Safety and Health at Work

Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency (산업안전보건연구원)
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Influences of Neck and/or Wrist Pain on Hand Grip Strength of Industrial Quality Proofing Workers

  • Wollesen, Bettina (Department of Psychology and Ergonomics, Biological Psychology and Neuroergonomics, Technical University of Berlin) ;
  • Graf, Julia (Department of Human Movement Science, University of Hamburg) ;
  • Schumacher, Nils (Department of Human Movement Science, University of Hamburg) ;
  • Meyer, Gianluca (Department of Human Movement Science, University of Hamburg) ;
  • Wanstrath, Matthias (German Social Accident Insurance for the Health and Welfare Services, Department for Occupational Medicine, Hazardous Substances and Public Health) ;
  • Feldhaus, Christian (Corporate Safety & Health, Continental AG) ;
  • Luedtke, Kerstin (Department of Medicine, Academic Physiotherapy, Pain and Exercise Research, University of Luebeck) ;
  • Mattes, Klaus (Department of Human Movement Science, University of Hamburg)
  • Received : 2019.11.06
  • Accepted : 2020.06.24
  • Published : 2020.12.30
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Abstract

Background: The aim of this study was to analyze the interaction between neck and/or wrist pain and hand grip strength (HGS) and to investigate factors (age, sex, neck disorders, and carpal tunnel syndrome) influencing the HGS of industrial quality proofing workers (N = 145). Methods: Standardized questionnaires [Neck Disability Index (NDI), Boston Carpal Tunnel Questionnaire] were used to evaluate existing neck and/or wrist pain. HGS measurements were performed in different wrist positions. Results: Significant differences between participants with and without neck pain were found in different wrist positions, in neutral wrist position right [without neck pain (n = 48) 46.34 (43.39 - 49.30); with neck pain (n = 97) 38.46 (36.20 - 40.72), F(1,144) = 16.82, p < 0.001, ŋp2 = 0.11] and left [without neck pain 44.06 (41.19 - 46.94); with neck pain 37.36 (35.13 - 39.58), F(1,144) = 12.70, p < 0.001, ŋp2 = 0.08]. A significant difference between participants with and without wrist pain was found for neutral wrist position right [without wrist pain (n = 105) 42.53 (40.37 - 44.70); with wrist pain (n = 40) 37.24 (33.56 - 40.91), F(1,144) = 6.41, p = 0.01, ŋp2 = 0.04]. Regression analysis showed significant results especially for steps two (age and weight, NDI) and three (age and weight, NDI, Boston Carpal Tunnel Questionnaire) for neutral position right (R2 = 0.355, R2 = 0.357, respectively). Conclusion: Neck pain has an impact on HGS but should be evaluated in consideration of age and sex.

Keywords

Acknowledgement

The authors would like to acknowledge the support for this study provided by the automotive supplier Continental AG with numerous locations.

