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Reliability and validity assessment of the hand activity level threshold limit value and strain index using expert ratings of mono-task jobs.

Reliability and validity assessment of the hand activity level threshold limit value and strain index using expert ratings of mono-task jobs. Research Abstract Details 

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  • Reliability and validity assessment of the hand activity level threshold limit value and strain index using expert ratings of mono-task jobs. Abstract Text:

    peregrin spielholzPeregrin Spielholz,stephen baoStephen Bao,ninica howardNinica Howard,barbara silversteinBarbara Silverstein,joyce fanJoyce Fan,caroline smithCaroline Smith,carolyn salazarCarolyn Salazar,peregrin spielholzPeregrin Spielholz,stephen baoStephen Bao,ninica howardNinica Howard,barbara silversteinBarbara Silverstein,joyce fanJoyce Fan,caroline smithCaroline Smith,carolyn salazarCarolyn Salazar,

    This study evaluated two subjective assessment methods for physical work-related musculoskeletal disorder (WMSD) risk factors. A total of 567 participants from 12 companies in the manufacturing and health care industries were evaluated using the hand activity level (HAL) threshold limit value (TLV) and the Strain Index. Inter-rater reliability comparisons were performed on 125 selected cyclic tasks, with one novice and three experienced raters. Predictive validity was assessed by evaluation of relationships between measured exposure parameters and diagnosed WMSDs of the hand/wrist and elbow. HAL hand repetition ratings had a Spearman r value of 0.65 and a kappa value of 0.44 between raters. Subjective force (0-10 scale) estimates had a Spearman r = 0.28 and were not significantly different between raters (p > .05). The rating comparison for the four subjective components of the Strain Index had Spearman r correlations of 0.37-0.62 and kappa values of 0.25-0.44. The Strain Index and HAL TLV agreed on exposure categorization 56% of the time. Logistic regression showed, after adjustment for age, gender, and body mass index, that higher peak hand force estimates (odds ratio [OR] 1.14, confidence interval (CI) 1.02-1.27), most common force estimates (OR 1.14, CI 1.02-1.28), hand/wrist posture rating (OR 1.71, CI 1.15-2.56), and Strain Index scores >/= 7 (OR 1.82, CI 1.04-3.18) were associated with distal upper extremity disorders in the dominant hand. HAL repetition ratings >/= 4 (OR 2.81, CI 1.40-5.62) and hand/wrist posture ratings (OR 1.59, CI 1.01-2.49) were associated with disorders in the nondominant hand. These findings show moderate to good inter-rater agreement and significant relationships to health outcomes for the identified measures.

    Reliability and validity assessment of the hand activity level threshold limit value and strain index using expert ratings of mono-task jobs. Publishing Authors By Initials

    p spielholzP Spielholz,s baoS Bao,n howardN Howard,b silversteinB Silverstein,j fanJ Fan,c smithC Smith,c salazarC Salazar,p spielholzP Spielholz,s baoS Bao,n howardN Howard,b silversteinB Silverstein,j fanJ Fan,c smithC Smith,c salazarC Salazar,

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    Reliability and validity assessment of the hand activity level threshold limit value and strain index using expert ratings of mono-task jobs. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Journal of occupational and environmental hygiene

    VOLUME: 5

    Page Numbers: 250-7

    Journal Abbreviation:

    ISSN: 1545-9624

    DAY: 20

    MONTH: Apr

    YEAR: 2008

    Reliability and validity assessment of the hand activity level threshold limit value and strain index using expert ratings of mono-task jobs. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 101189458

    Reliability and validity assessment of the hand activity level threshold limit value and strain index using expert ratings of mono-task jobs. Keywords Mesh Terms:

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    Grant and Affiliation Information for Reliability and validity assessment of the hand activity level threshold limit value and strain index using expert ratings of mono-task jobs.

    AFFILIATION: SHARP Program, Washington Department of Labor and Industries, Olympia, Washington.

    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: J Occup Environ Hyg

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