scholarly journals Hubungan Masa Kerja dengan Keluhan Carpal Tunnel Syndrome pada Karyawan Pengguna Komputer di Bank BJB Cabang Subang

2019 ◽  
Vol 1 (1) ◽  
pp. 40-44
Author(s):  
Kintan Nafasa ◽  
Yuniarti Yuniarti ◽  
Nurdjaman Nurimaba ◽  
Cice Tresnasari ◽  
Caecielia Wagiono
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Target Population ◽  
Incidence Rates ◽  
P Value ◽  
Cross Sectional ◽  
Exact Test ◽  
Work Period ◽  
History Of ◽  
Tunnel Syndrome

Insidensi kejadian carpal tunnel syndrome (CTS) 3,8% di dunia dan insidensi lebih tinggi pada individu yang pekerjaannya memerlukan fleksi atau ekstensi jari berulang dalam waktu yang lama seperti karyawan bank. Penelitian ini bertujuan menganalisis hubungan antara masa kerja dan keluhan CTS pada karyawan Bank BJB Cabang Subang yang bekerja menggunakan komputer. Penelitian ini pendekatan potong lintang dan instrumen pengumpulan data menggunakan Boston Carpal Tunnel Syndrome Questionnaire. Sampel adalah 54 karyawan Bank BJB Cabang Subang yang menggunakan komputer. Kriteria inklusi adalah perempuan dan laki-laki berusia ≥24 tahun, menggunakan komputer pada saat bekerja, serta tidak memiliki riwayat diabetes melitus dan artritis reumatoid. Kriteria eksklusi, yaitu memiliki masa kerja kurang dari satu tahun, memiliki riwayat trauma tangan atau pergelangan tangan, sedang hamil, atau telah menopause.  Analisis data dilakukan dengan Uji Eksak Fisher dan didapatkan p=0,000 (<0,05) terdapat hubungan signifikan masa kerja dengan keluhan CTS pada karyawan Bank BJB Cabang Subang yang menggunakan komputer. Kelompok yang memiliki masa kerja ≥4 tahun memiliki proporsi CTS lebih besar dibanding dengan kelompok yang memiliki masa kerja <4 tahun. Semakin lama masa kerja maka semakin tinggi risiko CTS  karena terjadi gerakan berulang pada jari tangan secara terus-menerus dalam jangka waktu yang lama sehingga dapat menyebabkan kompresi pada jaringan sekitar carpal tunnel. RELATIONSHIP BETWEEN WORK PERIOD TO COMPLAINTS OF CARPAL TUNNEL SYNDROME ON EMPLOYEES AT BANK BJB SUBANG WORKING USING COMPUTERIncidence rates of carpal tunnel syndrome (CTS) 3.8% in the world. CTS incidence rates are higher in individuals whose jobs require long-term flexion or extension of fingers, such as bank employees. This study aimed to analyze the relationship between work period to complaints of CTS on employees at Bank BJB Subang working using computer. This research cross sectional approach and data collection using Boston Carpal Tunnel Syndrome Questionnaire. The target population of this research was all employees of Bank BJB Subang, while its accessible population was all employees of Bank BJB Subang that use computer. Samples were 54 employees at Bank BJB Subang is working on computer. Inclusion criteria was women and men aged ≥24 years who used the computer at work and had no history of diabetes mellitus and rheumatoid arthritis, while the exclusion criteria are those who has work period less than a year, history of hand or wrist injury, pregnant or menopause. Technique of data processing and data analysis conducted by statistical test Fisher’s exact test meaningful results is p-value = 0.000 (<0.05) thus there was a significant relationship between work period of complaints CTS on Employees at Bank BJB Subang Working Using Computer, which in the group who had working period more than four years had a higher proportion of CTS than the group with the working period less than four years. Risk of CTS will be higher for those who is working for a long period, because of repetitive movements of the fingers continuously for long periods of time can cause compression on the tissue around the carpal tunnel.

scholarly journals Faktor yang Berhubungan dengan Kejadian Carpal Tunnel Syndrome (CTS) pada Karyawan SPBE Di Indramayu

2018 ◽  
Vol 3 (2) ◽  
pp. 37-44
Author(s):  
Muthoharoh ◽  
Sarinah Basri K ◽  
Tating Nuraeni
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
P Value ◽  
Fisher Exact Test ◽  
Cross Sectional ◽  
Exact Test ◽  
Tunnel Syndrome