References

  1. Aboonq MS. Pathophysiology of carpal tunnel syndrome. Neurosciences 2015;20(1):4-9 (Riyadh).
  2. Potvin JR. Predicting maximum acceptable efforts for repetitive tasks: an equation based on duty cycle. Hum Factor. 2012;54(2):175-88.
  3. Didomenico A, Nussbaum MA. Measurement and prediction of single and multi-digit finger strength. Ergonomics 2003;46(15):1531-48.
  4. Greig M, Wells R. Measurement of prehensile grasp capabilities by a force and moment wrench: methodological development and assessment of manual workers. Ergonomics 2004;47(1):41-58.
  5. Waters TR, Putz-Anderson V, Garg A, Fine LJ. Revised NIOSH equation for the design and evaluation of manual lifting tasks. Ergonomics 1993;36(7):749-76.
  6. Carmeli E, Patish H, Coleman R. The aging hand. J Gerontol A Biol Sci Med Sci 2003;58(2):M146-52. https://doi.org/10.1093/gerona/58.2.M146.
  7. Chilima DM, Ismail SJ. Nutrition and handgrip strength of older adults in rural Malawi. Public Health Nutr 2001;4(1):11-7. https://doi.org/10.1079/PHN200050.
  8. Stenholm Sari, Tiainen Kristina, Rantanen Taina, Sainio Paivi, Heliovaara Markku, Impivaara Olli, Koskinen Seppo. Long-Term Determinants of Muscle Strength Decline: Prospective Evidence from the 22-Year Mini-Finland Follow-Up Survey. J Am Geriatr Soc 2012;60(1):77-85. https://doi.org/10.1111/j.1532-5415.2011.03779.x.
  9. Sternang O, Reynolds CA, Finkel D, Ernsth-Bravell M, Pedersen NL, Dahl Aslan AK. Factors associated with grip strength decline in older adults. Age and Ageing 2015;44(2):269-74. https://doi.org/10.1093/ageing/afu170.
  10. Faisal CK, Mathew N, Mathias L, Ajith S. Grip strength and hand function changes in unilateral cervical radiculopathy. Int J Curr Res Rev 2012;4(21):82-90.
  11. Peolsson A, Ludvigsson ML, Wibault J, Dedering A, Peterson G. Function in patients with cervical radiculopathy or chronic whiplash-associated disorders compared with healthy volunteers. J Manipulative Physiol Ther 2014;37(4):211-8. https://doi.org/10.1016/j.jmpt.2014.01.003.
  12. Savva C, Giakas G, Efstathiou M, Karagiannis C. Test-retest reliability of handgrip strength measurement using a hydraulic hand dynamometer in patients with cervical radiculopathy. J Manipulative Physiol Ther 2014;37(3):206-10. https://doi.org/10.1016/j.jmpt.2014.02.001.
  13. Mathur H, Singh A, Sharma A. Comparison of spinal mobilisation with arm movement (SMWAM) with conventional treatment on grip strength in patients with radiating neck pain. INROADS Int J Jaipur Natl Univ 2017;6(1):75-81.
  14. Lee JH, Yoo WG. Effects of head-neck rotation and kinesio taping of the flexor muscles on dominant-hand grip strength. J Phys Ther Sci 2010;22(3):285-9. https://doi.org/10.1589/jpts.22.285.
  15. Frederiksen H, Hjelmborg J, Mortensen J, McGue M, Vaupel JW, Christensen K. Age trajectories of grip strength: cross-sectional and longitudinal data among 8,342 Danes aged 46 to 102. Ann Epidemiol 2006;16(7):554-62. https://doi.org/10.1016/j.annepidem.2005.10.006.
  16. Mathiowetz V, Rennells C, Donahoe L. Effect of elbow position on grip and key pinch strength. J Hand Surg 1985;10(5):694-7. https://doi.org/10.1016/S0363-5023(85)80210-0.
  17. Puh U. Age-related and sex-related differences in hand and pinch grip strength in adults. Int J Rehabil Res 2010;33(1):4-11. https://doi.org/10.1097/MRR.0b013e328325a8ba.
  18. Bohannon RW, Peolsson A, Massy-Westropp N, Desrosiers J, Bear-Lehman J. Reference values for adult grip strength measured with a Jamar dynamometer: a descriptive meta-analysis. Physiotherapy 2006;92(1):11-5. https://doi.org/10.1016/j.physio.2005.05.003.
  19. Chaisson CE, Zhang Y, Sharma L, Kannel W, Felson DT. Grip strength and the risk of developing radiographic hand osteoarthritis: results from the Framingham Study. Arthritis Care Res 1999;42(1):33-8.
  20. Kjeken I, Dagfinrud H, Slatkowsky-Christensen B, Mowinckel P, Uhlig T, Kvien TK, Finset A. Activity limitations and participation restrictions in women with hand osteoarthritis: patients' descriptions and associations between dimensions of functioning. Ann Rheum Dis 2005;64(11):1633-8. https://doi.org/10.1136/ard.2004.034900.
