin, P. (1983) · Acta Orthopaedica Scandinavica · doi:10.3109/17453678308996576 · Cited by 131 · see citing works
Idiopathic carpal tunnel syndrome: Histologic study of flexor tendon synovium
Schuind, F. A., Ventura, M., & Pasteels, J. L. (1990) · The Journal Of Hand Surgery · doi:10.1016/0363-5023(90)90070-8 · Cited by 128 · see citing works
Creep Rupture of Wallaby Tail Tendons
Wang, X. T., & Ker, R. F. (1995) · Journal of Experimental Biology · doi:10.1242/jeb.198.3.831 · Cited by 127 · see citing works
Analysis of cumulative strain in tendons and tendon sheaths
Goldstein, S. A., Armstrong, T. J., Chaffin, D. B., & Matthews, L. S. (1987) · Journal of Biomechanics · doi:10.1016/0021-9290(87)90261-2 · Cited by 126 · see citing works
Effects of finger posture on carpal tunnel pressure during wrist motion
Keir, P. J., Bach, J. M., & Rempel, D. M. (1998) · The Journal Of Hand Surgery · doi:10.1016/s0363-5023(98)80007-5 · Cited by 123 · see citing works
Self-citationThe Acute Carpal Tunnel Syndrome
Bauman, T. D., Gelberman, R. H., Mubarak, S. J., & Garfin, S. R. (1981) · Clinical Orthopaedics and Related Research · doi:10.1097/00003086-198105000-00019 · Cited by 119 · see citing works
Fedorczyk, J. M., Barr, A. E., Rani, S., Gao, H. G. L., Amin, M., Amin, S., Litvin, J., & Barbe, M. F. (2009) · Journal of Orthopaedic Research® · doi:10.1002/jor.20984 · Cited by 115 · see citing works
Rojviroj, S., Sirichativapee, W., Kowsuwon, W., Wongwiwattananon, J., Tamnanthong, N., & Jeeravipoolvarn, P. (1990) · Journal of Bone and Joint Surgery - British Volume · doi:10.1302/0301-620x.72b3.2187880 · Cited by 115 · see citing works
Effects of forearm pronation/supination on carpal tunnel pressure
Rempel, D., Bach, J. M., Gordon, L. H. D., & So, Y. T. (1998) · The Journal Of Hand Surgery · doi:10.1016/s0363-5023(98)80086-5 · Cited by 113 · see citing works
Effects of static fingertip loading on carpal tunnel pressure
Rempel, D. M., Keir, P. J., Smutz, W. P., & Hargens, A. R. (1997) · Journal of Orthopaedic Research® · doi:10.1002/jor.1100150315 · Cited by 106 · see citing works
Self-citationThe effects of tendon load and posture on carpal tunnel pressure
Keir, P. J., Wells, R. P., Ranney, D., & Lavery, W. (1997) · The Journal Of Hand Surgery · doi:10.1016/s0363-5023(97)80119-0 · Cited by 106 · see citing works
Self-citationOccupational rheumatic diseases and upper limb strain in manual jobs in a light mechanical industry.
Kuorinka, I., & Koskinen, P. (1979) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.2691 · Cited by 106 · see citing works
Gliding Resistance of Extrasynovial and Intrasynovial Tendons through the A2 Pulley*
Uchiyama, S., Amadio, P. C., Coert, J. H., Berglund, L. J., & An, K. (1997) · Journal of Bone and Joint Surgery · doi:10.2106/00004623-199702000-00009 · Cited by 105 · see citing works
Guidelines for Wrist Posture Based on Carpal Tunnel Pressure Thresholds
Keir, P. J., Bach, J. M., Hudes, M. L., & Rempel, D. M. (2007) · Human Factors The Journal of the Human Factors and Ergonomics Society · doi:10.1518/001872007779598127 · Cited by 103 · see citing works
Self-citationPerformance of a High-Repetition, High-Force Task Induces Carpal Tunnel Syndrome in Rats
Clark, B. D., Alshatti, T. A., Barr, A. E., Amin, M., & Barbe, M. F. (2004) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2004.34.5.244 · Cited by 101 · see citing works
