scholarly journals Author Correction: Associations between hand function and electrophysiological measurements in hand osteoarthritis patients of different ages with or without carpal tunnel syndrome

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Young Hoon Kim ◽  
Eun Young Han ◽  
Jinseok Kim ◽  
Kyu‑Bum Seo ◽  
Young Tae Jeon ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Hand Function ◽  
Hand Osteoarthritis ◽  
Different Ages ◽  
Electrophysiological Measurements ◽  
Tunnel Syndrome

An amendment to this paper has been published and can be accessed via a link at the top of the paper.

scholarly journals Associations between hand function and electrophysiological measurements in hand osteoarthritis patients of different ages with or without carpal tunnel syndrome

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Young Hoon Kim ◽  
Eun Young Han ◽  
Jinseok Kim ◽  
Kyu-Bum Seo ◽  
Young Tae Jeon ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Nerve Conduction ◽  
Hand Function ◽  
Sensory Nerve ◽  
Male Gender ◽  
Pinch Strength ◽  
Hand Osteoarthritis ◽  
Hand Grip ◽  
Tunnel Syndrome

Abstract Osteoarthritis is a common degenerative disease that most frequently involves the hand. The objective was to compare clinical functional outcome measures including hand grip, pinch strength, and dexterity with various electrophysiological measures in patients of different ages with hand osteoarthritis with or without the presence of carpal tunnel syndrome (CTS). Patients with hand osteoarthritis (208 patients, 404 hands) who underwent hand-function tests and motor and sensory nerve conduction studies (NCS) between June 2015 and June 2016 were enrolled. The patients’ hands were assigned to carpal tunnel syndrome (CTS) (206 hands; mean age, 56.37 ± 10.52; male:female, 46:160) or control groups (198 hands; mean age, 57.88 ± 9.68; male:female, 55:143). The strength of hand grip and lateral pinch, the time required to complete the nine-hole pegboard test (9HPT), and motor and sensory nerve conduction parameters were measured and compared across age groups and between hands with or without CTS. The CTS group showed significantly lower hand grip and lateral pinch strength, and a longer time to complete the 9HPT in comparison with the control group. Female patients showed significantly lower hand grip and lateral pinch strength than male patients. However, there was no difference in the 9HPT completion time between genders. Multivariate regression analysis identified the amplitude of the median compound muscle action potential (CMAP), age, and male gender as independent predictors of grip strength (adjusted R2 = 0.679), and amplitude of median CMAP and male gender as independent predictors of KP strength (adjusted R2 = 0.603). Velocity of median CMAP, amplitude of median sensory nerve action potential, and age were identified as independent predictors of 9HPT time (adjusted R2 = 0.329). Nerve conduction measurements were significantly related to hand-function test results, and CTS induced significant deficits in strength and performance of the affected hand.

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.

scholarly journals The Impact of Sensory, Motor and Pain Impairments on Patient- Reported and Performance Based Function in Carpal Tunnel Syndrome

2017 ◽  
Vol 11 (1) ◽  
pp. 1258-1267 ◽  
Author(s):  
Goris Nazari ◽  
Niyati Shah ◽  
Joy C MacDermid ◽  
Linda Woodhouse
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Hand Function ◽  
Pinch Strength ◽  
Sensory Motor ◽  
Tunnel Syndrome ◽  
And Performance ◽  
Quick Dash ◽  
The Impact ◽  
Vibration Threshold

Background: Research has suggested that persistent sensory and motor impairments predominate the symptoms experienced by patients with carpal tunnel syndrome (CTS); with intermittent pain symptoms, being less predominant. Objective: The study aims to determine the relative contribution of sensory, motor and pain impairments as contributors to patient-report or performance-based hand function. Methods: Fifty participants with a diagnosis of CTS confirmed by a hand surgeon and electrodiagnosis were evaluated on a single occasion. Impairments were measured for sensibility, pain and motor performance. A staged regression analysis was performed. In the first step, variables with each of the 3 impairment categories were regressed on the Symptom Severity Scale (SSS) to identify the key variables from this domain. Models were created for both self report (Quick Disabilities of arm, shoulder and hand- Quick DASH) and performance based (Dexterity) functional outcomes. Backward regression modelling was performed for SSS and then, to allow comparability of the importance of different impairments across models, the 7 significant variables from the SSS model were forced into the models. Results: Variables: age, touch threshold and vibration threshold of the little finger of unaffected hand, median-ulnar vibration threshold ratio of affected hand, mean pain tolerance of unaffected hand, grip strength and pinch strength of affected hand, explained 31%, 36% and 63% of the variance in SSS, Quick DASH and dexterity scores, respectively. Conclusion: Hand function in patients with CTS is described by variables that reflect sensory status of the median and ulnar nerves, the persons pain threshold, grip and pinch strength impairments and age.

scholarly journals Hand Function among Patients with Carpal Tunnel Syndrome

2019 ◽  
Vol 07 (04) ◽  
pp. 170-177
Author(s):  
Israa Anwar ◽  
Afshan Ameer ◽  
Shehryar Azam ◽  
Mehwish Khalid ◽  
Hafiz Muhammad Asim
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Hand Function ◽  
Tunnel Syndrome

Prevalence of carpal tunnel syndrome and wrist osteoarthritis in long-term paraplegic patients compared with controls

