Demiryurek Bekir Enes, Aksoy Gündoğdu Aslı
Sakarya University, Sakarya, Turkey (Training and Research Hospital, Department of Neurology).
Namık Kemal University, Tekirdağ, Turkey (School of Medicine, Department of Neurology).
Int J Occup Med Environ Health. 2018 Jan 15;31(3):333-339. doi: 10.13075/ijomeh.1896.01068. Epub 2017 Oct 24.
Carpal tunnel syndrome (CTS) may develop with repetitive and forced movements of the hands and wrists. In this study, we have aimed to evaluate whether the frequency of CTS is increased amongst female hairdressers as compared with unemployed women or not. Besides, we have also analyzed whether the functionality and pain intensity levels amongst female hairdressers with CTS are different from the ones of unemployed women with CTS or not.
The consecutive female hairdressers and unemployed women who had referred to our electroneuromyography (ENMG) laboratory for the upper extremity nerve conduction studies were included. They were evaluated in terms of clinical and ENMG findings, socio-demographic characteristics, functionality and pain intensity levels determined with the Boston CTS Questionnaire and visual analog scale (VAS).
In this study, 110 women (70 female hairdressers and 40 unemployed women) were included. The frequency of CTS among hairdressers (74.3%) was higher than the one of the unemployed control group (55%) (p = 0.032). We detected that as the time period of occupation in hairdressing increased, the risk of developing CTS also increased among hairdressers (p < 0.001). Additionally, pain intensity and functional loss levels were higher for hairdressers with CTS than those for the control group with CTS (p = 0.005, p < 0.001, p = 0.028, respectively).
The frequency of CTS is elevated for female hairdressers with respect to the unemployed women as in many other occupations requiring forced or repetitive hand movements. Besides, the occupational exposure in hairdressing also results in more elevated pain intensity and functional loss levels related with CTS as compared with the unemployed subjects. Int J Occup Med Environ Health 2018;31(3):333-339.
腕管综合征(CTS)可能因手部和腕部的重复性强迫运动而发生。在本研究中,我们旨在评估与失业女性相比,女性美发师中CTS的发生率是否增加。此外,我们还分析了患有CTS的女性美发师的功能和疼痛强度水平与患有CTS的失业女性是否不同。
纳入连续前来我们的肌电图(ENMG)实验室进行上肢神经传导研究的女性美发师和失业女性。根据临床和ENMG检查结果、社会人口学特征、用波士顿CTS问卷和视觉模拟量表(VAS)确定的功能和疼痛强度水平对她们进行评估。
本研究纳入了110名女性(70名女性美发师和40名失业女性)。美发师中CTS的发生率(74.3%)高于失业对照组(55%)(p = 0.032)。我们发现,随着美发工作时间的增加,美发师中发生CTS的风险也增加(p < 0.001)。此外,患有CTS的美发师的疼痛强度和功能丧失水平高于患有CTS的对照组(分别为p = 0.005、p < 0.001、p = 0.028)。
与许多其他需要强迫性或重复性手部运动的职业一样,女性美发师中CTS的发生率相对于失业女性有所升高。此外,与失业者相比,美发行业的职业暴露还导致与CTS相关的疼痛强度和功能丧失水平更高。《国际职业医学与环境卫生杂志》2018年;31(3):333 - 339。