CTS merupakan gangguan umum yang berhubungan dengan pekerjaan, disebabkan oleh gerakan berulang dan posisi yang menetap pada jangka waktu lama. Beberapa faktor diketahui menjadi risiko terjadinya CTS, seperti gerakan berulang dengan kekuatan, tekanan pada otot, postur kerja yang tidak ergonomik dan lain-lain. Penelitian ini menggunakan Cross Sectional dengan jumlah sampel 40 karyawan di dua SPBE bagian Filling Hall area. Fisher Exact Test digunakan untuk analisis data uji statistik. Variabel yang diteliti adalah masa kerja, gerakan repetitive dan postur kerja. Dalam pengumpulan data peneliti menggunakan kuesioner, lembar observasi RULA dan test pemeriksaan fisik. Hasil uji statistik menggunakan Fisher Exact Test untuk masa kerja dan postur kerja didapatkan nilai P-Value = 0,029 dan 0,041. Karena nilai P -Value < 0,05 sehingga Ho ditolak, artinya ada hubungan antara masa kerja dan postur kerja dengan kejadian CTS . sedangkan untuk gerakan repetitive hasil uji statistik menggunakan Fisher Exact Test didapatkan nilai P-Value = 0,464. Karena nilai P-Value >0,05 sehingga Ho diterima, artinya ada hubungan antara gerakan repetitive dengan kejadian CTS.

FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN KELUHAN CARPAL TUNNEL SYNDROME (CTS) PADA SUPIR ANGKOT DI LUBUK PAKAM

2021 ◽  
Vol 4 (1) ◽  
pp. 95-99
Author(s):  
Irmayani Irmayani ◽  
Anggi Isnani Parinduri ◽  
Sri Melda Bangun ◽  
Lismawati Lismawati
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Public Transportation ◽  
Sampling Method ◽  
Chi Square ◽  
Cross Sectional ◽  
Work Period ◽  
Chi Square Test ◽  
Tunnel Syndrome ◽  
Work Done

Carpal Tunnel Syndrome (CTS) is a condition that affects the hands and fingers. Carpal Tunnel Syndrome (CTS) can cause symptoms in the form of tingling, pain, burning, or numbness in the fingers and hands. Complaints of Carpal Tunnel Syndrome (CTS) cause losses due to the work done. Complaints of Carpal Tunnel Syndrome (CTS) can be caused by several factors including work attitude, length of work and work period. This study aims to identify the factors associated with complaints of Carpal Tunnel Syndrome (CTS) in public transportation drivers in Lubuk Pakam. This study uses an analytical survey with a cross sectional approach. The sample in this study was public transportation drivers in Lubuk Pakam as many as 32 respondents with purposive sampling method using the chi square test with a 95% confidence level = (0.05). The results showed that there was a relationship between work attitudes (P = 0.042< (0.05), length of work (P = 0.036 < (0.05), work period (P = 0.034< (0.05)) with complaints of Carpal Tunnel Syndrome (CTS).The advice that can be given is that angkot drivers in Lubuk Pakam take regular breaks of 15-20 minutes by stretching the wrist to reduce the risk of Carpal Tunnel Syndrome (CTS) complaints.

scholarly journals Sonographic Wrist Measurements and Detection of Anatomical Features in Carpal Tunnel Syndrome

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Esther Vögelin ◽  
Thomas Mészàros ◽  
Franziska Schöni ◽  
Mihai A. Constantinescu
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Odds Ratio ◽  
Risk Evaluation ◽  
Flexor Muscle ◽  
Cross Sectional ◽  
Anatomical Features ◽  
Flexor Muscles ◽  
History Of ◽  
Tunnel Syndrome

Introduction. This study compares anatomical findings at wrist level in patients with known carpal tunnel syndrome (CTS) and controls by ultrasonography (US).Material and Methods. Wrist-US investigations of 28 consecutive patients with 38 diagnosed, idiopathic CTS were compared to 49 healthy volunteers without history of CTS. Internal wrists dimensions, the presence of flexor muscle bellies in the carpal tunnel, and cross-sectional area of the median nerve were analyzed. The findings were correlated to gender, age, and BMI.Results. US demonstrated a square internal carpal tunnel configuration in CTS patients compared to controls (P<0.001). Patients with CTS showed a trend towards the presence of flexor muscles bellies in the carpal tunnel (odds ratio 1.77, 95% CI 0.337–8.33). CTS was present in women with higher BMI (P=0.015).Conclusion. US allowed detection of specific anatomical features at wrist level in CTS patients. This observation may enable—following confirmation in larger prospective studies—risk evaluation for CTS development.