2013 ◽  
Vol 39 (2) ◽  
pp. 132-138 ◽  
Author(s):  
M. Akbar ◽  
S. Penzkofer ◽  
M. A. Weber ◽  
T. Bruckner ◽  
M. Winterstein ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Structural Changes ◽  
Hand Function ◽  
Trapeziometacarpal Osteoarthritis ◽  
Gender And Age ◽  
Tunnel Syndrome ◽  
The Right ◽  
Matching Criteria

We compared functional and structural changes in the hands, in particular the prevalence of carpal tunnel syndrome, in 56 paraplegic patients who had been wheelchair dependent for over 25 years with a group of able-bodied volunteers (with matching criteria for gender and age). The hands were assessed by clinical examination, electrophysiology, disabilities of the arm shoulder and hand score and magnetic resonance imaging. Hand function was worse and wrist pain was experienced more often in the paraplegic patients, and they also had a significantly higher prevalence of carpal tunnel syndrome both clinically and electrophysiologically. The prevalence of wrist and trapeziometacarpal osteoarthritis was significantly higher in the right hand.

An OT Perspective: The Association of Sleep and Hand Function in Persons With Carpal Tunnel Syndrome (CTS)

2019 ◽  
Vol 73 (4_Supplement_1) ◽  
pp. 7311505088p1
Author(s):  
Angela Goorman ◽  
Colleen Schneck ◽  
Doris Pierce ◽  
Spencer Dawson
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Hand Function ◽  
Tunnel Syndrome

scholarly journals l-Acetyl-carnitine in Patients with Carpal Tunnel Syndrome: Effects on Nerve Protection, Hand Function and Pain

CNS Drugs ◽  
2017 ◽  
Vol 31 (12) ◽  
pp. 1103-1111 ◽  
Author(s):  
Giorgio Cruccu ◽  
G. Di Stefano ◽  
F. Fattaposta ◽  
S. Jann ◽  
L. Padua ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Hand Function ◽  
Tunnel Syndrome

scholarly journals Efficacy of Sensory Rehabilitation on Pain and Hand Function in Patients with Median Nerve Entrapment

2020 ◽  
Vol 11 (4) ◽  
pp. 7021-7026
Author(s):  
Youssef M Elbalawy ◽  
Ebtesam M Fahmy ◽  
Rasha M ElRewainy ◽  
Fairouz H Ameen ◽  
Dina O Galal ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Hand Function ◽  
Post Treatment ◽  
Aged People ◽  
Therapy Program ◽  
Group I ◽  
Tunnel Syndrome ◽  
Physical Therapy Program

A common Carpal tunnel syndrome (CTS) is aneuropathic entrapment for the upper limbs with middle-aged people being at higher risk. To study how sensory rehabilitation impacts pain and functional outcome of hand in carpal tunnel syndrome patients. Twenty females with CTS, aged 25-45 years were enrolled. They were allocated at random to two groups; Group I: provided for sensory rehabilitation in addition to a standard physical therapy program and Group II: received only the standard physical therapy program only.  Pre and post-treatment assessment included Visual Analogue Scale (VAS) and the Boston Carpal Tunnel Syndrome Questionnaire (BCTQ). In both post-treatment groups, the decrease of mean VAS and BCTQ scores was statistically significant. No substantial difference between the two groups in the measured parameters pre or post treatment. Adding sensory rehabilitation has nearly the same efficacy as the standard physical therapy program alone in decreasing pain, enhancing hand function in mild and moderate patients with CTS.

scholarly journals Carpal tunnel syndrome in pediatric mucopolysaccharidoses

2015 ◽  
Author(s):  
Trupti Mangesh Jadhav ◽  
Andrew J Kornberg ◽  
Heidi Peters ◽  
Joy Lee ◽  
Monique M Ryan
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Hand Function ◽  
Significant Loss ◽  
Mps Ii ◽  
Tunnel Syndrome ◽  
Median Nerve Decompression ◽  
Mps I ◽  
Mps Iii

BackgroundCarpal tunnel syndrome (CTS) is rare in children but is a recognised complication of the mucopolysaccharidoses (MPS). Clinicians should have a low threshold of suspicion for CTS in this group as symptoms may be atypical or minimal. If untreated, CTS can cause significant loss of hand function. We present findings in 11 children with mucopolysaccharidoses and suspected CTS, and propose guidelines for screening for CTS in children with these disorders.MethodsClinical and electrodiagnostic data of 11 children with mucopolysaccharidoses, who were suspected on clinical grounds to have CTS, was reviewed. All subjects underwent motor and sensory conduction studies of bilateral median and ulnar nerves. The presence of carpal tunnel syndrome and its severity was determined. Subsequent details of intervention(s) and recurrence were noted.ResultsThree children had MPS I, five had MPS II, one had MPS III and two had MPS IV. Seven had motor and three sensory features referable to median nerve compression. Nine of the eleven children (2/3 with MPS I, 5/5 with MPS II, 0/1 with MPS III, 2/2 with MPS IV) had median neuropathies at the wrist, (eight bilateral, one unilateral) which were mild in three, moderate in five, and severe in one. Three children presented with symptoms at five years age. Six underwent median nerve decompression. Four of these had recurrent symptoms several years after surgery, which was confirmed on nerve conduction studies in two cases. To the best of our knowledge, this is the first report of carpal tunnel syndrome in MPS IV. ConclusionSome children with mucopolysaccharidoses experience early development of at least moderately severe carpal tunnel syndrome. We recommend screening for median neuropathies at the wrist from age 5 years for children with mucopolysaccharidoses, particularly types I, II and IV, regardless of their symptoms of CTS, and of the treatment received for mucopolysaccharidosis.

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