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Computer use and carpal tunnel syndrome: A meta-analysis

  • Rahman Shiri
    Correspondence
    Corresponding author at: Finnish Institute of Occupational Health, Topeliuksenkatu 41 a A, FI-00250 Helsinki, Finland. Tel.: +358 30 4742993; fax: +358 30 4742006.
    Affiliations
    Centre of Expertise for Health and Work Ability, and Disability Prevention Centre, Finnish Institute of Occupational Health, Helsinki, Finland
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  • Kobra Falah-Hassani
    Affiliations
    Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Canada
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Published:January 02, 2015DOI:https://doi.org/10.1016/j.jns.2014.12.037

      Highlights

      • An inverse relation between computer use and carpal tunnel syndrome in general population studies
      • Lack of adjustment for occupational risk factors in general population studies
      • A positive association between computer use and carpal tunnel syndrome in office workers

      Abstract

      Background

      Studies have reported contradictory results on the role of keyboard or mouse use in carpal tunnel syndrome (CTS). This meta-analysis aimed to assess whether computer use causes CTS.

      Methods

      Literature searches were conducted in several databases until May 2014. Twelve studies qualified for a random-effects meta-analysis. Heterogeneity and publication bias were assessed.

      Results

      In a meta-analysis of six studies (N = 4964) that compared computer workers with the general population or other occupational populations, computer/typewriter use (pooled odds ratio (OR) = 0.72, 95% confidence interval (CI) 0.58–0.90), computer/typewriter use ≥1 vs. <1 h/day (OR = 0.63, 95% CI 0.38–1.04) and computer/typewriter use ≥4 vs. <4 h/day (OR = 0.68, 95% CI 0.54–0.87) were inversely associated with CTS. Conversely, in a meta-analysis of six studies (N = 5202) conducted among office workers, CTS was positively associated with computer/typewriter use (pooled OR = 1.34, 95% CI 1.08–1.65), mouse use (OR = 1.93, 95% CI 1.43–2.61), frequent computer use (OR = 1.89, 95% CI 1.15–3.09), frequent mouse use (OR = 1.84, 95% CI 1.18–2.87) and with years of computer work (OR = 1.92, 95% CI 1.17–3.17 for long vs. short). There was no evidence of publication bias for both types of studies.

      Conclusions

      Studies that compared computer workers with the general population or several occupational groups did not control their estimates for occupational risk factors. Thus, office workers with no or little computer use are a more appropriate comparison group than the general population or several occupational groups. This meta-analysis suggests that excessive computer use, particularly mouse usage might be a minor occupational risk factor for CTS. Further prospective studies among office workers with objectively assessed keyboard and mouse use, and CTS symptoms or signs confirmed by a nerve conduction study are needed.

      Keywords

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