scholarly journals The Assessment of Musculoskeletal Disorders of Pregnancy

2021 ◽  
Author(s):  
Ahmadreza Afshar ◽  
Ali Tabrizi ◽  
Vahid Bagheri ◽  
Amin Sedokani
Keyword(s):  
Body Mass Index ◽  
Back Pain ◽  
Carpal Tunnel Syndrome ◽  
Pregnant Women ◽  
Musculoskeletal Disorders ◽  
Carpal Tunnel ◽  
P Value ◽  
Tunnel Syndrome ◽  
The Mean ◽  
The Relationship

Abstract Background Almost all women experience some degree of musculoskeletal disorder during pregnancy, and almost a quarter of them develop at least temporarily musculoskeletal disorders during pregnancy. The most common of which is lower back pain, which affects half of all pregnant women. In this study, we aimed to determine the prevalence of musculoskeletal disorders caused by pregnancy in women referred to Motahari Hospital of Urmia. Methods The present study is a cross-sectional study in which 344 pregnant patients referred to Motahari and Imam Hospitals of Urmia during 2020 were studied. The demographic factors and pregnancy characteristics of patients were recorded and evaluated. Patients were also questioned and examined using a questionnaire. The relationship between demographic factors and the frequency of various skeletal abnormalities was investigated. Results The mean age of patients and the mean gestational age were 27 ± 4.76 years and 22 ± 3.4 weeks, respectively. The analysis of the relationship between age, gravid and parity of pregnant women with the prevalence of complaints and clinical examination findings, indicated women with gravid 4 or more had more complaints of back pain (p-value = 0.021). It was also found that there is a statistical relationship between the increase in body mass index of patients and the frequency of wrist pain and carpal tunnel syndrome in the study population (p-value = 0.03). Conclusions The present study indicated the rate of musculoskeletal complaints of patients and pathological factors such as lumbar hyperlordosis in women with higher gravidity is higher than other groups of pregnant women. Larger body mass index is associated with more wrist pain and carpal tunnel syndrome.

scholarly journals Function of Microscopic Carpal Tunnel Release in Cases Resistant to Conservative Therapy

2021 ◽  
Vol 6 (4) ◽  
pp. 89-96
Author(s):  
Jehan Zeb ◽  
Muhammad Ullah ◽  
Muhammad Shoaib ◽  
Syed Shah ◽  
Walayat Shah ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Conservative Treatment ◽  
Carpal Tunnel ◽  
Symptom Severity ◽  
Carpal Tunnel Release ◽  
P Value ◽  
Symptom Severity Score ◽  
Tunnel Syndrome ◽  
The Mean ◽  
And Function

Purpose: To determine the outcome of microscopic carpal tunnel release in patients with carpal tunnel syndrome who failed to respond to conservative treatment. Methodology: This descriptive case series was carried at Department of Neurosurgery, D.H.Q Hosptial Charsadda over 1 year from Jan 2019 to Dec 2020, indicate the sampling method used to select the study participants involving 94 patients; both men and women with ages in the range 30-70 years diagnosed of carpal tunnel syndrome who failed to respond to conservative treatment and were planned for surgical release. Microscopic CTS release was performed and outcomes were assessed in terms of improvement in VAS score for wrist pain, symptom severity score and function status scale 3 and 6 months after the surgery. Recurrence of symptoms was also noted. A written informed consent was obtained from every patient. Indicate the method of data collection and data analysis Findings: The mean age of the patients with carpal tunnel syndrome was 41.6±7.9 years. There was slight female predominance with male to female ratio of 1:2.1. History of diabetes was recorded in 29 (31.0%) patients while 34 (37.0%) patients were obese. Right hand was more frequently involved (53.0%) than the left hand (47.0%). The mean VAS score for wrist pain reduced from 7.9±1.2 at baseline to 1.8±0.7 3 months after the surgery (p- value<0.001). Similar improvements were also noted in symptom severity score (3.8±0.8 to 1.6±0.8; p- value<0.001) and function status scale (2.7±0.8 to 1.5±0.8; p-value<0.001) at the end of 3 months after the surgery. Recurrence was not observed in any patient at the end of 6 months follow-up. Recommendation: Microscopic carpal tunnel release was found to relieve patient’s symptoms and improve wrist function yet with minimal scarring and without recurrence which advocates its preferred use in future practice provided necessary surgical skills and hardware are available.

