scholarly journals The Impact of Community Care Referral on Time to Surgery for Veterans With Carpal Tunnel Syndrome

Medical Care ◽  
2021 ◽  
Vol 59 (Suppl 3) ◽  
pp. S279-S285
Author(s):  
Jessica I. Billig ◽  
Richard R. Evans ◽  
Eve A. Kerr ◽  
Rodney A. Hayward ◽  
Erika D. Sears
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Community Care ◽  
Time To Surgery ◽  
Tunnel Syndrome ◽  
The Impact

The impact of gender on personal, health and workplace psychosocial risk factors for carpal tunnel syndrome

2013 ◽  
Vol 57 (1) ◽  
pp. 2167-2170
Author(s):  
Carisa Harris-Adamson ◽  
Ellen A Eisen ◽  
Ann Marie Dale ◽  
Bradley Evanoff ◽  
Kurt T. Hegmann ◽  
...  
Keyword(s):  
Risk Factors ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Psychosocial Risk Factors ◽  
Psychosocial Risk ◽  
Personal Health ◽  
Tunnel Syndrome ◽  
The Impact

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.

The Impact of Gender on Personal, Health and Workplace Psychosocial Risk Factors for Carpal Tunnel Syndrome

2013 ◽  
Vol 57 (1) ◽  
pp. 911-914 ◽  
Author(s):  
Carisa Harris-Adamson ◽  
Ellen A Eisen ◽  
Ann Marie Dale ◽  
Bradley Evanoff ◽  
Kurt T. Hegmann ◽  
...  
Keyword(s):  
Risk Factors ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Psychosocial Risk Factors ◽  
Psychosocial Risk ◽  
Personal Health ◽  
Tunnel Syndrome ◽  
The Impact

scholarly journals Improvement of Sleep Quality after Surgical Decompression in Carpal Tunnel Syndrome

2021 ◽  
Author(s):  
Nguyen Le Trung Hieu ◽  
Nguyen Anh Sang ◽  
Nguyen Lam Vuong
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Sleep Quality ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Surgical Decompression ◽  
Poor Sleep ◽  
Tunnel Syndrome ◽  
And Function ◽  
Hand Symptoms ◽  
The Impact

Abstract Background Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy which can cause severe sleep disturbance. Carpal tunnel release (CTR) is a choice for severe cases, which has shown to improve sleep quality, but the available evidence is limited. This study aimed to investigate the impact of CTR on sleep quality and hand symptoms and functions in patients with CTS. Methods This was a prospective study in 2019–2020 on patients with CTS and poor sleep quality undergoing CTR. Patients were evaluated before and at 1, 3, and 12 months after CTR by the Pittsburgh sleep quality index (PSQI) and Boston carpal tunnel syndrome questionnaires. Results There were 33 patients with 27 females (82%) and a median age of 51 years. The median time of CTS diagnosis and having sleep disorder before CTR were 12 and 6 months, respectively. The outcomes significantly improved after CTR, with the median PSQI and Boston symptom and function scores reduced from 12, 33, and 23 before CTR to 9, 14, and 11 at 1 month; 7, 13, and 9 at 3 months; and 1, 11, and 8 at 12 months postoperatively, respectively. The correlations between the PSQI and Boston symptom and function scores were > 0.6 at all time-points. Conclusions Surgical decompression significantly improves sleep quality and the hand symptoms and functions in patients with CTS. Long-term evaluations are lacking and thus are required in future studies.

The Impact of Wrist Extension Provocation on Current Perception Thresholds in Patients with Carpal Tunnel Syndrome: A Pilot Study

2006 ◽  
Vol 19 (3) ◽  
pp. 299-306 ◽  
Author(s):  
Jeff Aird ◽  
Ryan Cady ◽  
Haseeb Nagi ◽  
Shaveen Kullar ◽  
Joy C. MacDermid
Keyword(s):  
Pilot Study ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Wrist Extension ◽  
Tunnel Syndrome ◽  
The Impact

An Electromyographic Study of Pneumatic Screwdriver Design

1983 ◽  
Vol 27 (5) ◽  
pp. 369-371
Author(s):  
Steven L. Johnson
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Occupational Injuries ◽  
Design Parameters ◽  
Wrist Injuries ◽  
Hand Tools ◽  
Pain And Suffering ◽  
Tunnel Syndrome ◽  
Preliminary Study ◽  
The Impact

The costs of occupational injuries occurring due to the repetitive use of hand tools are large in terms of both dollars and pain and suffering. One of the most frequently used hand tools in industry is the vertical hanging screwdriver or nutdriver. Although the use of this tool has been related to wrist injuries such a carpal tunnel syndrome, there is very little known about the impact of tool design on such injuries. The paper presents a preliminary study that uses EMG to evaluate power screwdriver design parameters.

scholarly journals DYNAMICS OF CLINICAL AND ELECTROPHYSIOLOGICAL CHARACTERISTICS OF CARPAL TUNNEL SYNDROME IN CHILDREN WITH MUCOPOLYSACCHARIDOSES AGAINST THE BACKGROUND OF ENZYME-REPLACEMENT THERAPY

2019 ◽  
Vol 21 (3) ◽  
pp. 152-156
Author(s):  
Liliya L. Osipova ◽  
L. M. Kuzenkova ◽  
A. L. Kurenkov ◽  
T. V. Podkletnova ◽  
L. S. Namazova-Baranova ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Enzyme Replacement Therapy ◽  
Replacement Therapy ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Clinical Symptoms ◽  
Clinical Manifestations ◽  
Enzyme Replacement ◽  
Tunnel Syndrome ◽  
The Impact

Introduction. Mucopolysaccharidoses are the most common cause of the carpal tunnel syndrome in children. Enzyme-replacement therapy, which is available in clinical practice within last 10-15 years for mucopolysaccharidoses I, II and VI demonstrated the efficacy regarding somatic symptoms of the diseases, however, the impact of this new pathogenetic treatment on neuropathy of median nerve, arising from compression in the carpal tunnel, is poorly described. Objective. To study the dynamics of clinical and electrophysiological characteristics of carpal tunnel syndrome in children with mucopolysaccharidoses during enzyme-replacement therapy. Materials and methods. 18 children with mucopolysaccharidoses I, II and VI, received enzyme-replacement therapy, are included in the study. Dynamics of clinical symptoms of the carpal tunnel syndrome and EMG indices of median nerve testing are described against the background of enzyme-replacement therapy. Results. Objective and subjective clinical manifestations of the carpal tunnel syndrome persisted or appeared in children, receiving enzyme-replacement therapy for 21±12 months. However, there were no statistically significant changes in EMG-characteristics of median nerves testing during enzyme-replacement therapy in children with mucopolysaccharidoses Conclusion. Enzyme-replacement therapy in children with mucopolysaccharidoses I, II and VI may suspend and/or delay progressive damage of median nerves in the carpal canal, thus indicating prevention and slowing down in glycosaminoglycans storage in the carpal tunnel.

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