Byström S, Hall C, Welander T, Kilbom A
Division of Applied Work Physiology, National Institute of Occupational Health, Stockholm, Sweden.
J Hand Surg Br. 1995 Dec;20(6):782-90. doi: 10.1016/s0266-7681(95)80047-6.
The prevalence of forearm and hand disorders was examined by questionnaire and clinical examination in 199 automobile assembly line workers and in 186 controls. The pressure-pain threshold, hand grip force and hand anthropometry were also studied. There was an increased prevalence of de Quervain's disease for male automobile assembly line workers, and of carpal tunnel syndrome in female workers. The prevalence of symptoms in the forearm and hand during the last 7 days were twice as high among automobile assembly line workers than controls for both men and women. The occurrence of symptoms in the last 7 days was associated with de Quervain's disease, carpal tunnel syndrome and sick-leave due to forearm or hand problems, and it also influenced activities of daily living. Hand grip strength and anthropometrics were not associated with findings in the clinical examination or the occurrence of symptoms in the last 7 days. Low pressure-pain threshold was not associated with findings in the clinical examination, except for reported occurrence of symptoms in the last 7 days for women. Pressure-pain threshold as an indicator of tissue damage is discussed.
通过问卷调查和临床检查，对199名汽车装配线工人和186名对照人员的前臂和手部疾病患病率进行了调查。同时还研究了压痛阈值、握力和手部人体测量学指标。男性汽车装配线工人患桡骨茎突狭窄性腱鞘炎的患病率增加，女性工人患腕管综合征的患病率增加。在过去7天里，汽车装配线工人前臂和手部症状的患病率无论男女都比对照人员高出两倍。过去7天内症状的出现与桡骨茎突狭窄性腱鞘炎、腕管综合征以及因前臂或手部问题导致的病假有关，并且还影响日常生活活动。握力和人体测量学指标与临床检查结果或过去7天内症状的出现无关。除了女性报告在过去7天内出现症状外，低压痛阈值与临床检查结果无关。文中讨论了将压痛阈值作为组织损伤指标的情况。