  21. Russo A, Onder G, Cesari M, Zamboni V, Barillaro C, Capoluongo E, Pahor M, Bernabei R, Landi F. Lifetime occupation and physical function: a prospective cohort study on persons aged 80 years and older living in a community. Occup Environ Med 2006;63(7):438-42. https://doi.org/10.1136/oem.2005.023549.
  22. Gangopadhyay S, Ghosh T, Das T, Ghoshal G, Das BB. Prevalence of upper limb musculo skeletal disorders among brass metal workers in West Bengal, India. Ind Health 2007;45(2):365-70.
  23. Josty IC, Tyler MPH, Shewell PC, Roberts AHN. Grip and pinch strength variations in different types of workers. The J Hand Surg Br Eur 1997;22(2):266-9. https://doi.org/10.1016/S0266-7681(97)80079-4.
  24. Anakwe RE, Huntley JS, McEachan JE. Grip strength and forearm circumference in a healthy population. J Hand Surg Eur 2007;32(2):203-9. https://doi.org/10.1016/J.JHSB.2006.11.003.
  25. Werle S, Goldhahn J, Drerup S, Simmen BR, Sprott H, Herren DB. Age- and gender-specific normative data of grip and pinch strength in a healthy adult Swiss population. J Hand Surg Eur 2009;34(1):76-84. https://doi.org/10.1177/1753193408096763.
  26. Fess E, Moran C. Clinical assessment recommendations. American society of hand Therapists. Grip strength; 1981.
  27. El-Sais WM, Mohammad WS. Influence of different testing postures on hand grip strength. Eur Scient J ESJ 2014;10(36).
  28. Murugan S, Patel D, Prajapati K, Ghoghari M, Patel P. Grip strength changes in relation to different body postures, elbow and forearm positions. Int J Physiother Res 2013;1(4):116-21.
  29. Richards LG, Olson B, Palmiter-Thomas P. How forearm position affects grip strength. Am J Occup Ther 1996;50(2):133-8. https://doi.org/10.5014/ajot.50.2.133.
  30. Bhardwaj P, Nayak SS, Kiswar AM, Sabapathy SR. Effect of static wrist position on grip strength. Indian J Plast Surg 2011;44(1):55-8. https://doi.org/10.4103/0970-0358.81440.
  31. Bhuanantanondh P, Nanta P, Mekhora K. Determining sincerity of effort based on grip strength test in three wrist positions. Saf Health Work 2017. https://doi.org/10.1016/j.shaw.2017.06.001.
  32. Baker NA, Moehling KK, Desai AR, Gustafson NP. Effect of carpal tunnel syndrome on grip and pinch strength compared with sex- and age-matched normative data. Arthritis Care Res 2013;65(12):2041-5. https://doi.org/10.1002/acr.22089.
  33. Mora AN, Blazar PE. Upper extremity nerve entrapment. In: Katz JN, Blauwet CA, Schoenfeld AJ, editors. Principles of orthopedic practice for primary care providers. [S.l.]. Springer; 2018. p. 253-66.
  34. Gelberman RH, Hergenroeder PT, Hargens AR, Lundborg GN, Akeson WH. The carpal tunnel syndrome. A study of carpal canal pressures. JBJS 1981;63(3):380-3.
  35. Loh PY, Muraki S. Effect of wrist angle on median nerve appearance at the proximal carpal tunnel. PLoS ONE 2015;10(2):e0117930. https://doi.org/10.1371/journal.pone.0117930.
  36. Schmidt HM. Chirurgische Anatomie des Karpaltunnels. Handchir Mikrochir Plast Chir 2006;38(5):283-95. https://doi.org/10.1055/s-2006-923848.
  37. You D, Smith AH, Rempel D. Meta-analysis: association between wrist posture and carpal tunnel syndrome among workers. Saf Health Work 2014;5(1):27-31. https://doi.org/10.1016/j.shaw.2014.01.003.
  38. Assmus H, Antoniadis G, Bischoff C. Carpal and cubital tunnel and other, rarer nerve compression syndromes. Deutsches Arzteblatt Int 2015;112(1-2):14-25. https://doi.org/10.3238/arztebl.2015.0014.
  39. Amin DI, Hawari MZ, Hassan HES, Elhafez HM. Effect of sex and neck positions on hand grip strength in healthy normal adults: a cross-sectional, observational study. Bull Fac Phys Ther 2016;21(1):42. https://doi.org/10.4103/1110-6611.188028.
  40. Hansraj KK. Assessment of stresses in the cervical spine caused by posture and position of the head. Surg Technol Int 2014;25:277-9.
  41. Upton AR, McComas AJ. The double crush in nerve entrapment syndromes. Lancet 1973;2(7825):359-62.
  42. Cohen BH, Gaspar MP, Daniels AH, Akelman E, Kane PM. Multifocal neuropathy: expanding the scope of double crush syndrome. J Hand Surg Am 2016;41(12):1171-5. https://doi.org/10.1016/j.jhsa.2016.09.009.