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 Risk Factors of Carpal Tunnel Syndrome in Food-Packing Workers Karanganyar

2017 ◽  
Vol 11 (3) ◽  
Author(s):  
Haris Setyawan
Keyword(s):  
Risk Factors ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Random Sampling ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Influential Factor ◽  
P Value ◽  
Cross Sectional ◽  
Tunnel Syndrome

Carpal tunnel syndrome (CTS) occurs when the median nerve, which runs from the forearm into the hand, suffers pressure or squeezed in the wrist. The results may be pain, weakness, or numbness in the hand and wrist, radiating up to the arm. This study aimed to examine the risk factors i.e age, sex, work period and repetitive movements toward CTS complaints among food-packing workers in Karanganyar. The study was conducted in October to December 2014 that used analytic observational design with cross sectional study. Samples were 50 of 67 food-packing workers in Jaten Karanganyar industrial area as taken by using simple random sampling technique. Data were analyzed using chi square and multivariate logistic regression. Results showed that age and sex had significant relation with CTS and age was the most influential factor 24 times to increase the risk of CTS (p value = 0.057, Exp. B = 24.965).AbstrakCarpal tunnel syndrome (CTS) terjadi ketika saraf median, yang membentang dari lengan bawah ke tangan, mengalami tekanan atau terpuntir di pergelangan tangan. Hasilnya mungkin sakit, kelemahan atau mati rasa di tangan dan pergelangan tangan, yang memancar ke lengan tangan. Penelitian ini bertujuan untuk mengkaji faktor risiko usia, jenis kelamin, masa kerja dan gerakan repetitif terhadap keluhan CTS pada pekerja pengepakan makanan di Karanganyar. Penelitian ini dilaksanakan pada bulan Oktober – Desember 2014 menggunakan desain observational analitik dengan penelitian potong lintang. Sampel terdiri dari 50 orang dari total 67 pekerja pengepak makanan di kawasan industri Jaten Karanganyar yang diambil dengan menggunakan teknik simple random sampling. Data penelitian diolah menggunakan uji kai kuadrat dan regresi logistik multivariat. Hasil penelitian menunjukkan bahwa usia dan jenis kelamin signifikan berhubungan dengan keluhan CTS, dan usia merupakan faktor yang paling berpengaruh 24 kali lipat untuk meningkatkan risiko terjadinya CTS (nilai p = 0.057, Exp. B = 24.965).

scholarly journals POS0584 ULTRASONOGRAPHY OF THE MEDIAN NERVE IN PATIENTS WITH RHEUMATOID ARTHRITIS UNDER SUSPICION OF CARPAL TUNNEL SYNDROME

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 525.1-525
Author(s):  
S. Tsiami ◽  
E. Ntasiou ◽  
C. Krogias ◽  
R. Gold ◽  
J. Braun ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Nerve Conduction Velocity ◽  
Sectional Area ◽  
Cross Sectional ◽  
Spearman's Rho ◽  
Spearman’S Rho ◽  
Tunnel Syndrome