Rempel, D. M., Manojlović, R., Levinsohn, D. G., Bloom, T., & Gordon, L. H. D. (1994) · The Journal Of Hand Surgery · doi:10.1016/0363-5023(94)90231-3 · Cited by 98 · see citing works
Nordander, C., Ohlsson, K., Åkesson, I., Arvidsson, I., Balogh, I., Hansson, G.-Å., Strömberg, U., Rittner, R., & Skerfving, S. (2013) · Applied Ergonomics · doi:10.1016/j.apergo.2012.07.009 · Cited by 97 · see citing works
Herquelot, E., Bodin, J., Roquelaure, Y., Ha, C., Leclerc, A., Goldberg, M., Zins, M., & Descatha, A. (2013) · American Journal of Industrial Medicine · doi:10.1002/ajim.22140 · Cited by 91 · see citing works
Fan, Z. J., Silverstein, B. A., Bao, S. S., Bonauto, D. K., Howard, N. L., Spielholz, P. O., Smith, C. K., Polissar, N. L., & Viikari-Juntura, E. R. A. (2009) · American Journal of Industrial Medicine · doi:10.1002/ajim.20700 · Cited by 90 · see citing works
Occurrence of carpal tunnel syndrome among slaughterhouse workers
Frost, P., Andersen, J. H., & Nielsen, V. (1998) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.322 · Cited by 89 · see citing works
Shepherd, J. H., & Screen, H. R. C. (2013) · International Journal of Experimental Pathology · doi:10.1111/iep.12037 · Cited by 86 · see citing works
Boundary Lubrication between the Tendon and the Pulley in the Finger*
Uchiyama, S., Amadio, P. C., ISHIKAWA, J.-I., & An, K. (1997) · Journal of Bone and Joint Surgery · doi:10.2106/00004623-199702000-00008 · Cited by 85 · see citing works
Kursa, K., Lattanza, L. L., Diao, E., & Rempel, D. M. (2006) · Journal of Orthopaedic Research® · doi:10.1002/jor.20110 · Cited by 77 · see citing works
Nathan, P. A., Istvan, J. A., & Meadows, K. D. (2005) · Journal of Hand Surgery (European Volume) · doi:10.1016/j.jhsb.2005.06.019 · Cited by 76 · see citing works
Descatha, A., Dale, A. M., Jaegers, L. A., Herquelot, É., & Evanoff, B. (2013) · Occupational and Environmental Medicine · doi:10.1136/oemed-2012-101341 · Cited by 74 · see citing works
Fingertip loading and carpal tunnel pressure: Differences between a pinching and a pressing task
Keir, P. J., Bach, J. M., & Rempel, D. M. (1998) · Journal of Orthopaedic Research® · doi:10.1002/jor.1100160119 · Cited by 71 · see citing works
Self-citationRisk factors for de Quervain’s disease in a French working population
Manac’h, A. P. L., Roquelaure, Y., Ha, C., Bodin, J., Meyer, G., Bigot, F., Veaudor, M., Descatha, A., Goldberg, M., & Imbernon, E. (2011) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.3160 · Cited by 71 · see citing works
Risk factors for hand-wrist disorders in repetitive work
Thomsen, J. F., Mikkelsen, S., Andersen, J. H., Fallentin, N., Loft, I. P., Frost, P., Kærgaard, A., Bonde, J. P., & Overgaard, E. (2007) · Occupational and Environmental Medicine · doi:10.1136/oem.2005.021170 · Cited by 71 · see citing works
Serum and tissue cytokines and chemokines increase with repetitive upper extremity tasks
Barbe, M. F., Elliott, M. B., Abdelmagid, S. M., Amin, M., Popoff, S. N., Safadi, F. F., & Barr, A. E. (2008) · Journal of Orthopaedic Research® · doi:10.1002/jor.20674 · Cited by 70 · see citing works
Increase in inflammatory cytokines in median nerves in a rat model of repetitive motion injury
Alshatti, T. A., Barr, A. E., Safadi, F. F., Amin, M., & Barbe, M. F. (2005) · Journal of Neuroimmunology · doi:10.1016/j.jneuroim.2005.06.013 · Cited by 69 · see citing works