Effect of Conservative Treatment on Alleviation of Symptoms in 36 cases of Carpal Tunnel Syndrome in Pregnancy: A Prospective Study

2018 ◽  
Vol 4 (2) ◽  
pp. 101-107
Author(s):  
Badrunnesa Ahmed ◽  
Md Shafiqul Alam ◽  
Md Abdul Halim ◽  
AKM Salek ◽  
Md Jahidul Islam ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Conservative Treatment ◽  
Carpal Tunnel ◽  
Conservative Management ◽  
P Value ◽  
Physical Medicine ◽  
Functional Capability ◽  
Tunnel Syndrome ◽  
The Mean ◽  
In Pregnancy

Background: Carpal Tunnel Syndrome (CTS) is the most common upper extremity compression neuropathy which is a common entrapment neuropathy seen in pregnant women.Objective: The purpose of the present study was to assess presentation and severity of various symptoms among women with CTS in pregnancy and to see the effect of conservative management protocols in alleviation of symptoms of the disease and restoration of functional capability of the affected hands.Methodology: This interventional study was included 36 pregnant women attended in the Outpatient Department of Physical Medicine and Rehabilitation Specialist in the Hi-Tech Multicare Hospital, Dhaka during the period from January 2015 to January 2016 for a period of one year and one month. Detail history was taken and examined physically by a specialist in physical medicine to ascertain the clinical diagnosis. Out of 48 referred cases, 42 pregnant women were identified clinically as CTS cases based on symptoms and signs. However, 2 cases were not enrolled because of severe form of pain and referred to other hospital for admission and 6 patient dropped out. Therefore, 36 cases with CTS symptoms included in this study. All the patients were given conservative treatment (Wrist splint, Exercise and activity modification) for 8 weeks. All patients were followed up at 4 weeks interval. Treatment outcome were measured by Boston carpal tunnel questionnaire (BCTQ).Result: The mean age of the patients is 30±3.5 years. 26 (78%) patients mild to moderate type of CTS symptoms showed improvement in conservative management. Before treatment the mean symptoms severity scale (SSS) of BCTQ) was 2.32±0.4 and for functional status scale (FSS) was it was 1.99±0.43. After treatment for SSS 1.86±0.47 and for FSS 1.53±0.42. And in SSS the p value<.05 and in FSS p value is <.05 which was statistically significant.Conclusion: In conclusion conservative management protocols are sufficient enough in alleviation of symptoms of the disease and is effective for the restoration of functional capability of the affected hand or hands.Journal of National Institute of Neurosciences Bangladesh, 2018;4(2): 101-107

scholarly journals Ultrasound Assessment of Carpal Tunnel Syndrome in Comparison with Nerve Conduction Study: A Case-control Study

2021 ◽  
Author(s):  
Raja Kollu ◽  
Sindhu Vasireddy ◽  
Sreekanta Swamy ◽  
Nataraju Boraiah ◽  
H Ramprakash ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Case Control Study ◽  
Case Control ◽  
P Value ◽  
Cross Sectional ◽  
Severity Grading ◽  
Tunnel Syndrome ◽  
The Mean ◽  
Control Study

