Factors associated with carpal tunnel syndrome among bag craftsmen in Sidoarjo, Indonesia
DOI: https://doi.org/10.33024/minh.v9i6.3914
Awkward Posture Bag Craftsmen Carpal Tunnel Syndrome Repetitive Movements Risk Factors
Abstract
Background: Carpal Tunnel Syndrome (CTS) is a wrist disorder caused by compression of the median nerve within the carpal tunnel. It commonly manifests as tingling, numbness, and muscle weakness in the fingers or hand. If left untreated, CTS can lead to more severe physical impairment. Workers engaged in repetitive tasks with awkward postures, such as bag craftsmen at UD Sumber Rejeki, are particularly at risk.
Purpose: To identify risk factors associated with CTS complaints among bag craftsmen in Sidoarjo Regency.
Method: An observational analytic design with a cross-sectional approach was employed. The sample comprised all 43 bag craftsmen. Data were collected through interviews and direct observation using questionnaires, Phalen’s Test sheets, the Boston Carpal Tunnel Questionnaire (BCTQ), and wrist posture evaluations with the RULA method. Bivariate analysis was conducted using Chi-square or Fisher’s Exact tests, with associations expressed as Odds Ratios (OR) and 95% Confidence Intervals (CI). Results were considered significant at p<0.05.
Results: CTS complaints were reported by 26 workers (60.5%). Significant associations were found between gender (p=0.045; OR=3.75), length of service (p=0.009; OR=6.81), repetitive movements (p<0.001; OR=19.60), and awkward hand posture (p=0.002; OR=7.11). In contrast, age (p=0.055), smoking history (p=0.206), and medical history (p=0.154) showed no statistically significant associations with CTS complaints.
Conclusion: Gender, duration of employment, repetitive movements, and non-ergonomic postures were significantly associated with CTS complaints among bag craftsmen. The industry is encouraged to implement adequate rest breaks and improve workstation ergonomics to reduce the risk of CTS complaints.
Downloads
References
Adila, N. U. R., Binti, A., Ahmad, S., Sciences, R., Of, K., Health, A., Islamic, I., Arshad, M., Sideek, M., Sciences, R., Of, K., Health, A., & Islamic, I. (2023). The relationship between median nerve compression in the carpal tunnel and sleeping position : A systematic review. International Journal of Allied Health Science, 7(5), 541–567.
Afro, H. S., & Paskarini, I. (2022). Hubungan antara IMT dan kebiasaan merokok dengan keluhan musculoskeletal disorders pada petani padi di Desa Doho, Kabupaten Madiun, Jawa Timur. Preventif: Jurnal Kesehatan Masyarakat, 13(1), 98-111. https://doi.org/10.22487/preventif.v13i1.249
Ajhara, S., Novianus, C., & Muzakir, H. (2022). Faktor–faktor yang berhubungan dengan keluhan musculoskeletal disorders (msds) pada pekerja bagian sewing di pt. X pada tahun 2022. Jurnal Fisioterapi Dan Kesehatan Indonesia, 2(2), 150-162. https://doi.org/10.59946/jfki.2022.121
Albyn, D. F., Making, M. A, Iswati, I., Selasa, P., Russiana, H. P., Sapwal, M.J., Primasari, M.A., Shodiqurrahman, R., Badi'ah, A., Fajriyah, N., Rifa'i, A., Anwar, K., Isnaeni, L.M.A., & Istiqomah, S.H., (2022). Keselamatan pasien dan keselamatan kesehatan kerja. CV. Media Sains Indonesia.
Alhusain, F.A., Almohrij, M., Althukeir, F., Alshater, A., Alghamdi, B., Masoudi, E., & Basudan, A. (2019). Prevalence of carpal tunnel syndrome symptoms among dentists working in Riyadh. Annals of Saudi Medicine , 39 (2), 104–111. https://doi.org/10.5144/0256-4947.2019.07.03.1405
Alifariki, L. O. (2019). Epidemiologi hipertensi: sebuah tinjauan berbasis riset. Penerbit LeutikaPrio.