Szabo, R. M., Gelberman, R. H., Williamson, R. V., & Hargens, A. R. (1983) · Journal of Orthopaedic Research® · doi:10.1002/jor.1100010208 · Cited by 69 · see citing works
Carpal Tunnel Syndrome and Manual Work: A Longitudinal Study
Violante, F. S., Armstrong, T. J., Fiorentini, C., Graziosi, F., Risi, A., Venturi, S., Curti, S., Zanardi, F., Cooke, R. M. T., Bonfiglioli, R., et al. (2007) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0b013e3181594873 · Cited by 68 · see citing works
Abdelmagid, S. M., Barr, A. E., Rico, M. C., Amin, M., Litvin, J., Popoff, S. N., Safadi, F. F., & Barbe, M. F. (2012) · PLoS ONE · doi:10.1371/journal.pone.0038359 · Cited by 67 · see citing works
Kutsumi, K., Amadio, P. C., Zhao, C., Zobitz, M. E., & An, K. (2004) · Journal of Orthopaedic Research® · doi:10.1016/j.orthres.2004.06.014 · Cited by 67 · see citing works
Elliott, M. B., Barr, A. E., Clark, B. D., Amin, M., Amin, S., & Barbe, M. F. (2008) · Neuroscience · doi:10.1016/j.neuroscience.2008.10.050 · Cited by 64 · see citing works
Yoshii, Y., Zhao, C., Zhao, K. D., Zobitz, M. E., An, K., & Amadio, P. C. (2008) · Journal of Orthopaedic Research® · doi:10.1002/jor.20640 · Cited by 63 · see citing works
Kursa, K., Diao, E., Lattanza, L. L., & Rempel, D. M. (2004) · Journal of Biomechanics · doi:10.1016/j.jbiomech.2004.07.035 · Cited by 61 · see citing works
Externally applied forces to the palm increase carpal tunnel pressure
Cobb, T. K., An, K., & Cooney, W. P. (1995) · The Journal Of Hand Surgery · doi:10.1016/s0363-5023(05)80004-8 · Cited by 60 · see citing works
Carpal tunnel syndrome in repetitive work: A follow‐up study
Thomsen, J. F., Hansson, G.-Å., Mikkelsen, S., & Lauritzen, M. (2002) · American Journal of Industrial Medicine · doi:10.1002/ajim.10115 · Cited by 58 · see citing works
Keir, P. J., & Wells, R. P. (1999) · Clinical Biomechanics · doi:10.1016/s0268-0033(99)00012-1 · Cited by 57 · see citing works
Self-citationClinical evaluation, management, and prevention of work-related asthma
Friedman-Jim�nez, G., Beckett, W. S., Szeinuk, J., & Petsonk, E. L. (2000) · American Journal of Industrial Medicine · doi:10.1002/(sici)1097-0274(200001)37:1 · Cited by 56 · see citing works
Gao, H. G. L., Fisher, P. W., Lambi, A. G., Wade, C. K., Barr-Gillespie, A. E., Popoff, S. N., & Barbe, M. F. (2013) · PLoS ONE · doi:10.1371/journal.pone.0071875 · Cited by 56 · see citing works
Nonlinear viscoelastic behaviour of the flexor tendon of the human hand
Pradas, M. M., & Calleja, R. D. (1990) · Journal of Biomechanics · doi:10.1016/0021-9290(90)90024-w · Cited by 52 · see citing works
Fan, Z. J., Silverstein, B. A., Bao, S. S., Bonauto, D. K., Howard, N. L., & Smith, C. K. (2013) · Human Factors The Journal of the Human Factors and Ergonomics Society · doi:10.1177/0018720813492327 · Cited by 52 · see citing works
Kietrys, D. M., Barr-Gillespie, A. E., Amin, M., Wade, C. K., Popoff, S. N., & Barbe, M. F. (2012) · PLoS ONE · doi:10.1371/journal.pone.0046954 · Cited by 51 · see citing works
Static Wrist Position Associated with Least Median Nerve Compression
Kuo, M.-H., Leong, C., Cheng, Y.-F., & Chang, H. (2001) · American Journal of Physical Medicine & Rehabilitation · doi:10.1097/00002060-200104000-00004 · Cited by 50 · see citing works
