scholarly journals Evaluation of Sleep Position as a Potential Cause of Carpal Tunnel Syndrome: Preferred Sleep Position on the Side is Associated with Age and Gender

Hand ◽  
2010 ◽  
Vol 5 (4) ◽  
pp. 361-363 ◽  
Author(s):  
Steven J. McCabe ◽  
Yuan Xue
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Sleep Position ◽  
Age And Gender ◽  
Tunnel Syndrome ◽  
And Gender

The Effect of Age and Gender upon Symptoms and Surgical Outcomes in Carpal Tunnel Syndrome

2005 ◽  
Vol 30 (6) ◽  
pp. 599-604 ◽  
Author(s):  
J. L. HOBBY ◽  
R. VENKATESH ◽  
P. MOTKUR
Keyword(s):  
Patient Satisfaction ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Surgical Outcome ◽  
Carpal Tunnel Release ◽  
Hand Function ◽  
Age And Gender ◽  
Younger Patients ◽  
Tunnel Syndrome ◽  
And Gender

There is conflicting evidence regarding the effectiveness of carpal tunnel release in older patients. This is a prospective study which evaluates the impact of age and gender upon symptoms, self-reported disability and surgical outcome in a series of 97 patients with carpal tunnel syndrome. Symptom severity, hand function and patient satisfaction were assessed using the Boston Carpal Tunnel Questionnaire and the Patient Evaluation Measure. A statistical correlation of age and gender with symptoms, hand function and surgical outcome was performed with questionnaires administered before open carpal tunnel decompression and 6 months after surgery. Women reported greater pre-operative symptoms and disability than men, but there was no gender-related difference in surgical outcome or patient satisfaction. There was no difference in surgical outcome between patients 60 and 70 years of age and younger patients. The majority of patients over the age of 70 reported an improvement in symptoms and function, but they were less satisfied with their treatment than younger patients. Some patients had problems with persistent numbness and loss of dexterity following surgery. The outcome of carpal tunnel release in terms of improvement in the symptom and functional scores is sufficient to justify surgery in the elderly, but surgical outcomes are less predictable than in younger patients and we recommend that this is explained to them when obtaining consent for surgery.

scholarly journals Sleep Position in Patients With Carpal Tunnel Syndrome

2015 ◽  
Vol 17 (6) ◽  
Author(s):  
Farhad Iranmanesh ◽  
Hossein Ali Ebrahimi ◽  
Ali Shahsavari
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Sleep Position ◽  
Tunnel Syndrome

scholarly journals Factors Related to Carpal Tunnel Syndrome (CTS) Complaints on Employees in the Bank BNI Branch of Palu

2020 ◽  
Vol 11 (01) ◽  
pp. 63-74
Author(s):  
Abdul Hamid ◽  
Zikri Fathur Rahman ◽  
Suherdin Suherdin ◽  
Sri Widati ◽  
Y. Denny Ardyanto Wahyudiono
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Adult Population ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Tunnel Syndrome ◽  
And Gender ◽  
Branch Bank

Carpal Tunnel Syndrome (CTS) is a disorder that occurs due to carpal tunnel or a gap in the lower hand to the wrist narrowing. The National Health Interview Study (NHIS) estimates that the reported prevalence of CTS among the adult population is 1.55% (2.6 million). This research was conducted at BNI Branch Bank Palu. The research objective is to determine the factors associated with complaints of Carpal Tunnel Syndrome (CTS) on employees at BNI Branch Bank Palu. The type of research used is quantitative using a cross-sectional approach. The number of samples was 109 people. Data were analyzed using the chi-square test at the level of confidence (ρ <0.05). The results showed that there was a relationship between years of service (ρ = 0.005), length of work (ρ = 0,000), repetitive movements (ρ = 0.001) and gender (ρ = 0.006) with complaints of Carpal Tunnel Syndrome (CTS) on employees at the Bank BNI Palu Branch. It is recommended to employees of Bank BNI Branch Palu to do muscle stretches such as moving the fingers, reducing the emphasis on the carpal tunnel, to avoid the danger of disturbances originating from repetitive and monotonous movements in the long term.