Asfian, P., Akifah, A., & Jayandi, M. (2021). Faktor-faktor yang berhubungan dengan keluhan carpal tunnel syndrome (CTS) pada petugas operator pengisi BBM di SPBU Kota Kendari. Jurnal Kesehatan Masyarakat, 9(5), 669-674. https://doi.org/10.14710/jkm.v9i5.30696
Bouziri, H., Descatha, A., Roquelaure, Y., Dab, W., & Jean, K. (2022). Can we distinguish the role of demographic and temporal changes in the incidence and prevalence of musculoskeletal disorders? A systematic review. Scandinavian Journal of Work, Environment & Health , 48 (4), 253–263. https://doi.org/10.5271/sjweh.4018
Centers for Disease Control and Prevention. (2024). About ergonomics and work-related musculoskeletal disorders. National Institute for Occupational Safety and Health (NIOSH). https://www.cdc.gov/niosh/ergonomics/about/index.html
Chidi-Ogbolu, N., & Baar, K. (2019). Effect of estrogen on musculoskeletal performance and injury risk. Frontiers In Physiology , 9 (1834), 1–11. https://doi.org/10.3389/fphys.2018.01834
Djafar, R.H., & Katuk, H.M. (2022). Tren dan issue keperawatan Vol 1 (Keperawatan medikal bedah, Maternitas, Jiwa, Komunitas, Gawat darurat, Gerontik, & Anak). Lakeisha Publisher.
Gebrye, T., Jeans, E., Yeowell, G., Mbada, C., & Fatoye, F. (2024). Global and regional prevalence of carpal tunnel syndrome: A meta-analysis based on a systematic review. Musculoskeletal Care, 22(4), e70024. https://doi.org/10.1002/msc.70024
Gerger, H., Macri, E. M., Jackson, J. A., Elbers, R. G., van Rijn, R., Søgaard, K., Burdorf, A., Koes, B., & Chiarotto, A. (2024). Physical and psychosocial work-related exposures and the incidence of carpal tunnel syndrome: A systematic review of prospective studies. Applied Ergonomics, 117, 104211. https://doi.org/https://doi.org/10.1016/j.apergo.2023.104211
Ghaisani, D. A., Jayanti, S., & Ekawati. (2021). Faktor risiko kejadian carpal tunnel syndrome (CTS) pada pekerjaan pengguna komputer: Literature review. Jurnal Kesehatan Masyarakat, 9 (1), 104–111. https://doi.org/10.14710/jkm.v9i1.28607
Greggi, C., Visconti, V. V., Albanese, M., Gasperini, B., Chiavoghilefu, A., Prezioso, C., Persechino, B., Iavicoli, S., Gasbarra, E., Iundusi, R., & Tarantino, U. (2024). Work-related musculoskeletal disorders: A systematic review and meta-analysis. Journal of Clinical Medicine , 13 (3964). https://doi.org/10.3390/jcm13133964
Hartanti, H. F., Asnifatima, A., & Fatimah, A. (2018). Faktor risiko yang berhubungan dengan keluhan carpal tunnel syndrome pada pekerja operator komputer bagian redaksi di Harian Metropolitan Bogor tahun 2018. Promotor, 1(1), 68–73.
Holbrook, H. S., Hillesheim, R. A., & Weller, W. J. (2022). Acute carpal tunnel syndrome and median nerve neurapraxia: A review. The Orthopedic Clinics of North America, 53 (2), 197–203. https://doi.org/10.1016/j.ocl.2021.11.005
Jehaman, I., Julintina, M., Ginting, L. R. B., & Berampu, S. (2021). Hubungan masa kerja dan sikap kerja dengan keluhan carpal tunnel syndrome pada pekerja penenun Ulos di Galeri Ulos Sianipar Medan tahun 2020. Jurnal Keperawatan Dan Fisioterapi (JKF), 3(2), 138-145. https://doi.org/https://doi.org/10.35451/jkf.v3i2.607
Kostares, E., Kostare, G., Kostares, M., & Kantzanou, M. (2023). Prevalence of carpal tunnel syndrome among dentists: A systematic review and meta-analysis. F1000Research, 12, 196. https://doi.org/10.12688/f1000research.131173.3
Kurniaputri, G. A., Pinzon, R. T., Veronica, V., & Pramudita, E. A. (2022). Prevalence and risk factors of carpal tunnel syndrome in nurses. Journal of Public Health Sciences, 11 (5), 411–416. https://doi.org/10.33221/jikm.v11i05.1749
Lalupanda, E. Y., Rante, S. D. T., & Dedy, M. A. E. (2020). Hubungan masa kerja dengan kejadian carpal tunnel syndrome pada penjahit sektor informal di Kelurahan Solor Kota Kupang. Cendana Medical Journal, 8(1), 441-449.
Levine, D. W., Simmons, B. P., Koris, M. J., Daltroy, L. H., Hohl, G. G., Fossel, A. H., & Katz, J. N. (1993). A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome. Journal of Bone and Joint Surgery, 75(11), 1585-1592.