Harris, C., Eisen, E. A., Goldberg, R., Krause, N., & Rempel, D. (2011) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.3147 · Cited by 50 · see citing works
Zhao, C., Ettema, A. M., Osamura, N., Berglund, L. J., An, K., & Amadio, P. C. (2006) · Journal of Orthopaedic Research® · doi:10.1002/jor.20321 · Cited by 49 · see citing works
Work-related disorders of the upper limb in female workers using orbital sanders
Bovenzi, M., Vedova, A. D., Nataletti, P., Alessandrini, B., & Poian, T. (2005) · International Archives of Occupational and Environmental Health · doi:10.1007/s00420-004-0574-6 · Cited by 46 · see citing works
Elliott, M. B., Barr, A. E., Kietrys, D. M., Alshatti, T. A., Amin, M., & Barbe, M. F. (2008) · Brain Research · doi:10.1016/j.brainres.2008.04.029 · Cited by 45 · see citing works
Oh, S., Bëlohlávek, M., Zhao, C., Osamura, N., Zobitz, M. E., An, K., & Amadio, P. C. (2007) · Journal of Ultrasound in Medicine · doi:10.7863/jum.2007.26.2.149 · Cited by 44 · see citing works
A conceptual quantitative model for prevention of work-related carpal tunnel syndrome (CTS)
Tanaka, S., & McGlothlin, J. D. (1993) · International Journal of Industrial Ergonomics · doi:10.1016/0169-8141(93)90107-o · Cited by 43 · see citing works
Prevalence of carpal tunnel syndrome among employees at a poultry processing plant
Musolin, K., Ramsey, J. G., Wassell, J. T., & Hard, D. L. (2014) · Applied Ergonomics · doi:10.1016/j.apergo.2014.03.005 · Cited by 40 · see citing works
Passive properties of the forearm musculature with reference to hand and finger postures
Keir, P. J., Wells, R. P., & Ranney, D. (1996) · Clinical Biomechanics · doi:10.1016/0268-0033(96)00029-0 · Cited by 39 · see citing works
Self-citationNakama, L. H., King, K. B., Abrahamsson, S., & Rempel, D. M. (2007) · Journal of Orthopaedic Research® · doi:10.1002/jor.20408 · Cited by 38 · see citing works
Kubo, K., Cheng, Y.-S., Zhou, B., An, K., Moran, S. L., Amadio, P. C., Zhang, X., & Zhao, C. (2017) · Journal of Biomechanics · doi:10.1016/j.jbiomech.2017.10.039 · Cited by 37 · see citing works
Ettema, A. M., Zhao, C., An, K., & Amadio, P. C. (2006) · Hand · doi:10.1007/s11552-006-9009-z · Cited by 34 · see citing works
Sommerich, C. M., Lavender, S. A., Buford, J. A., Banks, J. J., Korkmaz, S. V., & Pease, W. S. (2007) · Journal of Orthopaedic Research® · doi:10.1002/jor.20363 · Cited by 34 · see citing works
Kietrys, D. M., Barr, A. E., & Barbe, M. F. (2011) · Journal of Motor Behavior · doi:10.1080/00222895.2011.627897 · Cited by 33 · see citing works
Biomechanical risk factors and flexor tendon frictional work in the cadaveric carpal tunnel
Kociolek, A. M., Tat, J., & Keir, P. J. (2014) · Journal of Biomechanics · doi:10.1016/j.jbiomech.2014.12.029 · Cited by 31 · see citing works
Self-citationTat, J., Kociolek, A. M., & Keir, P. J. (2013) · Journal of Orthopaedic Research® · doi:10.1002/jor.22391 · Cited by 30 · see citing works
Self-citationTanaka, Y., Aoki, M., Izumi, T., Wada, T., Fujimiya, M., & Yamashita, T. (2010) · The Journal Of Hand Surgery · doi:10.1016/j.jhsa.2010.10.005 · Cited by 30 · see citing works
Morphological and positional changes of the carpal arch and median nerve during wrist compression
Marquardt, T. L., Gabra, J. N., & Li, Z. (2015) · Clinical Biomechanics · doi:10.1016/j.clinbiomech.2015.01.007 · Cited by 28 · see citing works
Tenosynovitis, peritendinitis and the tennis elbow syndrome.