Introduction: Carpal Tunnel Syndrome (CTS) is the entrapment neuropathy which is diagnosed based on the clinical history, examinations and the electrophysiological findings. The Cross- sectional Area (CSA) measurement of the median nerve has emerged as an alternative to Nerve Conduction Studies (NCS) for diagnosis of CTS. This study was done to correlate NCS and Ultrasonography (USG) in clinically diagnosed CTS patients. Aim: To evaluate the diagnostic value of Cross-sectional Area (CSA) of median nerve at carpal tunnel inlet in patients with clinically and NCS confirmed Carpal Tunnel Syndrome (CTS) and to assess severity of the syndrome by NCS and its correlation with USG results. Materials and Methods: This was a hospital based, case-control study done on a total of 109 patients of CTS and analysed during the period from June 2017 to June 2019. Total 203 hands of the patients with abnormal NCS formed case group while 101 hands from healthy volunteers constituted the control group. All the patients underwent neurological evaluation by Boston Carpal Tunnel Questionnaire (BCTQ) and were divided into mild, moderate and severe according to the score. An electromyography machine was used to perform electrophysiological studies of both the limbs in all subjects. CTS was diagnosed electro-diagnostically based on the American Association of Neuromuscular and Electrodiagnostic Medicine (AANEM) guidelines and were classified as mild (Grades 1 and 2), moderate (Grades 3 and 4), and severe (Grades 5 and 6) grades using Bland’s electrophysiological grading scale. USG was performed for all the subjects and all the data of various investigations was analysed using Statistical Package for Social Sciences (SPSS) version 22.0 software. Chi-square test and Mann Whitney U-test were used as test of significance for qualitative data. Results: The mean age of subjects was 44.38±9.561 years. Strongly significant association was observed in BCTQ symptom, functional and total scores with NCS severity grading (p-value <0.001). Moderately significant association was found between BCTQ symptom and total scores with USG severity grading (p-value<0.02). Tunnel grade and NCS grade were found significantly correlated (p-value <0.001). The mean CSA cut-off value of 8.5 mm² at the inlet of carpal tunnel had a good sensitivity 86.21%, specificity 83.17%, Positive Predictive Value (PPV) 91.1% and Negative Predictive Value (NPV) 75%. Conclusion: The diagnostic accuracy of USG assessment and NCS was found to be correlated comparably and complement each other in all grades of CTS. USG, can be considered a preferable screening tool by the patients of CTS due to its painless nature and easy accessibility. It requires minimal time and many a times detects those structural abnormalities which have great therapeutic implications. In mild CTS cases, USG should always be combined with NCS for proper diagnosis as USG might give negative result.

scholarly journals A Review of Carpal Tunnel Syndrome and Its Association with Age, Body Mass Index, Cardiovascular Risk Factors, Hand Dominance, and Sex

2020 ◽  
Vol 10 (10) ◽  
pp. 3488 ◽  
Author(s):  
Melissa Airem Cazares-Manríquez ◽  
Claudia Camargo Wilson ◽  
Ricardo Vardasca ◽  
Jorge Luis García-Alcaraz ◽  
Jesús Everardo Olguín-Tiznado ◽  
...  
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Body Mass Index ◽  
Carpal Tunnel Syndrome ◽  
Respiratory Rate ◽  
Carpal Tunnel ◽  
Abdominal Circumference ◽  
Cardiac Rate ◽  
Tunnel Syndrome ◽  
The Relationship

Carpal tunnel syndrome (CTS) is one of the most common compressive, canalicular neuropathies of the upper extremities, causing hand pain and impaired function. CTS results from compression or injury of the median nerve at the wrist within the confines of the carpal tunnel. Parameters such as age, sex, and body mass index (BMI) could be risk factors for CTS. This research work aimed to review the existing literature regarding the relationship between CTS and possible risk factors, such as age, sex, BMI, dominant hand, abdominal circumference, respiratory rate, blood pressure, and cardiac rate to determine which ones are the most influential, and therefore, take them into account in subsequent applied research in the manufacturing industry. We performed a literature search in the PubMed, EBSCO, and ScienceDirect databases using the following keywords: carpal tunnel syndrome AND (age OR sex OR BMI OR handedness OR abdominal circumference OR respiratory rate OR blood pressure OR cardiac rate). We chose 72 articles by analyzing the literature found based on selection criteria. We concluded that CTS is associated with age, female sex, and high BMI. Trends and future challenges have been proposed to delve into the relationship between risk factors and CTS, such as correlation studies on pain reduction, analysis of weight changes to predict the severity of this pathology, and its influence on clinical treatments.

