Local Effects of Acupuncture on the Median and Ulnar Nerves in Patients with Carpal Tunnel Syndrome (CTS): Study Design and Preliminary Results

2014 ◽  
Vol 20 (5) ◽  
pp. A42-A42
Author(s):  
Alexandra Dimitrova ◽  
Jau-Shin Lou ◽  
Sarah Andrea ◽  
Yunpeng Luo ◽  
Charles Murchison ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Study Design ◽  
Carpal Tunnel ◽  
Local Effects ◽  
Preliminary Results ◽  
Tunnel Syndrome

465 PATHOPHYSIOLOGY OF NEUROPATHIC PAIN IN CARPAL TUNNEL SYNDROME: A CLINICAL AND NEUROPHYSIOLOGICAL STUDY - PRELIMINARY RESULTS

2007 ◽  
Vol 11 (S1) ◽  
pp. S206-S206
Author(s):  
A. Truini ◽  
F. Galeotti ◽  
M. Virtuoso ◽  
M. Inghilleri ◽  
L. Padua ◽  
...  
Keyword(s):  
Neuropathic Pain ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Preliminary Results ◽  
Neurophysiological Study ◽  
Tunnel Syndrome

Italian multicentre study of carpal tunnel syndrome: study design

1998 ◽  
Vol 19 (5) ◽  
pp. 285-289 ◽  
Author(s):  
L. Padua ◽  
R. Padua ◽  
M. LoMonaco ◽  
E. Romanini ◽  
P. Tonali ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Multicentre Study ◽  
Study Design ◽  
Carpal Tunnel ◽  
Tunnel Syndrome

scholarly journals Effect of custom-made and prefabricated orthoses on grip strength in persons with carpal tunnel syndrome

2013 ◽  
Vol 38 (3) ◽  
pp. 193-198 ◽  
Author(s):  
Maja Mlakar ◽  
Nerrolyn Ramstrand ◽  
Helena Burger ◽  
Gaj Vidmar
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Grip Strength ◽  
Study Design ◽  
Carpal Tunnel ◽  
Clinical Relevance ◽  
Neutral Position ◽  
Wrist Position ◽  
Affected Side ◽  
Custom Made ◽  
Tunnel Syndrome

Background: Based on the literature, patients with carpal tunnel syndrome are suggested to wear a custom-made wrist orthosis immobilizing the wrist in a neutral position. Many prefabricated orthoses are available on the market, but the majority of those do not assure neutral wrist position. Objectives: We hypothesized that the use of orthosis affects grip strength in persons with carpal tunnel syndrome in a way that supports preference for custom-made orthoses with neutral wrist position over prefabricated orthoses. Study design: Experimental. Methods: Comparisons of grip strength for three types of grips (cylindrical, lateral, and pinch) were made across orthosis types (custom-made, prefabricated with wrist in 20° of flexion, and none) on the affected side immediately after fitting, as well as between affected side without orthosis and nonaffected side. Results: Orthosis type did not significantly affect grip strength ( p = 0.661). Cylindrical grip was by far the strongest, followed by lateral and pinch grips ( p < 0.050). The grips of the affected side were weaker than those of the nonaffected side ( p = 0.002). Conclusions: In persons with carpal tunnel syndrome, neither prefabricated orthoses with 20° wrist extension nor custom-made wrist orthoses with neutral wrist position influenced grip strength of the affected hand. Compared to the nonaffected side, the grips of the affected side were weaker. Clinical relevance The findings from this study can be used to guide application of orthoses to patients with carpal tunnel syndrome.

scholarly journals Progesterone - new therapy in mild carpal tunnel syndrome? Study design of a randomized clinical trial for local therapy

2014 ◽  
Vol 05 (01) ◽  
pp. e124-e130 ◽  
Author(s):  
Paolo Milani ◽  
Mauro Mondelli ◽  
Federica Ginanneschi ◽  
Riccardo Mazzocchio ◽  
Alessandro Rossi
Keyword(s):  
Clinical Trial ◽  
Carpal Tunnel Syndrome ◽  
Randomized Clinical Trial ◽  
Study Design ◽  
Carpal Tunnel ◽  
Local Therapy ◽  
New Therapy ◽  
Tunnel Syndrome

Diffusion tensor imaging and tractography of the median nerve in carpal tunnel syndrome: preliminary results

2008 ◽  
Vol 18 (10) ◽  
pp. 2283-2291 ◽  
Author(s):  
C. Khalil ◽  
C. Hancart ◽  
V. Le Thuc ◽  
C. Chantelot ◽  
D. Chechin ◽  
...  
Keyword(s):  
Diffusion Tensor Imaging ◽  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Diffusion Tensor ◽  
Preliminary Results ◽  
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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