scholarly journals Electrodiagnostic Signs of Carpal Tunnel Syndrome in Ocular Pseudoexfoliation Syndrome: A Case-Control Study

2021 ◽  
Author(s):  
Mansoor Shahriari ◽  
Afshin Karimzadeh ◽  
Hadi Esmaily ◽  
Saman Rezanejad ◽  
Homayoun Nikkhah ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Case Control Study ◽  
Normal Subjects ◽  
Case Control ◽  
Significant Difference ◽  
Ophthalmologic Examination ◽  
Tunnel Syndrome ◽  
And Gender ◽  
Control Study

Abstract Purpose To assess the occurrence and severity of electrodiagnostic signs of carpal tunnel syndrome (ED-CTS) in patients with ocular pseudoexfoliation (PEX) and compare them with normal subjects.Method A 1:1 case-control study was designed and 60 patients with PEX were recruited from May 2019 to February 2021, and the findings were compared with 59 age- and gender-matched healthy controls. All patients underwent complete ophthalmologic examination and nerve conduction velocity test at the median nerve was used to assess the occurrence and severity of ED-CTS in both hands.Results The mean age of participants was 59.8 ± 4.5 years. Occurrence of ED-CTS was 38.3% in PEX patients and 20.3% in control subjects (P = 0.025). There was also a significant difference in the severity, and presence of asymptomatic CTS (P < 0.05). Adjusting other variables, including; age, sex and job difficulty, having severe ED-CTS showed a 3.49-fold higher chance in the PEX group (P = 0.002). Conclusion There is a direct relation between PEX and the occurrence, as well as severity of ED-CTS.

scholarly journals Demographical, Anatomical, Disease-Related, and Occupational Risk Factors for Carpal Tunnel Syndrome

2021 ◽  
Vol 8 (4) ◽  
Author(s):  
Mohaddeseh Azadvari ◽  
Mayam Haghshomar ◽  
Fatemeh Abbasi Feyjani ◽  
Hosseinali Abdolrazagh ◽  
Seyede Zahra Emami Razavi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Occupational History ◽  
Occupational Risk Factors ◽  
Statistical Relevance ◽  
History Of ◽  
Tunnel Syndrome ◽  
Main Determinants ◽  
And Gender

Background: Carpal tunnel syndrome (CTS) is the most common focal mononeuropathy. It causes characteristic symptoms, including numbness and paresthesia in hand due to median nerve compression at the wrist. Objectives: We aimed to investigate CTS prevalence and personal, psychosocial, biomedical, and occupational factors related to it comprehensively, according to scattered publications, without the simultaneous evaluation of all CTS risk factors. Methods: A total of 345 patients referred to a hand clinic with a complaint of paresthesia in upper extremities and suspected CTS. The patients underwent neurological assessment and electrodiagnostic (EDX) tests to confirm the diagnosis. The demographic information, past medical history, past trauma history, and occupational history of all the patients were recorded and finally analyzed with SPSS software. Results: Of the patients, 213 (67.1%) met the criteria for CTS, of whom 160 (75%) were female. Females were significantly more affected by CTS than males (P < 0.05). The mean age was higher in the CTS patients (53.80 ± 11.57 years) than in non-patients (42.39 ± 12.31 years, P < 0.001). No statistical relevance was found between CTS prevalence with occupational history, underlying medical conditions, positive Tinel’s and Phalen's tests, and muscle atrophy. Conclusions: We recognized age and gender as main determinants in developing CTS. We also found that older age was related to higher CTS intensity.

scholarly journals Preferred Sleep Position on the Side is Associated with Carpal Tunnel Syndrome

Hand ◽  
2010 ◽  
Vol 6 (2) ◽  
pp. 132-137 ◽  
Author(s):  
Steven J. McCabe ◽  
Amit Gupta ◽  
David E. Tate ◽  
John Myers
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Sleep Position ◽  
Tunnel Syndrome

scholarly journals Preferences in Sleep Position Correlate With Nighttime Paresthesias in Healthy People Without Carpal Tunnel Syndrome

