David Rempel, MD, MPH

Professor

Education
MPH, 1981 - Epidemiology, University of California, Berkeley
M.D., 1981 - Medicine, University of California, San Francisco
BA, 1977 - Bioengineering, University of California, San Diego
Honors and Awards
  • Centennial Health Achievement in Occupational Medicine, American College of Occupational and Environmental Medicine, 2016
  • IEA Prize in Occupational Safety and Ergonomics, International Ergonomics Association, 2006
  • Fogarty Senior International Fellowship, NIH, 1997-1998
  • Jean Spencer Felton Scientific Writing Award, Western Occupational Medicine Association, 1997
Publications
  1. Modeling the Effect of the 2018 Revised ACGIH® Hand Activity Threshold Limit Value® (TLV) at Reducing Risk for Carpal Tunnel Syndrome.
  2. Effect of hollow bit local exhaust ventilation on respirable quartz dust concentrations during concrete drilling.
  3. Pneumatic rock drill vs. electric rotary hammer drill: Productivity, vibration, dust, and noise when drilling into concrete.
  4. Authors' response: Letter to the Editor concerning OCRA as preferred method in ISO standards on biomechanical risk factors.
  5. Incident CTS in a large pooled cohort study: associations obtained by a Job Exposure Matrix versus associations obtained from observed exposures.
  6. Scientific basis of ISO standards on biomechanical risk factors.
  7. A research framework for the development and implementation of interventions preventing work-related musculoskeletal disorders.
  8. Effect of bit wear on hammer drill handle vibration and productivity.
  9. Measuring exertion time, duty cycle and hand activity level for industrial tasks using computer vision.
  10. The Effects of Bit Wear on Respirable Silica Dust, Noise and Productivity: A Hammer Drill Bench Study.
  11. Impact of Booster Breaks and Computer Prompts on Physical Activity and Sedentary Behavior Among Desk-Based Workers: A Cluster-Randomized Controlled Trial.
  12. The American Academy of Orthopaedic Surgeons Evidence-Based Clinical Practice Guideline on: Management of Carpal Tunnel Syndrome.
  13. A New Test Bench System for Hammer Drills: Validation for Handle Vibration.
  14. Biomechanical and psychosocial exposures are independent risk factors for carpal tunnel syndrome: assessment of confounding using causal diagrams.
  15. Effectiveness of workplace interventions in the prevention of upper extremity musculoskeletal disorders and symptoms: an update of the evidence.
  16. A Universal Rig for Supporting Large Hammer Drills: Reduced Injury Risk and Improved Productivity.
  17. The Design of Hand Gestures for Human-Computer Interaction: Lessons from Sign Language Interpreters.
  18. In vivo flexor tendon forces generated during different rehabilitation exercises.
  19. Mind the Gap: The Effect of Keyboard Key Gap and Pitch on Typing Speed, Accuracy, and Usability, Part 3.
  20. Associations between workplace factors and carpal tunnel syndrome: A multi-site cross sectional study.
  21. General population job exposure matrix applied to a pooled study of prevalent carpal tunnel syndrome.
  22. Personal and workplace factors and median nerve function in a pooled study of 2396 US workers.
  23. Lateral epicondylitis: new evidence for work relatedness.
  24. Developing a pooled job physical exposure data set from multiple independent studies: an example of a consortium study of carpal tunnel syndrome.
  25. A User-Developed 3-D Hand Gesture Set for Human-Computer Interaction.
  26. A frequency-duty cycle equation for the ACGIH hand activity level.
  27. A hand speed-duty cycle equation for estimating the ACGIH hand activity level rating.
  28. Biomechanical risk factors for carpal tunnel syndrome: a pooled study of 2474 workers.
  29. Exposure-response relationships for the ACGIH threshold limit value for hand-activity level: results from a pooled data study of carpal tunnel syndrome.
  30. Effects of varying case definition on carpal tunnel syndrome prevalence estimates in a pooled cohort.
  31. Effect of font size and glare on computer tasks in young and older adults.
  32. The effect of keyboard key spacing on typing speed, error, usability, and biomechanics, Part 2: Vertical spacing.
  33. Carpal tunnel syndrome diagnosis in occupational epidemiological studies.
  34. Personal and workplace psychosocial risk factors for carpal tunnel syndrome: a pooled study cohort: author response.
  35. The impact of posture on wrist tendinosis among blue-collar workers: the San Francisco study.
  36. Meta-analysis: association between wrist posture and carpal tunnel syndrome among workers.
  37. Touch displays: the effects of palm rejection technology on productivity, comfort, biomechanics and positioning.
  38. Holding a tablet computer with one hand: effect of tablet design features on biomechanics and subjective usability among users with small hands.
  39. The effect of keyboard key spacing on typing speed, error, usability, and biomechanics: Part 1.
  40. Pooling job physical exposure data from multiple independent studies in a consortium study of carpal tunnel syndrome.
