scholarly journals A CORRELATIVE STUDY OF ANTHROPOMETRIC AND ELECTROPHYSIOLOGICAL DATA OF PATIENTS WITH CARPAL TUNNEL SYNDROME ATTENDING THE DEPARTMENT OF PHYSICAL MEDICINE AND REHABILITATION OF A TERTIARY CARE HOSPITAL

2017 ◽  
Vol 6 (75) ◽  
pp. 5382-5386
Author(s):  
Santhosh Kothirappallil Raghavan ◽  
Roy Rama Chandran ◽  
Charvakan Suthan ◽  
Mitu Chirakkalthazhath Shankar ◽  
Dhanya Raj
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Physical Medicine ◽  
Correlative Study ◽  
Electrophysiological Data ◽  
Physical Medicine And Rehabilitation ◽  
Tunnel Syndrome

P-NE003. Frequency of carpal tunnel syndrome in patients having diabetes mellitus with neuropathy in a tertiary care hospital

2021 ◽  
Vol 132 (8) ◽  
pp. e89
Author(s):  
Md. Rashedul Islam ◽  
Tanbin Rahman ◽  
Rafi Nazrul Islam ◽  
Rumana Habib ◽  
Aminur Rahman ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Tunnel Syndrome

scholarly journals Clinical and Electrophysiological Profile of Carpal Tunnel Syndrome: A Study in a Tertiary Care Hospital

2021 ◽  
Vol 29 (2) ◽  
pp. 96-99
Author(s):  
Kazi Gias Uddin Ahmed ◽  
Iftikher Alam ◽  
Hashmi Sina ◽  
Md Arifuzzaman ◽  
Reaz Mahmud ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Age Group ◽  
Left Hand ◽  
Medical College ◽  
Female Predominance ◽  
Tunnel Syndrome

Introduction: Carpal tunnel syndrome (CTS) is a clinical syndrome that results from compression of median nerve within the carpal tunnel at the wrist. The aim of this study was to review the clinical and demographic characteristics and electrophysiological patterns of CTS patients who presented to a tertiary care hospital in Bangladesh. Methodology; A descriptive cross-sectional study was conducted on 150 CTS patients at the neurology department, Dhaka Medical College Hospital between January, 2019 to March , 2020 . All the subjects had clinical evaluation and standardized nerve conduction studies of upper limbs (300 limbs) using the same protocol. Results: 228 hands were found to have clinical and electrophysiological features consistent with CTS. There was female predominance (90%) and the highest occurrence of CTS was in the 45-55 years age group. Bilateral CTS was found in the majority of cases ie 78 (52%) and the rest had unilateral CTS. Among those with unilateral CTS, right hand was affected more (41, 57%) than left hand (31, 43%). Most of the cases were idiopathic. Neurophysiological studies showed most patients had mild CTS (121 hands, 53%). Most of the cases were idiopathic (102, 68%). Where a risk factor was found diabetes was commonest one (32) followed by hypothyroidism (12) and pregnancy (4). Conclusion: There was marked female predominance and the 45-55 years age group was predominantly affected. Majority of cases had mild CTS. Bilateral involvement was more common. Right hand was more affected than the left hand. J Dhaka Medical College, Vol. 29, No.2, October, 2020, Page 96-99

scholarly journals Frequency of Carpal Tunnel Syndrome in Patients Having Diabetes Mellitus with Neuropathy in a Tertiary Care Hospital of Bangladesh

2018 ◽  
Vol 8 (3) ◽  
pp. 240-245
Author(s):  
Md Rashedul Islam ◽  
Tanbin Rahman ◽  
Rafi Nazrul Islam ◽  
Rumana Habib ◽  
Aminur Rahman ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Upper Limb ◽  
Carpal Tunnel ◽  
Nerve Conduction Study ◽  
Nerve Conduction ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Tunnel Syndrome ◽  
The Mean

Background: Carpal tunnel syndrome (CTS) is one of the most frequent entrapment neuropathies of the upper limb. CTS and diabetic polyneuropathy (DPN) are common conditions in patients with diabetes and therefore frequently occur concomitantly. Diagnosis of CTS in patients with DPN is important, as therapeutic interventions directed toward relief of CTS may be effective irrespective of diffuse neuropathy.Methods: This study was a hospital based descriptive cross sectional study done in a tertiary care hospital, Dhaka between July, 2015 and June, 2016. The initial clinical diagnosis of diabetic peripheral neuropathy was made from history and examination. It was confirmed by doing nerve conduction study. After having informed written consents, a standard preformed questionnaire was filled up for each case. Collected data were checked, verified for consistency and edited for final results. Data cleaning, validation and analysis were performed using Statistical Package for the Social Sciences (Version 20.0).Results: A total of 354 cases were finally analyzed with 153 (43.2) patients being symptomatic for CTS and among those 54 (58.7%) had electrophysiology proven CTS. It was observed that 26.0% of patients established as having DPN also had CTS. The frequency of CTS among those with symptoms was significantly higher than in asymptomatic participants. The mean age was found to be 55.99 ± 9.25 years with a range from 28 to 80 years. Majority (38.4%) of patients belonged to the age group of 51-60 years. Among all cases of electrophysiology proven CTS (92 patients), females (53.3%) numbered greater in comparison to males (46.7%). One hundred and ninety two (54.2%) patients were housewives, 57 (16.1%) were garment workers, 45 (12.7%) patients were businessmen and 60 (16.9%) patients were service holders. Study subjects with CTS had significantly higher body mass index, higher fasting blood glucose and higher HemoglobinA1c in comparison to patients without CTS. Examination of upper limb sensory nerves showed that nerve conduction velocity was significantly decreased and distal latency was found to be significantly increased in patients with CTS on median nerve examination. The mean compound motor action potential was not significantly different between patients with and without CTS.Conclusion: Symptoms and signs of CTS are mostly masked by the symptoms of DPN and patients presenting with such symptoms in the upper limbs should be evaluated for CTS as a separate entity to DPN. The finding of a frequency of CTS of 26% in subjects with diabetes with varying degrees of DPN is remarkably high. Given the high prevalence of CTS in subjects with DPN, it is recommended that therapeutic decisions be made carefully after nerve conduction study and proper diagnosis.Birdem Med J 2018; 8(3): 240-245