Mariana, H. V., Jayanti, S., & Wahyuni, I. (2018). Hubungan gerakan berulang, postur pergelangan tangan, masa kerja dan usia terhadap kejadian carpal tunnel syndrome pada tukang besi (Studi Kasus pada Pekerja Pembentukan Tulangan Kolom, Proyek Pembangunan Apartemen Grand Dhika oleh PT. X). Jurnal Kesehatan Masyarakat, 6(5), 535-540
Middlesworth, Mark. (2019). A Step-by-Step Guide to the RULA Assessment Tool. ErgoPlus. https://ergo-plus.com/rula-assessmenttool-guide/.
Ministry of Health of the Republic of Indonesia. (2022). Kandungan rokok yang berbahaya bagi kesehatan. Direktorat Jenderal Kesehatan Lanjutan. https://keslan.kemkes.go.id/view_artikel/406/kandungan-rokok-yang-berbahaya-bagi-kesehatan
National Health Service. (2024). Carpal tunnel syndrome. NHS. https://www.nhs.uk/conditions/carpal-tunnel-syndrome/
Ningrum, N. A., & Febriyanto, K. (2021). Hubungan kebiasaan merokok dengan risiko musculoskeletal disorders (MSDs) pada petugas pemadam kebakaran. Borneo Studies and Research, 3(1), 566-573. https://journals.umkt.ac.id/index.php/bsr/article/view/2336
Noprianti, D. S., Fauzan, A., & Ernadi, E. (2020). Hubungan antara usia. masa kelrja, frekuensi gerakan berulang delngan keljadian carpal tunnell dyndromel pada penjahit busana Mawar Banjarmasin Tahun 2020. Islamic University of Kalimantan MAB. https://doi.org/10.37776/zked.v12i3.1058
Omole, A. E., Awosika, A., Khan, A., Adabanya, U., Anand, N., Patel, T., Edmondson, C. K., Fakoya, A. O., & Millis, R. M. (2023). An integrated review of carpal tunnel syndrome: New insights into an old problem. Cureus , 15 (6), e40145. https://doi.org/10.7759/cureus.40145
Padua, L., Cuccagna, C., Giovannini, S., Coraci, D., Pelosi, L., Loreti, C., Bernabei, R., & Hobson-Webb, L. D. (2023). Carpal tunnel syndrome: updated evidence and new questions. The Lancet Neurology , 22 (3), 255–267. https://doi.org/10.1016/S1474-4422(22)00432-X
Pangestuti, A. A., & Widajati, N. (2014). Faktor yang berhubungan dengan keluhan carpal tunnel syndrome pada pekerja gerinda di PT Dok dan Perkapalan Surabaya. Thesis, Universitas Airlangga. https://repository.unair.ac.id/23560/
Paramita, T. I., Tini, K., Budiarsa, I. G. N. K., & Samatra, D. P. G. P. (2021). Prevalensi dan karakteristik carpal tunnel syndrome pada pekerja garmen di Kota Denpasar. Jurnal Medika Udayana, 10(2), 6-11.
Prakasa, D. Y. (2020). Komplikasi muskuloskeletal pada pasien diabetes melitus. Jurnal Ilmiah Kesehatan Sandi Husada, 9 (2), 1009–1016. https://www.mendeley.com/catalogue/9cad2a5f-2df9-3b8d-96f4-e14c8057f3b2/
Pratiwi, A. P., Diah, T., Bausad, A. A. P., Allo, A. A., Mustakim, M., Muchlisa, N., Kas, R. S., & Ratnaningsih, M. (2022). Masalah kesehatan masyarakat: Pekerja dan remaja putri. Uwais Inspirasi Indonesia.
Puspita, L., Arifin, A., & Pahruddin, M. (2022). Complaints of carpal tunnel syndrome in Purun Craftsme. Jurnal Kesehatan Lingkungan: Jurnal dan Aplikasi Teknik Kesehatan Lingkungan, 19(2), 283-288.. https://doi.org/https://doi.org/10.31964/jkl.v19i2.381
Puspitasari, A., & Yusuf, R. A. (2023). Low back pain pada supir Bus Trans Mamminasata. CV. Media Sains Indonesia.
