LONGITUDINAL-STUDY OF MEDIAN NERVE SENSORY CONDUCTION IN INDUSTRY - RELATIONSHIP TO AGE, GENDER, HAND DOMINANCE, OCCUPATIONAL HAND USE, AND CLINICAL-DIAGNOSIS

被引：73

作者：

NATHAN, PA

KENISTON, RC

MYERS, LD

MEADOWS, KD

机构：

[1] Portland Hand Surgery and Rehabilitation Center, Portland, OR

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1992年 / 17A卷 / 05期

关键词：

D O I：

10.1016/0363-5023(92)90455-X

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

As part of a longitudinal study of the cause of carpal tunnel syndrome in industry, we evaluated sensory conduction of the median nerve in relation to age, gender, hand dominance, occupational hand use, and clinical diagnosis. The original 1984 study group consisted of 942 hands of 471 industrial workers, and the follow-up study group in 1989 consisted of 630 hands of 316 (67%) of these same workers. The palmar segmental stimulation technique was employed, and slowing was defined as a maximum latency difference of 0.4 msec or more after adjustment for temperature variation. There was no significant change in the prevalence of slowing between 1984 and 1989 (23% in 1984, 22% in 1989), and slowing was still strongly correlated with increased age but not with gender. Slowing continued to be more prevalent in the dominant hand. Slowing was no longer correlated in any fashion with occupational hand use. The prevalence of probable carpal tunnel syndrome was still strongly correlated with the degree of slowing. Age and hand dominance were more important than any job-related factor in the prediction of slowing after 5 years.

引用

页码：850 / 857

页数：8

共 39 条

[1]

Hadler, The carpal tunnel syndrome, Medical management of the regional musculoskeletal diseases, pp. 143-155, (1984)

[2]

Kimura, The carpal tunnel syndrome: localization of conduction abnormalities within the distal segment of the median nerve, Brain, 102, pp. 619-635, (1979)

[3]

Kimura, Variability in nerve conduction measurement and carpal tunnel syndrome, Electrodiagnosis in diseases of nerve and muscle: principles and practice, pp. 97-100, (1984)

[4]

Kimura, Variability in nerve conduction measurement and carpal tunnel syndrome, Electrodiagnosis in diseases of nerve and muscle: principles and practice, pp. 494-496, (1984)

[5]

Stevens, AAEE minimonograph No. 26: the electrodiagnosis of carpal tunnel syndrome, Muscle Nerve, 10, pp. 99-113, (1987)

[6]

Nathan, Meadows, Doyle, Relationship of age and sex to sensory conduction of the median nerve at the carpal tunnel and association of slowed conduction with symptoms, Muscle & Nerve, 11, pp. 1149-1153, (1988)

[7]

Nathan, Doyle, Meadows, Comparison of sensory latencies of the median nerve at the carpal tunnel among juveniles and adults, Bull Hosp J Dis Orthop Inst, 49, pp. 85-93, (1989)

[8]

Taylor, Non-linear effects of age on nerve conduction in adults, J Neurol Sci, 66, pp. 223-224, (1984)

[9]

Vandenriessche, Vanhecke, Rosselle, Normal sensory conduction in the distal segment of the median and radial nerve: relation to age, Electromyogr Clin Neurophysiol, 21, pp. 511-519, (1981)

[10]

Nathan, Meadows, Doyle, Occupation as a risk factor for impaired sensory conduction of the median nerve at the carpal tunnel, J Hand Surg, 13 B, pp. 167-170, (1988)

← 1 2 3 4 →