Hand ◽  
2017 ◽  
Vol 14 (2) ◽  
pp. 163-171 ◽  
Author(s):  
Carrie L. Roth Bettlach ◽  
Jessica M. Hasak ◽  
Emily M. Krauss ◽  
Jenny L. Yu ◽  
Gary B. Skolnick ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Therapeutic Interventions ◽  
Survey Study ◽  
Sleep Position ◽  
Binary Logistic Regression Analysis ◽  
Cross Sectional Survey ◽  
Sleeping Position ◽  
Compression Neuropathy ◽  
Tunnel Syndrome

Background: Carpal tunnel syndrome has been associated with sleep position preferences. The aim of this study is to assess self-reported nocturnal paresthesias and sleeping position in participants with and without carpal tunnel syndrome diagnosis to further clinical knowledge for preventive and therapeutic interventions. Methods: A cross-sectional survey study of 396 participants was performed in young adults, healthy volunteers, and a patient population. Participants were surveyed on risk factors for carpal tunnel syndrome, nocturnal paresthesias, and sleep preferences. Binary logistic regression analysis was performed comparing participants with rare and frequent nocturnal paresthesias. Subanalyses for participants without carpal tunnel syndrome under and over 21 years of age were performed on all factors significantly associated with subclinical compression neuropathy in the overall population. Results: Thirty-three percent of the study population experienced nocturnal paresthesias at least weekly. Increased body mass index ( P < .001) and sleeping with the wrist flexed ( P = .030) were associated with a higher frequency of nocturnal paresthesias. Side sleeping was associated with less frequent nocturnal symptoms ( P = .003). In participants without carpal tunnel syndrome, subgroup analysis illustrated a relationship between nocturnal paresthesias and wrist position. In participants with carpal tunnel syndrome, sleeping on the side had a significantly reduced frequency of nocturnal paresthesias. Conclusion: This study illustrates nocturnal paresthesias in people without history of carpal tunnel syndrome including people younger than previously reported. In healthy patients with upper extremity subclinical compression neuropathy, sleep position modification may be a useful intervention to reduce the frequency of nocturnal symptoms prior to developing carpal tunnel syndrome.

Clinical Update: Assessing Maximum Medical Improvement in Carpal Tunnel Syndrome

2003 ◽  
Vol 8 (4) ◽  
pp. 4-5
Author(s):  
Christopher R. Brigham ◽  
James B. Talmage
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Proper Time ◽  
Carpal Tunnel Release ◽  
Hand Function ◽  
Factors Affecting ◽  
Early Results ◽  
Medical Evaluation ◽  
Nerve Recovery ◽  
Tunnel Syndrome

Abstract Permanent impairment cannot be assessed until the patient is at maximum medical improvement (MMI), but the proper time to test following carpal tunnel release often is not clear. The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) states: “Factors affecting nerve recovery in compression lesions include nerve fiber pathology, level of injury, duration of injury, and status of end organs,” but age is not prognostic. The AMA Guides clarifies: “High axonotmesis lesions may take 1 to 2 years for maximum recovery, whereas even lesions at the wrist may take 6 to 9 months for maximal recovery of nerve function.” The authors review 3 studies that followed patients’ long-term recovery of hand function after open carpal tunnel release surgery and found that estimates of MMI ranged from 25 weeks to 24 months (for “significant improvement”) to 18 to 24 months. The authors suggest that if the early results of surgery suggest a patient's improvement in the activities of daily living (ADL) and an examination shows few or no symptoms, the result can be assessed early. If major symptoms and ADL problems persist, the examiner should wait at least 6 to 12 months, until symptoms appear to stop improving. A patient with carpal tunnel syndrome who declines a release can be rated for impairment, and, as appropriate, the physician may wish to make a written note of this in the medical evaluation report.

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