Viikari‐Juntura, E. (1984) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.2314 · Cited by 28 · see citing works
Chronic Musculoskeletal Injuries in the Workplace
Carek, P. J. (1998) · The Journal of the American Board of Family Medicine · doi:10.3122/15572625-11-2-173c · Cited by 26 · see citing works
Call for an international ban on asbestos
LaDou, J., Landrigan, P. J., Bailar, J. C., Foà, V., & Frank, A. L. (1999) · American Journal of Industrial Medicine · doi:10.1002/(sici)1097-0274(199908)36:2 · Cited by 25 · see citing works
Filius, A., Thoreson, A. R., Yang, T., Vanhees, M. K. D., An, K., Zhao, C., & Amadio, P. C. (2013) · Journal of Orthopaedic Research® · doi:10.1002/jor.22489 · Cited by 24 · see citing works
Effects of Wrist Posture and Fingertip Force on Median Nerve Blood Flow Velocity
Wilson, K. E., Tat, J., & Keir, P. J. (2017) · BioMed Research International · doi:10.1155/2017/7156489 · Cited by 23 · see citing works
Self-citationThe Impact of Posture on Wrist Tendinosis Among Blue-Collar Workers
Adamson, C. H., You, D., Eisen, E. A., Goldberg, R., & Rempel, D. (2013) · Human Factors The Journal of the Human Factors and Ergonomics Society · doi:10.1177/0018720813502807 · Cited by 23 · see citing works
Tat, J., Kociolek, A. M., & Keir, P. J. (2015) · Journal of Ultrasound in Medicine · doi:10.7863/ultra.34.4.679 · Cited by 21 · see citing works
Self-citationPosture and Loading in the Pathomechanics of Carpal Tunnel Syndrome: A Review
Vignais, N., Weresch, J., & Keir, P. J. (2016) · Critical Reviews in Biomedical Engineering · doi:10.1615/critrevbiomedeng.2017021073 · Cited by 21 · see citing works
Self-citationDelineation of the mechanisms of tendon gliding resistance within the carpal tunnel
Filius, A., Thoreson, A. R., Ozasa, Y., An, K., Zhao, C., & Amadio, P. C. (2016) · Clinical Biomechanics · doi:10.1016/j.clinbiomech.2016.12.001 · Cited by 14 · see citing works
In vivo tissue interaction between the transverse carpal ligament and finger flexor tendons
Gabra, J. N., Gordon, J. L., Marquardt, T. L., & Li, Z. (2016) · Medical Engineering & Physics · doi:10.1016/j.medengphy.2016.06.023 · Cited by 11 · see citing works
Investigation of low-force high-frequency activities on the development of carpal-tunnel syndrome
Smutz, W. P., Miller, S. C., Eaton, C., Bloswick, D. S., & France, E. P. (1994) · Clinical Biomechanics · doi:10.1016/0268-0033(94)90053-1 · Cited by 10 · see citing works
Smutz, W. P., France, E. P., & Bloswick, D. S. (1995) · Clinical Biomechanics · doi:10.1016/0268-0033(95)92041-j · Cited by 10 · see citing works
Babski-Reeves, K. L., & Crumpton-Young, L. L. (2003) · Human and Ecological Risk Assessment An International Journal · doi:10.1080/713610021 · Cited by 7 · see citing works
Weresch, J., & Keir, P. J. (2018) · IISE Transactions on Occupational Ergonomics and Human Factors · doi:10.1080/24725838.2018.1454360 · Cited by 6 · see citing works
Self-citationCoactivity Effects upon Carpal Tunnel Contact Forces
Ferguson, S. A., Fathallah, F. A., Granata, K. P., Kim, J., & Marras, W. S. (1993) · Proceedings of the Human Factors and Ergonomics Society Annual Meeting · doi:10.1177/154193129303701013 · Cited by 3 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Feng, B., Chen, K., Zhu, X., Ip, W., Andersen, L. L., Page, P., & Wang, Y. (2021) · BMC Public Health · doi:10.1186/s12889-020-10137-1 · Cited by 101 · see citing works
Yang, F., Di, N., Guo, W.-W., Wenbin, D. I. N. G., Jia, N., Zhang, H., Li, D., Wang, D., Wang, R., Zhang, D., et al. (2023) · BMC Public Health · doi:10.1186/s12889-022-14952-6 · Cited by 69 · see citing works
Nambiema, A., Bertrais, S., Bodin, J., Fouquet, N., Aublet‐Cuvelier, A., Evanoff, B., Descatha, A., & Roquelaure, Y. (2020) · BMC Public Health · doi:10.1186/s12889-020-08548-1 · Cited by 24 · see citing works
Manivasagam, K., & Yang, L. (2022) · Sensors · doi:10.3390/s22041690 · Cited by 23 · see citing works
Graben, P. R., Schall, M. C., Gallagher, S., Sesek, R. F., & Acosta-Sojo, Y. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191710595 · Cited by 24 · see citing works
Posture Risk Assessment in an Automotive Assembly Line Using Inertial Sensors
Nunes, M. L., Folgado, D., Fujão, C., Silva, L., Rodrigues, J., Matias, P., Barandas, M., Carreiro, A. V., Madeira, S. C., & Gamboa, H. F. S. (2022) · IEEE Access · doi:10.1109/access.2022.3196473 · Cited by 15 · see citing works
Babatunde, F. O., MacDermid, J., Grewal, R., Macedo, L., & Szekeres, M. (2020) · JMIR Human Factors · doi:10.2196/17088 · Cited by 12 · see citing works
“Most studies conducted in hand therapy have focused on maximizing physical recovery and adjustments with regard to medical or occupational therapy procedures [12-15].”