  41. Personal and workplace psychosocial risk factors for carpal tunnel syndrome: a pooled study cohort.
  42. Booster Breaks in the workplace: participants' perspectives on health-promoting work breaks.
  43. Prevalence and incidence of carpal tunnel syndrome in US working populations: pooled analysis of six prospective studies.
  44. The effects of periodontal curette handle weight and diameter on arm pain: a four-month randomized controlled trial.
  45. Distal upper extremity musculoskeletal risk factors associated with colonoscopy.
  46. Evaluation and control of respirable silica exposure during lateral drilling of concrete.
  47. 1st place, PREMUS best paper competition: workplace and individual factors in wrist tendinosis among blue-collar workers--the San Francisco study.
  48. Ergonomic evaluation of ten single-channel pipettes.
  49. The effect of two alternative arm supports on shoulder and upper back muscle loading during pipetting.
  50. Development of a method for evaluating accessibility of medical equipment for patients with disabilities.
  51. Systematic review of the role of occupational health and safety interventions in the prevention of upper extremity musculoskeletal symptoms, signs, disorders, injuries, claims and lost time.
  52. Overhead drilling: comparing three bases for aligning a drilling jig to vertical.
  53. Field evaluation of a modified intervention for overhead drilling.
  54. Follow-up of neck and shoulder pain among sewing machine operators: The Los Angeles garment study.
  55. The Booster Break program: description and feasibility test of a worksite physical activity daily practice.
  56. Effort-reward imbalance and one-year change in neck-shoulder and upper extremity pain among call center computer operators.
  57. A new method for overhead drilling.
  58. Ergonomics and GI endoscopy.
  59. A randomized controlled trial evaluating an alternative mouse or forearm support on change in median and ulnar nerve motor latency at the wrist.
  60. Evaluation of two posture survey instruments for assessing computing postures among college students.
  61. Pinch force and forearm-muscle load during routine colonoscopy: a pilot study.
  62. Self-reported pain and physical signs for musculoskeletal disorders in the upper body region among Los Angeles garment workers.
  63. The effects of split keyboard geometry on upper body postures.
  64. Accessibility of radiology equipment for patients with mobility disabilities.
  65. Effect of wrist posture on carpal tunnel pressure while typing.
  66. Intensive keyboard use and carpal tunnel syndrome: comment on the article by Atroshi et al.
  67. The split keyboard: an ergonomics success story.
  68. A three-dimensional anthropometric solid model of the hand based on landmark measurements.
  69. A randomized controlled trial of chair interventions on back and hip pain among sewing machine operators: the los angeles garment study.
  70. MMP-1, IL-1beta, and COX-2 mRNA expression is modulated by static load in rabbit flexor tendons.
  71. DEVELOPMENT AND EVALUATION OF A NEW DEVICE FOR OVERHEAD DRILLING.
  72. Evaluation of gene expression through qRT-PCR in cyclically loaded tendons: an in vivo model.
  73. The effects of visual display distance on eye accommodation, head posture, and vision and neck symptoms.
  74. Cyclic loading inhibits expression of MMP-3 but not MMP-1 in an in vitro rabbit flexor tendon model.
  75. Effect of repetition rate on the formation of microtears in tendon in an in vivo cyclical loading model.
  76. A randomised controlled trial evaluating an alternative mouse and forearm support on upper body discomfort and musculoskeletal disorders among engineers.
  77. Ex vivo mechanical loading of tendon.
  78. Work-organisational and personal factors associated with upper body musculoskeletal disorders among sewing machine operators.
  79. A randomized controlled trial evaluating the effects of new task chairs on shoulder and neck pain among sewing machine operators: the Los Angeles garment study.
  80. Evaluation of a dynamic arm support for seated and standing tasks: a laboratory study of electromyography and subjective feedback.
  81. In vitro system for applying cyclic loads to connective tissues under displacement or force control.
  82. Guidelines for wrist posture based on carpal tunnel pressure thresholds.
  83. A multi-method study evaluating computing-related risk factors among college students.
  84. Pinch forces and instrument tip forces during periodontal scaling.
  85. Finger flexor motor control patterns during active flexion: an in vivo tendon force study.
  86. The effect of tool handle shape on hand muscle load and pinch force in a simulated dental scaling task.
  87. A biomechanical analysis of applied pinch force during periodontal scaling.
  88. Workplace interventions to prevent musculoskeletal and visual symptoms and disorders among computer users: a systematic review.
  89. The effects of periodontal instrument handle design on hand muscle load and pinch force.
  90. The effect of six keyboard designs on wrist and forearm postures.
  91. A randomised controlled trial evaluating the effects of two workstation interventions on upper body pain and incident musculoskeletal disorders among computer operators.
  92. In vivo flexor tendon forces increase with finger and wrist flexion during active finger flexion and extension.
  93. Effect of dental tool surface texture and material on static friction with a wet gloved fingertip.
  94. VEGF, VEGFR-1, and CTGF cell densities in tendon are increased with cyclical loading: An in vivo tendinopathy model.
  95. Long-term cyclical in vivo loading increases cartilage proteoglycan content in a spatially specific manner: an infrared microspectroscopic imaging and polarized light microscopy study.
