Article ; Online: Reliability and validity of expert assessments of hand-wrist physical exposures.
American journal of industrial medicine
2021 Volume 65, Issue 2, Page(s) 132–142
Abstract: Background: General population job-exposure matrices (JEMs) based on expert assessments of physical exposures may be valuable tools for studying occupation-related musculoskeletal disorders. Wrist-hand JEMs are few and the reliability and validity of ... ...
Abstract | Background: General population job-exposure matrices (JEMs) based on expert assessments of physical exposures may be valuable tools for studying occupation-related musculoskeletal disorders. Wrist-hand JEMs are few and the reliability and validity of expert assessments of wrist-hand exposures is uncertain. Methods: We examined intra- and inter-rater reliability of ratings of five experts of hand-wrist repetition, deviation, force, vibration, and computer work in 33 jobs selected to represent a large exposure variation. The validity of ratings of hand-wrist repetition was examined by comparison with electro-goniometer measurements of wrist angular velocity and mean power frequency (MPF), and the validity of hand-wrist deviation by comparison with goniometer measurements of range of motion (ROM). Results: Intra-rater test-retest and inter-rater Spearman correlation coefficients controlling for rater effects, varied between 0.70 and 0.87. Corresponding kappa statistics of overall agreement showed similar high values, except for wrist deviation (kappa = 0.50). Regression analyses showed strong positive associations between expert assessments of repetition and goniometer measurements of wrist angular velocity (R Conclusion: The reliability of expert assessments of wrist-hand physical exposures was high. Compared to goniometer measurements, the validity of assessments of wrist-hand repetition was also high, but it was low for assessments of wrist-hand deviation. The results are encouraging for establishing a hand-wrist JEM, but the results for wrist deviation emphasize that expert assessments should be validated against objective measurements. |
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MeSH term(s) | Humans ; Range of Motion, Articular ; Reproducibility of Results ; Wrist ; Wrist Joint |
Language | English |
Publishing date | 2021-12-05 |
Publishing country | United States |
Document type | Journal Article ; Research Support, Non-U.S. Gov't |
ZDB-ID | 604538-8 |
ISSN | 1097-0274 ; 0271-3586 |
ISSN (online) | 1097-0274 |
ISSN | 0271-3586 |
DOI | 10.1002/ajim.23318 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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