Atkins, J., Chang, D., & Lee, H. (2024) · Wearable Technologies · doi:10.1017/wtc.2024.1 · Cited by 12 · see citing works
Effect of Force, Posture, and Repetitive Wrist Motion on Intraneural Blood Flow in the Median Nerve
Ehmke, S., Zuniga, A. F., & Keir, P. J. (2020) · Journal of Ultrasound in Medicine · doi:10.1002/jum.15467 · Cited by 12 · see citing works
Self-citationChimera, N. J., Holmes, M. W. R., & Gabriel, D. A. (2021) · Applied Ergonomics · doi:10.1016/j.apergo.2021.103496 · Cited by 12 · see citing works
A Pilot Study of Five Types of Maximum Hand Strength among Manufacturing Industry Workers in Taiwan
Lo, V. E.-W., Chiu, Y.-C., Tu, H.-H., Liu, C.-W., & Yu, C. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16234742 · Cited by 11 · see citing works
de Monsabert, B. G., Caumes, M., Berton, É., & Vigouroux, L. (2023) · Annals of Biomedical Engineering · doi:10.1007/s10439-023-03276-0 · Cited by 10 · see citing works
Nambiema, A., Bodin, J., Fouquet, N., Bertrais, S., Stock, S. R., Aublet‐Cuvelier, A., Descatha, A., Evanoff, B., & Roquelaure, Y. (2020) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.3911 · Cited by 10 · see citing works
Chen, Y., & Ou, Y.-S. (2020) · International Journal of Industrial Ergonomics · doi:10.1016/j.ergon.2020.103018 · Cited by 10 · see citing works
Janela, D., Costa, F. M. T. A., Molinos, M., Moulder, R. G., Jr., Laíns, J., Scheer, J. K., Bento, V., Yanamadala, V., Cohen, S. P., & Correia, F. D. (2022) · Pain Medicine · doi:10.1093/pm/pnac149 · Cited by 8 · see citing works
Łach, P., & Cygańska, A. K. (2024) · International Journal of Occupational Medicine and Environmental Health · doi:10.13075/ijomeh.1896.02164 · Cited by 7 · see citing works
Facing symptoms and limitations: A qualitative study of women with carpal tunnel syndrome
Moro‐López‐Menchero, P., Cigarán‐Méndez, M., Florêncio, L. L., Güeita‐Rodríguez, J., Fernández‐de‐las‐Peñas, C., & Palacios‐Ceña, D. (2022) · Scandinavian Journal of Occupational Therapy · doi:10.1080/11038128.2022.2112970 · Cited by 7 · see citing works
Gerhardsson, L. (2024) · Journal of Occupational Medicine and Toxicology · doi:10.1186/s12995-024-00425-6 · Cited by 6 · see citing works
de Monsabert, B. G., Herbaut, A., Cartier, T., & Vigouroux, L. (2023) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/sms.14434 · Cited by 5 · see citing works
Aqueveque, P., Peña, G., Gutiérrez, M., Gómez, B., Germany, E., Retamal, G., & Ortega-Bastidas, P. (2023) · Sensors · doi:10.3390/s23177623 · Cited by 5 · see citing works
A biomechanical model to predict hand-arm vibration when using different vibration damping gloves
Sabu, S., Teja, K. S. R. V., Mohan, S., George, N., & Sivapirakasam, S. P. (2021) · Materials Today Proceedings · doi:10.1016/j.matpr.2021.11.239 · Cited by 5 · see citing works
Razavi, A., Forsman, M., & Abtahi, F. (2024) · Sensors · doi:10.3390/s24134173 · Cited by 5 · see citing works
Jung, F., Dorszewski, T., Seibt, R., Glenday, J. D., Haeufle, D. F. B., & Steinhilber, B. (2023) · International Journal of Industrial Ergonomics · doi:10.1016/j.ergon.2023.103507 · Cited by 4 · see citing works
Petersen, J. A., Lund, C. B., Flachs, E. M., Petersen, R., Mikkelsen, S., & Thomsen, J. F. (2024) · American Journal of Industrial Medicine · doi:10.1002/ajim.23651 · Cited by 4 · see citing works
Glenday, J. D., Steinhilber, B., Jung, F., & Haeufle, D. F. B. (2020) · Computer Methods in Biomechanics & Biomedical Engineering · doi:10.1080/10255842.2020.1862094 · Cited by 3 · see citing works
The effects of pistol grip power tools on median nerve pressure and tendon strains