scholarly journals Role of Splint in Patients with Symptoms of Carpal Tunnel Syndrome

2018 ◽  
Vol 15 (2) ◽  
pp. 48-51
Author(s):  
Ehsanul Haque Khan ◽  
Khurshid Mahmood ◽  
Taslima Hoq Moonmoon ◽  
Bidoura Tanim
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Management Tool ◽  
Physical Medicine ◽  
Duration Of Symptoms ◽  
Medical College ◽  
Physical Medicine And Rehabilitation ◽  
Tunnel Syndrome

Background: Carpal tunnel syndrome is a common condition Encountered in the department of physical medicine and rehabilitation. Splinting wrist in patients with carpal Tunnel syndrome is good conservative management tool in patients specially who wake up at night.Objective: This study was conducted to assess the role of splint in patients with symptoms of carpal syndrome.Methodology: This was a quasi-experimental study. This study was conducted in the department of physical medicine and rehabilitation department at Dhaka medical college hospital during July 2006 t0 January 2007 time period. Patients were selected randomly from the outpatient department physical medicine and Rehabilitation of Dhaka Medical College, Dhaka, Bangladesh. Patients who had symptoms consistent with carpal tunnel syndrome that was numbness, tingling and burning sensation in the hand, duration of symptoms more than two weeks or more than three times in last six months, who were residents of Dhaka city and who were able to follow up regularly were included as study population. Patients were enrolled randomly into splinted and non-splinted group by odd and even number. Splinted group were treated by splint, drugs, ergomic training and exercise. Non-splinted group were treated by same drugs, ergonomic training and exercise only. The splint was a tailor made volar static wrist splint prepared by same orthoptist for every patient with splint. Outcomes were measured by Visual Analogue scale (VAS) and Levine Symptom Severity Scale (LSSS) at second fourth and six weeks follow up visits. The data were collected into splinted and non-splinted groups.Result: There were 51 hands in 34 patients enrolled for the study. Among them 26 were in the splinted group and 23 were in the non-splinted group.Conclusion: In this study splinted group showed significant improvement.Journal of Science Foundation, July 2017;15(2):48-51

scholarly journals Electrodiagnostic Testing and Treatment for Carpal Tunnel Syndrome in Canada

2015 ◽  
Vol 43 (1) ◽  
pp. 178-182 ◽  
Author(s):  
Rodney Li Pi Shan ◽  
Michael Nicolle ◽  
Ming Chan ◽  
Nigel Ashworth ◽  
Chris White ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
American Academy ◽  
Carpal Tunnel ◽  
Nerve Conduction Study ◽  
Nerve Conduction ◽  
Sensory Nerve ◽  
Practice Parameter ◽  
Physical Medicine ◽  
Physical Medicine And Rehabilitation ◽  
Tunnel Syndrome

AbstractObjectives: 1) Assess which electrodiagnostic studies Canadian clinicians use to aid in the diagnosis of carpal tunnel syndrome (CTS). 2) Assess whether Canadian clinicians follow the American Association of Neuromuscular & Electrodiagnostic Medicine/American Academy of Neurology/American Academy of Physical Medicine and Rehabilitation Practice Parameter for Electrodiagnostic Studies in CTS. 3) Assess how Canadian clinicians manage CTS once a diagnosis has been established. Methods: In this prospective observational study, an electronic survey was sent to all members of the Canadian Neuromuscular Group (CNMG) and the Canadian Association of Physical Medicine and Rehabilitation (CAPM&R) Neuromuscular Special Interest Group. Questions addressed which electrodiagnostic tests were being routinely used for the diagnosis of carpal tunnel syndrome. Management recommendations for CTS was also explored. Results: Of the 70 individuals who completed the survey, fourteen different nerve conduction study techniques were reported. Overall, 36/70 (51%) of participants followed the AANEM/AAN/AAPM&R Practice Parameter. The standard followed by the fewest of our respondents with 64% compliance (45/70) was the use of a standard distance of 13 to 14 cm with respect to the median sensory nerve conduction study. Regarding management, 99% would recommend splinting in the case of mild CTS. In moderate CTS, splinting was recommended by 91% of clinicians and 68% would also consider referral for surgery. In severe CTS, most recommended surgery (93%). Conclusions: There is considerable variability in terms of which electrodiagnostic tests Canadian clinicians perform for CTS. Canadian clinicians are encouraged to adhere to the AANEM/AAN/AAPM&R Practice Parameter for Electrodiagnostic Studies in CTS.

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