  96. Upper extremity mononeuropathy among engineers.
  97. Cyclical articular joint loading leads to cartilage thinning and osteopontin production in a novel in vivo rabbit model of repetitive finger flexion.
  98. Evidence of tendon microtears due to cyclical loading in an in vivo tendinopathy model.
  99. Pathomechanics of peripheral nerve loading. Evidence in carpal tunnel syndrome.
  100. The effects of finger rest positions on hand muscle load and pinch force in simulated dental hygiene work.
  101. Carpal tunnel pressure alters median nerve function in a dose-dependent manner: a rabbit model for carpal tunnel syndrome.
  102. Thumb force and muscle loads are influenced by the design of a mechanical pipette and by pipetting tasks.
  103. In vivo forces generated by finger flexor muscles do not depend on the rate of fingertip loading during an isometric task.
  104. Upper extremity pain and computer use among engineering graduate students.
  105. Entrapment neuropathies: pathophysiology and pathogenesis.
  106. A mobile tool for accessibility and usability testing of medical instrumentation.
  107. Influence of time pressure and verbal provocation on physiological and psychological reactions during work with a computer mouse.
  108. Short term and long term effects of enhanced auditory feedback on typing force, EMG, and comfort while typing.
  109. Ischemia causes muscle fatigue.
  110. The effects of reduced oxygen tension on cell proliferation and matrix synthesis in synovium and tendon explants from the rabbit carpal tunnel: an experimental study in vitro.
  111. Special editor introduction. Surface electromyography. .
  112. Classification criteria and severity assessment in work-associated upper extremity disorders: methods matter.
  113. Measuring and characterizing force exposures during computer mouse use.
  114. Sensitivity of trapezius electromyography to differences between work tasks - influence of gap definition and normalisation methods.
  115. Pathophysiology of nerve compression syndromes: response of peripheral nerves to loading.
  116. The effects of keyswitch stiffness on typing force, finger electromyography, and subjective discomfort.
  117. Effects of computer mouse design and task on carpal tunnel pressure.
  118. Wrist and forearm postures and motions during typing.
  119. Effect of four computer keyboards in computer users with upper extremity musculoskeletal disorders.
  120. Workplace use of an adjustable keyboard: adjustment preferences and effect on wrist posture.
  121. In vivo finger flexor tendon force while tapping on a keyswitch.
  122. Effect of keyboard keyswitch design on hand pain.
  123. Risk factors for musculoskeletal disorders among computer users.
  124. Effects of finger posture on carpal tunnel pressure during wrist motion.
  125. Consensus criteria for the classification of carpal tunnel syndrome in epidemiologic studies.
  126. A structural model of the forced compression of the fingertip pulp.
  127. Control strategies for finger movement during touch-typing. The role of the extrinsic muscles during a keystroke.
  128. Tensions of the flexor digitorum superficialis are higher than a current model predicts.
  129. Effects of forearm pronation/supination on carpal tunnel pressure.
  130. Fingertip loading and carpal tunnel pressure: differences between a pinching and a pressing task.
  131. Force response of the fingertip pulp to repeated compression--effects of loading rate, loading angle and anthropometry.
  132. The effect of keyboard keyswitch make force on applied force and finger flexor muscle activity.
  133. Forearm muscle oxygenation decreases with low levels of voluntary contraction.
  134. Effects of static fingertip loading on carpal tunnel pressure.
  135. A low profile human tendon force transducer: the influence of tendon thickness on calibration.
  136. Effects of psychological stress on human semen quality.
  137. Keyboard reaction force and finger flexor electromyograms during computer keyboard work.
  138. Musculoskeletal symptoms related to video display terminal use: an analysis of objective and subjective exposure estimates.
  139. Temperature effects on vibrotactile sensitivity threshold measurements: implications for carpal tunnel screening tests.
  140. Position of the wrist associated with the lowest carpal-tunnel pressure: implications for splint design.
  141. VDT-related musculoskeletal symptoms: interactions between work posture and psychosocial work factors.
  142. A method of measuring fingertip loading during keyboard use.
  143. Carpal tunnel syndrome among grocery store workers.
  144. Investigation of applied forces in alphanumeric keyboard work.
  145. The effect of wearing a flexible wrist splint on carpal tunnel pressure during repetitive hand activity.
  146. Ergonomics--prevention of work-related musculoskeletal disorders.
  147. Work-related cumulative trauma disorders of the upper extremity.
  148. Hospital records as a data source for occupational disease surveillance: a feasibility study.
  149. Respiratory effects of exposure of shipyard workers to epoxy paints.
  150. A study of the effect of perchloroethylene exposure on semen quality in dry cleaning workers.
  151. A study of the effect of perchloroethylene exposure on the reproductive outcomes of wives of dry-cleaning workers.
  152. Evaluation of a proposed NIOSH surveillance. Case definition for occupational asthma.
  153. Biological monitoring.
  154. Medical surveillance in the workplace: overview.
  155. The lead-exposed worker.
  156. Soybean flour asthma: detection of allergens by immunoblotting.