Bakker, R., Kalra, M., Tomescu, S. S., Bahensky, R., & Chandrashekar, N. (2021) · International Journal of Occupational Safety and Ergonomics · doi:10.1080/10803548.2021.1950992 · Cited by 3 · see citing works
Ancient Egyptian scribes and specific skeletal occupational risk markers (Abusir, Old Kingdom)
Havelková, P., Dulíková, V., Bejdová, Š., Vacková, J., Velemínský, P., & Bárta, M. (2024) · Scientific Reports · doi:10.1038/s41598-024-63549-z · Cited by 3 · see citing works
Wong, A. Y. W., Kociolek, A. M., & Keir, P. J. (2025) · Biomechanics · doi:10.3390/biomechanics5010015 · Cited by 2 · see citing works
Self-citationPetersen, J. A., Brauer, C., Thygesen, L. C., Flachs, E. M., Lund, C. B., & Thomsen, J. F. (2021) · Occupational and Environmental Medicine · doi:10.1136/oemed-2021-107543 · Cited by 2 · see citing works
Bouzgarrou, L., Kheder, A., Afia, L. B., Ormrane, A., & Hermassi, F. (2023) · Indian Journal of Occupational and Environmental Medicine · doi:10.4103/ijoem.ijoem_109_22 · Cited by 2 · see citing works
Lippe, M. M. F. (2025) · Journal of Medical and Biosciences Research. · doi:10.70164/jmbr.v2i1.454 · Cited by 2 · see citing works
The effect of rigid tape on wrist postures during tree planting
Mojaeva, E., McAlonan, M., & Scott, A. (2022) · Ergonomics · doi:10.1080/00140139.2022.2139417 · Cited by 2 · see citing works
Effects of sex and age on work-related upper extremity musculoskeletal disorders in Ontario, Canada
Tilley, P. M., Mulla, D. M., & Keir, P. J. (2023) · Work · doi:10.3233/wor-220175 · Cited by 1 · see citing works
Self-citationThe Relationship Between Longest-Held Occupation and Hand Function in Older Adults
Levinson, J. E., Cook, R. N. L., & Brown, S. H. (2025) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0000000000003309 · Cited by 1 · see citing works
Analysis and performance evaluation of a power-operated coconut Dehusker for consistent husk removal
Megalingam, R. K., Vadivel, S. R. R., & Udayan, A. P. (2025) · Mechanics Based Design of Structures and Machines · doi:10.1080/15397734.2025.2553886 · Cited by 1 · see citing works
Ito, T., Matsumoto, Y., Funakoshi, H., 伊東, 美., Kanemura, N., & Kokubun, T. (2023) · International Journal of Industrial Ergonomics · doi:10.1016/j.ergon.2023.103471 · Cited by 1 · see citing works
Correlations between Ratings and Technical Measurements in Hand-Intensive Work
Dahlgren, G., Liv, P., Öhberg, F., Järvholm, L. S., Forsman, M., & Rehn, B. (2023) · Bioengineering · doi:10.3390/bioengineering10070867 · Cited by 1 · see citing works
Chander, D. S., Tomezzoli, A., Cavatorta, M. P., Gréau, M., Marie, S., & Pontonnier, C. (2023) · Applied Ergonomics · doi:10.1016/j.apergo.2023.104186 · Cited by 1 · see citing works
Bodin, J., Babin, J., Bertin, M., Bonvallot, N., & Roquelaure, Y. (2024) · Annals of Work Exposures and Health · doi:10.1093/annweh/wxae019 · Cited by 1 · see citing works
Real-time visual feedback can cue changes in grip force during electric hand tool operation
Pinto, B. L., Loewen, D., & Chandrashekar, N. (2024) · International Journal of Occupational Safety and Ergonomics · doi:10.1080/10803548.2024.2370650 · Cited by 1 · see citing works
Okur, S. Ç., Altun, T., Vural, M., & Mert, M. (2024) · Medical Science Monitor · doi:10.12659/msm.945704 · Cited by 1 · see citing works
Biomechanical Models for Estimating Hand Forces When Manually Moving Inert Objects
Rempel, D. M. (2025) · IISE Transactions on Occupational Ergonomics and Human Factors · doi:10.1080/24725838.2025.2465398 · Cited by 1 · see citing works
Mohammadzadeh, H., Zarezadeh, A., Mardani, M. A., & Sadeghi-Demneh, E. (2023) · فصلنامه علمی پژوهشی توانبخشی · doi:10.32598/rj.23.4.1775.8
Effects of Gender, Texture, and Normal Force on Coefficient of Kinetic Friction of Fingertip Skin
