Chandra Sadanandavalli Retnaswami, Anand Biji, Issac Thomas Gregor
Department of Neurology, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
Department of General Medicine, Government District General Hospital, Quilon, Kerala, India.
Ann Indian Acad Neurol. 2017 Jan-Mar;20(1):23-28. doi: 10.4103/0972-2327.199917.
Coir work, in a large number of people involves mechanically rolling the coconut fibers into coir which is later subjected to various processes. The primary work is done as a cottage industry specially by women in the sitting posture for several hours. This study reports evidence of median and common peroneal neuropathy electrophysiologically in people who had been engaged in this job for several years. This study was initiated to establish the possible relationship between coir work and symptomatic neuropathies which was seen in that region with all investigations "" contributing to the etiological diagnosis.
One hundred and forty-two upper limbs and 142 lower limbs in patients engaged in long years of coir work but having no symptoms were evaluated electrophysiologically with informed consent and financial compensation, appropriate inclusion and exclusion criteria were followed as described in the text.
There is electrophysiological evidence for median and common peroneal neuropathy in persons engaged in long years of coir work.
Coir workers neuropathy appears to be a new occupational neuropathy which can be prevented by following simple preventive measures.
在许多人中,椰壳纤维加工工作涉及将椰子纤维机械地卷成椰壳纤维,随后进行各种加工过程。这项主要工作作为家庭手工业来完成,特别是女性以坐姿持续数小时进行。本研究通过电生理学方法报告了从事这项工作数年的人群中正中神经和腓总神经病变的证据。开展本研究是为了确定椰壳纤维加工工作与该地区所见的症状性神经病变之间可能存在的关系,所有调查都有助于病因诊断。
在获得知情同意并给予经济补偿的情况下,对142例长期从事椰壳纤维加工工作但无症状的患者的142条上肢和142条下肢进行了电生理评估,按照文中所述遵循了适当的纳入和排除标准。
有长期从事椰壳纤维加工工作的人员出现正中神经和腓总神经病变的电生理证据。
椰壳纤维加工工人神经病变似乎是一种新的职业性神经病变,通过采取简单的预防措施可以预防。