Frequency of Local Treatment in Carpal Tunnel Syndrome during Pregnancy

2021 ◽  
Vol 15 (7) ◽  
pp. 2299-2301
Author(s):  
Jawad Hussain ◽  
Muhammad Saqib ◽  
Nadia Khan ◽  
Sohail Khan ◽  
Fawad Jan ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Pregnant Women ◽  
Pain Intensity ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Local Treatment ◽  
P Value ◽  
Before And After ◽  
Dexamethasone Acetate ◽  
Tunnel Syndrome

Background and Aim: The most common entrapment neuropathy is carpal tunnel syndrome (CTS). Carpal tunnel syndrome is caused by median nerve compression at the wrist joint. Idiopathic carpal tunnel syndrome is the most common cause. Among the other physiologic causes of carpal tunnel syndrome (wrist trauma, diabetes, hypothyroidism, rheumatoid arthritis, occupation, contraception, and pregnancy), pregnancy is the most common. The objective of the present study was to determine the frequency of local treatment in carpal tunnel syndrome during pregnancy. Materials and Methods: This cross-sectional study was carried out on 45 pregnant women with carpal tunnel syndrome in the departments of Neurology and Gynaecology, Ayub Teaching Hospital, Abbottabad from May 2020 to April 2021. Individuals who met the inclusioncriteria were enrolled in this study. Ethical approval and consent forms were taken from the participants. All the patients were treated with local treatment (dexamethasone acetate 4 mg and lidocaine 0.5 ml) under the carpal tunnel syndrome. Before and after 3 weeks of local injection, median nerve electro physiologic parameters through sensory nerve conduction velocity (SNCV), sensory latency (DSL), pain intensity (visual analog scale or VAS) and distal motor latency (DML) were all noted. Results: The mean age of the patients was 29± 5.3 years while mean weight gain was 13.2 ± 4.9 kg. The third trimester was the mostfrequent pregnancy trimester with carpal tunnel syndrome. Before and after 3weeks, the average pain score of injected dexamethasone acetate was 8.65 ±0.89 and 4.29 ± 0.74 respectively (p-value < 0.005). Additionally, the median nerve SNCV transcarpalwas 32.9 ±7.1 and 25.1 ± 7.2 m/s (p-value = 0.001); while DSL median nerve was4.87±0.81 ms and 4.1±0.62. Lastly, the DML of the median nerve before and after 3weeks of local treatment was 5.2±1.03 and 4.69±0.54 ms respectively. Conclusion: Pain intensity and electrophysiological factors were considerablyimproved after local treatment dexamethasone acetate injection. Encouraging results have been offered for carpal tunnel syndrome with minimum invasive treatment in pregnant women. Keywords: Carpal tunnel syndrome, Pain intensity, local treatment

scholarly journals The relationship between body mass index and the diagnosis of carpal tunnel syndrome

1994 ◽  
Vol 17 (6) ◽  
pp. 632-636 ◽  
Author(s):  
Robert A. Werner ◽  
James W. Albers ◽  
Alfred Franzblau ◽  
Thomas J. Armstrong
Keyword(s):  
Body Mass Index ◽  
Carpal Tunnel Syndrome ◽  
Body Mass ◽  
Carpal Tunnel ◽  
Tunnel Syndrome ◽  
The Relationship

UPAYA MEMPERTAHANKAN ERGONOMIK SERTA MENCEGAH HAZARD PSIKOSOSIAL

2020 ◽  
Author(s):  
Sera Manik
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Cumulative Trauma Disorders ◽  
Low Back ◽  
Cumulative Trauma ◽  
Tunnel Syndrome ◽  
Trauma Disorders

Ergonomi menjadi pilar kesehatan dan menjadi salah satu indikator kesejahteraan. perbaikan ergonomi perlu dilakukan sebagai salah satu upaya pencegahan terhadap penyakit CTDs (Cumulative Trauma Disorders) akibat faktor risiko kerja postur janggal, beban, frekuensi dan durasi yang bersumber dari pekerjaan, seperti nyeri tengkuk, nyeri pinggang bawah atau low back pain, rasa baal pada jari telunjuk, jari tengah dan jari manis yang disertai nyeri terbakar pada malam hari, kekakuan, lemah dan nyeri saat tangan digunakan dan dikenal dengan nama Carpal Tunnel Syndrome. Dalam ergonomi, postur tubuh adalah faktor yang sangat penting, salah satunya postur duduk yang setiap orang lakukan setiap hari dalam durasi berjam-jam. Tujuan utama membuat desain ergonomi untuk kursi atau tempat duduk dan meja adalah menciptakan sedemikian rupa bentuk kursi dan meja belajar, sehingga dapat mempertahankan postur tulang punggung yang fi siologis, dengan demikian diharapkan kerja otot tidak perlu berkontraksi secara berlebihan. Masalah ketidaksesuaian aspek ergonomi antara sarana kerja dan manusia serta pengaruhnya terhadap kesehatan belum mendapatkan perhatian yang serius di Indonesia. Hal ini terbukti dengan masih banyaknya tempat-tempat kerja yang belum berpedoman dengan kaidah ergonomi dalam hal penyediaan peralatan kerja bagi tenaga kerja. Ketepatan dimensi merupakan salah satu faktor penentu kenyamanan yang menunjang aspek fungsional dari suatu rancangan. Untuk menghasilkan suatu desain yang tepat dimensi perlu pertimbangan yang matang dan observasi yang cermat terkait dengan faktor manusia sebagai pengguna produk.