Sung, P.-C., & Liu, Y.-P. (2023) · doi:10.1145/3603955.3603996
Hand Strength Changes Following a Clinical Rotation in Hand Therapy: A Pilot Study
Bachman, G. L., MacDonald, J., & Sage, R. (2024) · The Open Journal of Occupational Therapy · doi:10.15453/2168-6408.2151
Muzammil, S., Younas, N., Fatima, N., Hussain, I. T., & Rana, A. S. (2024) · Journal of Riphah College of Rehabilitation Sciences · doi:10.53389/jrcrs.2024120108
A systematic review Risk Factors of Carpal Tunnel Syndrome in Food Industry Workers
Kawulaningsari, D., Ekie, N. D., Abada, H. A., & Rabbani, R. Y. (2023) · CoMPHI Journal Community Medicine and Public Health of Indonesia Journal · doi:10.37148/comphijournal.v4i1.133
Zueva, Y. I. (2024) · Russian Journal of Occupational Health and Industrial Ecology · doi:10.31089/1026-9428-2024-64-6-428-434
Fan, X., Rydgård, J., Hettiarachchi, P., Eliasson, K., Dahlqvist, C., & Johansson, P. J. (2025) · medRxiv · doi:10.1101/2025.10.03.25337266
Frequency of Cubital Tunnel Syndrome Among Tailors: A Descriptive Cross-Sectional Study
Waseem, M., Amin, K., Aleem, M., Tariq, U., Nadeem, F., Nasir, M. F., & Malik, L. A. (2024) · The Healer Journal of Physiotherapy and Rehabilitation Sciences · doi:10.55735/v40rx403
Ito, T., & Kokubun, T. (2026) · Journal of Hand Therapy · doi:10.1016/j.jht.2025.12.011
Distributed loads alter internal load predictions in the hands and forearm
Chhiba, R., Mulla, D. M., & Keir, P. J. (2026) · Computer Methods in Biomechanics & Biomedical Engineering · doi:10.1080/10255842.2026.2658129
Self-citationTomezzoli, A., Naaïm, A., Fréchède, B., & Duprey, S. (2026) · IISE Transactions on Occupational Ergonomics and Human Factors · doi:10.1080/24725838.2026.2666319
Work-related upper extremity and back injury claims across Canada from 2000–2019
Habib, Y., Mulla, D. M., & Keir, P. J. (2026) · Exploration of Musculoskeletal Diseases · doi:10.37349/emd.2026.1007125
Self-citationJin, X., Wang, Y., & He, L. (2026) · Applied Sciences · doi:10.3390/app16146928
Evaluating the Usability of Infotainment System Rotary Controllers for Drivers with Disabilities
Honan, O., Hrbek, K., Dreslin, B. D., Mathura, S., Ibarra, B., Chaparro, B. S., & Chaparro, A. (2026) · Communications in computer and information science · doi:10.1007/978-3-032-30552-7_37
- Authors
- Keir, P. J., Farias Zuniga, A., Mulla, D. M., & Somasundram, K. G.
- Affiliations
- McMaster University (CA)
- McMaster University, Hamilton, Ontario, Canada
- Corresponding author
- Keir, Peter J.
- Venue
- Human Factors: The Journal of the Human Factors and Ergonomics Society
- Publisher
- SAGE Publications
- Published
- 2019-07-17
- Volume
- 63
- Issue
- 1
- Pages
- 5-31
- ISSN
- 0018-7208 (ISSN-L)
- 1547-8181
- OpenAlex
- W2958440515
- Cited by
- 57
- References
- 121
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 13 · 2023: 13 · 2022: 7 · 2021: 5 · 2020: 6 · 2019: 1
- FWCI
- 5.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Human Factors The Journal of the Human Factors and Ergonomics Society (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Ergonomics and Musculoskeletal Disorders
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Safety in Workplaces
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Performance
- Keywords
- occupational risk factors, upper limb disorders, epicondylitis, carpal tunnel syndrome, repetitive work, awkward postures, hand-arm vibration, biomechanics, dose-response relationship, risk factor interactions, animal models, injury prevention
- MeSH terms
- Carpal Tunnel Syndrome, Humans, Musculoskeletal Diseases, Occupational Diseases, Risk Factors, Upper Extremity
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review