  43. Molinari WJ, Elfar JC. The double crush syndrome. J Hand Surg 2013;38(4): 799-801. https://doi.org/10.1016/j.jhsa.2012.12.038.
  44. Moberg LL, Lunde L-K, Koch M, Tveter AT, Veiersted KB. Association between V_O2max, handgrip strength, and musculoskeletal pain among construction and health care workers. BMC Public Health 2017;17(1):272. https://doi.org/10.1186/s12889-017-4173-3.
  45. Fayez ES. The correlation between neck pain and hand grip strength of dentists. Occup Med Health Aff 2014;2(5):1-4. https://doi.org/10.4172/2329-6879.1000185.
  46. Kohli JK, Thurkral H. A study on relationship between neck pain and handgrip strength in dentists as an occupational hazard. Al Ameen J Med 2018;11(1):27-30.
  47. Novak CB. Upper extremity work-related musculoskeletal disorders: a treatment perspective. J Orthop Sports Phys Ther 2004;34(10):628-37. https://doi.org/10.2519/jospt.2004.34.10.628.
  48. Bepko J, Mansalis K. Common occupational disorders: asthma, COPD, dermatitis, and musculoskeletal disorders. Am Fam Physician 2016;93(12):1000-6.
  49. Nordander C, Hansson G-A, Ohlsson K, Arvidsson I, Balogh I, Stromberg U, Rittner R, Skerfving S. Exposure-response relationships for work-related neck and shoulder musculoskeletal disorders - Analyses of pooled uniform data sets. Appl Ergon 2016;55:70-84. https://doi.org/10.1016/j.apergo.2016.01.010.
  50. Nordander C, Ohlsson K, Akesson I, Arvidsson I, Balogh I, Hansson G-A, Stromberg U, Rittner R, Skerfving S. Exposure-response relationships in work-related musculoskeletal disorders in elbows and hands-A synthesis of group-level data on exposure and response obtained using uniform methods of data collection. Appl Ergon 2013;44(2):241-53.
  51. Nur NM, Dawal SZM, Dahari M, editors. The prevalence of work related musculoskeletal disorders among workers performing industrial repetitive tasks in the automotive manufacturing companies 2014.
  52. Mozafari A, Vahedian M, Mohebi S, Najafi M. Work-related musculoskeletal disorders in truck drivers and official workers. Acta Med Iranica 2015;53(7):432-8.
  53. Cramer H, Lauche R, Langhorst J, Dobos GJ, Michalsen A. Validation of the German version of the neck disability index (NDI). BMC Musculoskelet Disord 2014;15(1):91. https://doi.org/10.1186/1471-2474-15-91.
  54. Swanenburg J, Humphreys K, Langenfeld A, Brunner F, Wirth B. Validity and reliability of a German version of the neck disability index (NDI-G). Man Ther 2014;19(1):52-8. https://doi.org/10.1016/j.math.2013.07.004.
  55. Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipul Physiol Ther 1991;14(7):409-15.
  56. de Carvalho Leite J, Jerosch-Herold C, Song F. A systematic review of the psychometric properties of the Boston Carpal Tunnel Questionnaire. BMC Musculoskelet Disord 2006;7:78. https://doi.org/10.1186/1471-2474-7-78.
  57. Keilani MY, Pernicka E, Paternostro-Sluga T, Sycha T, Schett G, Pieber K, Fialka-Moser V, Crevenna R. ubersetzung und Validierung des "Boston Carpal Tunnel Syndrome Questionnaire" zum Einsatz bei deutschsprachigen Patienten. Phys Med Rehab Kuror 2008;18(03):136-44.
  58. Amadio PC, Silverstein MD, Ilstrup DM, Schleck CD, Jensen LM. Outcome assessment for carpal tunnel surgery: the relative responsiveness of generic, arthritis-specific, disease-specific, and physical examination measures. J Hand Surg Am 1996;21(3):338-46.
  59. Levine DW, Simmons BP, Koris MJ, Daltroy LH, Hohl GG, Fossel AH, Katz JN. A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome. J Bone Joint Surg (Am Vol) 1993;75(11):1585-92.
  60. Heybeli N, Kutluhan S, Demirci S, Kerman M, Mumcu EF. Assessment of outcome of carpal tunnel syndrome: a comparison of electrophysiological findings and a self-administered Boston questionnaire. J Hand Surg 2002;27(3):259-64. https://doi.org/10.1054/jhsb.2002.0762.
  61. Reis MM, Arantes PMM. Medida da forca de preensao manual- validade e confiabilidade do dinamometro saehan. Fisioter Pesqui 2011;18(2):176-81. https://doi.org/10.1590/S1809-29502011000200013.
  62. McManus IC. The history and geography of human handedness. Lang Lateralization Psychosis 2009:37-57.

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