Putra, D. K., Setyawan, A., & Zainal, A. U. (2021). Faktor yang berhubungan dengan gejala carpal tunnel synrome (CTS) pada pekerja komputer bagian editing di PT. X tahun 2021. Environmental Occupational Health and Safety Journal, 2(1), 11-18. https://jurnal.umj.ac.id/index.php/EOHSJ/article/view/11785
Ribeiro, L. W., Berndt, S., Mielke, G. I., Doust, J., & Mishra, G. D. (2024). Factors associated with handgrip strength across the life course: A systematic review. Journal of cachexia, sarcopenia and muscle, 15(6), 2270-2280. https://doi.org/10.1002/jcsm.13586
Riccò, M., & Signorelli, C. (2017). Personal and occupational risk factors for carpal tunnel syndrome in meat processing industry workers in Northern Italy. Medycyna Pracy, 68(2), 199-209. https://doi.org/10.13075/mp.5893.00605
Rotaru-Zavaleanu, A.-D., Lungulescu, C. V., Bunescu, M. G., Vasile, R. C., Gheorman, V., Gresita, A., & Dinescu, V. C. (2024). Occupational Carpal Tunnel Syndrome: a scoping review of causes, mechanisms, diagnosis, and intervention strategies. Frontiers in Public Health, Volume 12-2024. https://doi.org/10.3389/fpubh.2024.1407302
Sari, N. D. A. M., Kurniawati, D., & Kaswindiarti, S. (2022). Manajemen praktik kedokteran gigi. Muhammadiyah University Press.
Selviyati, V., Camelia, A., & Sunarsih, E. (2016). Analisis determinan kejadian carpal tunnel syndrome (CTS) pada petani penyadap pohon karet di Desa Karang Manik Kecamatan Belitang II Kabupaten OKU Timur. Jurnal Ilmu Kesehatan Masyarakat, 7(3), 198-208. https://jikm.ejournal.unsri.ac.id/index.php/jikm/article/view/191
Septiani, D., Nesi, N., Fuadi, D. F., Shari, A., Lakoan, M. R., Adiana, S., Hayuningrum, C. F., Radhina, A., Komara, N. K., Syafitri, P. K., & Hasanah, K. (2022). Patologi gerak dan sendi. Yayasan Penerbit Muhammad Zaini.
Setiawan, H. (2021). Bergulat dengan dengan usia: Sebuah refleksi atas pergulatan para lansia pada masa ini. PT Kanisius.
Sitompul, Y. R. M. B. (2022). The relationship between types of workers and incidence of carpal tunnel syndrome in tailors at the garment factory North Jakarta. International Journal of Health Sciences and Research , 12 (5), 282–289. https://doi.org/10.52403/ijhsr.20220529
Tan, M. H. (2020). Diabetes mellitus: Impact on bone, dental and musculoskeletal health. Academic Press.
Tjendra, M., Sari, I., & Febryanti, H. (2022). Hubungan repetitive motion dan masa kerja dengan kejadian carpal tunnel syndrome pada penjahit di Kelurahan Belian Kota Batam. Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam, 12(3), 231-238. https://doi.org/10.37776/zked.v12i3.1058
Tualeka, A. R. (2020). Metodologi penelitian kesehatan dan keselamatan kerja. Airlangga University Press.
Utami, R. F., Munawarah, S., & Khairunissa, H. (2021). Hubungan gerakan repetitif terhadap kejadian carpal Tunnel syndrome (CTS) pada pemetik daun teh di PT. Mitra Kerinci Kabupaten Solok Selatan tahun 2021. Jurnal Fisioterapi dan Rehabilitasi, 6(1), 42-47.
Utamy, R. T. (2020). Literature review: faktor risiko kejadian Carpal Tunnel Syndrome (CTS) pada pekerja. Undergraduate thesis, Diponegoro University.
Wahyuni, T. D. (2021). Asuhan keperawatan gangguan sistem muskuloskeletal. PT. Nasya Expanding Management.
Wulandari, E., Widjasena, B., & Kurniawan, B. (2020). Hubungan lama kerja, gerakan berulang dan postur janggal terhadap kejadian carpal tunnel syndrome (CTS) pada pekerja tahu bakso (Studi kasus pada pekerja tahu bakso Kelurahan Langensari, Ungaran Barat). Jurnal Kesehatan Masyarakat, 8 (6), 826–831. https://ejournal3.undip.ac.id/index.php/jkm/article/view/28368
Yudistira, A., Suroto, S., & Jayanti, S. (2022). Analisis faktor risiko carpal tunnel syndrome pada operator jahit bagian produksi PT Leading Garment. Jurnal Kesehatan Masyarakat, 10(4), 431-437.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Farha Kamilatun Noha Fadilah, Nadila Octaria Milenia, Reny Indrayani, Noeroel WIdajati

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.