The Relationship of the Double Crush to Carpal Tunnel Syndrome (An Analysis of 1,000 Cases of Carpal Tunnel Syndrome)

1985 ◽  
Vol 10 (2) ◽  
pp. 202-204
Author(s):  
LAWRENCE C. HURST ◽  
DAVID WEISSBERG ◽  
ROBERT E. CARROLL
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Carpal Tunnel Surgery ◽  
Significant Incidence ◽  
Tunnel Syndrome ◽  
Relationship Of ◽  
The Relationship ◽  
Double Crush ◽  
Double Crush Syndrome ◽  
Bilateral Carpal Tunnel Syndrome

In this series of 1,000 cases of carpal tunnel syndrome (888 patients) there is a statistically significant incidence of bilaterality in patients with cervical arthritis. There is also a statistically significant increase in the incidence of diabetes mellitus over the general population. These findings lend further support to Upton’s Double Crush hypothesis. Further, the double crush syndrome predisposes to bilateral carpal tunnel syndrome and may be an important prognostic factor. It may also be an explanation for some of the failures following carpal tunnel surgery and lead surgeons to look for other associated systemic diseases or mechanical blocks, when attempting to alleviate recalcitrant symptoms.

scholarly journals Carpal tunnel syndrome: long-term nerve conduction studies in 261 hands

2009 ◽  
Vol 67 (1) ◽  
pp. 69-73 ◽  
Author(s):  
Dante Guilherme Velasco Hardoim ◽  
Guilherme Bueno de Oliveira ◽  
João Aris Kouyoumdjian
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Nerve Conduction ◽  
Sensory Nerve ◽  
Nerve Conduction Studies ◽  
Sensory Nerve Action ◽  
Tunnel Syndrome ◽  
The Mean ◽  
Compound Action

OBJECTIVE: To compare a long-term carpal tunnel syndrome (CTS) on nerve conduction studies (NCS) in hands treated non-surgically. METHOD: We retrospectively selected 261 symptomatic CTS hands (166 patients), all of them confirmed by NCS. In all cases, at least 2 NCS were performed in an interval greater than 12 months. Cases with associated polyneuropathy were excluded. NCS parameters for CTS electrodiagnosis included a sensory conduction velocity (SCV) <46.6 m/s (wrist to index finger, 14 cm) and distal motor latency (DML) >4.25 ms (wrist to APB, 8 cm). RESULTS: 92.8% were women; mean age was 49 years (20-76); the mean interval between NCS was 47 months (12-150). In the first exam, the median sensory nerve action potential (SNAP) and the compound action muscular potential were absent in 9.8% and 1.9%, respectively. In the second/last exam, SCV worsened in 54.2%, remained unchanged in 11.6% and improved in 34.2%. SNAP amplitude worsened in 57.7%, remained unchanged in 13.1% and improved in 29.2%. DML worsened in 52.9%, remained unchanged in 7.6% and improved in 39.5%. Overall, NCS parameters worsened in 54.9%, improved in 34.3% and remained unchanged in 10.8%. CONCLUSION: Long-term changing in NCS of CTS hands apparently were not related to clinical symptomatology and could lead to some difficulty in clinical correlation and prognosis. Aging, male gender and absent SNAP were more related to NCS worsening, regardless the mean interval time between the NCS.

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