Background:Carpal tunnel syndrome (CTS) is the most common nerve compression syndrome and a common extra-articular manifestation of rheumatoid arthritis (RA). Different causes of CTS are known, among them inflammatory and non-inflammatory pathologies. Electroneurography (ENG) of the median nerve, the method of choice to diagnose CTS, measures impairment of nerve conduction velocity without explaining its underlying cause. However, because the electrical stimulation is often not well tolerated, ENG results may come out inconclusive. Using greyscale ultrasonography (GS-US) provides anatomic information including a structural representation of the carpal tunnel.Objectives:To investigate the performance of nerve GS-US in the diagnosis of CTS in patients with RA.Methods:Consecutive patients with active RA under suspicion of CTS presenting to a large rheumatologic center were included. Both hands were examined by an experienced neurologist including ENG and a GS-US (ML linear probe with 6-15 Hz) of the median nerve. An established grading system for ENG (1), and an established system for GS-US based on cut-offs for the nerve cross sectional area (CSA) [mild: 0,11-0,13cm2, moderate: 0,14-0,15 cm2, severe: > 0,15 cm2 CTS (2)] were used. In addition, the Boston Carpal Tunnel Syndrome Questionnaire (BCTSQ) was used to assess CTS symptoms (3).Results:Both hands of 58 patients with active RA (n=116) and clinical suspicion of CTS (in 38 cases bilaterally) were included. After clinical examination, CTS was suspicious in 96 hands (82.8%), and 59 of all hands had a final diagnosis of CTS (50.9%). Of the latter, 43 hands (72.9%) had a positive ENG and 16 (27.1%) a positive GS-US finding only, while 30 hands (50.8%) were positive in both examinations.There was a good correlation of the cross-sectional area (CSA) as well as the CSA-ratio to the ENG findings: the larger the CSA, the more severe was the CTS as assessed by ENG (Spearman’s rho=0.554; p<0.001). The more severe the GS-US findings of CTS were, the more definite were the distal motor latency (Spearman’s rho=0.554; p<0.001) and sensible nerve conduction velocity of the median nerve (Spearman’s rho=-0.5411; p<0.001).In the 46 hands positive in GS-US, tenosynovial hypertrophy of the flexor tendons was detected in 19 hands (41.3%), 7 of which (36.8%) also showed an additional cystic mass. In these 19 patients, clinical complains were more severely present than in patients with non-inflammatory CTS, as assessed by the BCTSQ with a total score of 68.8±13.4 vs. 59.3±13.7, respectively (p=0.007).Conclusion:In patients with active RA and clinical complains of CTS, ultrasound examinations provide additional information about inflammation which is helpful for a diagnosis of CTS. Thus, ENG and nerve GS-US should be used complementary for a diagnostic workup of CTS in RA patients with a suspicion of CTS. Power-Doppler may further improve the diagnostic performance of GS-US.References:[1]Padua L et al. Acta Neurol Scand 1997; 96:211–217[2]El Miedany et al., Rheumatology (Oxford). 2004 Jul; 43(7):887-895[3]Levine DW et al. J Bone Joint Surg Am 1993; 75: 1585-1592Figure 1.BCTSQ scores in patients with diagnosis of CTS and absence or presence of RA-related tenosynovial hypertrophyDisclosure of Interests:None declared

scholarly journals Prevalence and risk factors of self-reported wrist and hand symptoms and clinically confirmed carpal tunnel syndrome among office workers in China: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Beibei Feng ◽  
Kedi Chen ◽  
Xiaoxia Zhu ◽  
Wing-Yuk Ip ◽  
Lars L. Andersen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Computer Use ◽  
Office Workers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Work Related ◽  
Tunnel Syndrome ◽  
Hand Symptoms

Abstract Background Carpal tunnel syndrome (CTS) is a common cause of pain, numbness and tingling in the wrist and hand region and is associated with repetitive wrist and hand use in office workers. However, scarce knowledge exists about the epidemiology of clinically confirmed CTS among Chinese office workers. This study aimed to investigate the prevalence of wrist/hand symptoms and CTS in office workers in China and to identify associated risk factors. Methods A cross-sectional survey was carried out in a metropolitan city in China involving 969 respondents (aged 17–49 years) from 30 workplaces. A questionnaire was distributed to each participant to collect their demographic, work-related physical and psychosocial factors, and wrist and hand symptoms. The wrist and hand pain/numbness symptoms were marked on a body chart and the nature and intensity of symptoms, nocturnal symptoms, as well as aggravating activities were also recorded. Clinically confirmed CTS cases were screened based on the history, Phalen’s test, Tinel Sign and skin sensation testing among symptomatic respondents. Logistic regression was employed to estimate the odds ratio (OR) and 95% confidence interval (95% CI) for the occurrence of self-reported wrist and hand symptoms and clinically confirmed CTS. Results The clinically confirmed CTS prevalence was 9.6%. The prevalence of wrist and hand symptoms were 22 and 15%, respectively. Frequently working in pain was associated with higher odds of CTS. Multivariate modelling adjusted for age and gender showed that prolonged computer use time and working without breaks were associated with presence of wrist/hand symptoms (adjusted ORs: 1.11 (95% CI 1.02–1.22) and 1.88 (95% CI 1.12–3.14)). Educational level was inversely associated with CTS and smoking was associated with wrist/hand complaints (adjusted OR: 2.20 (95% CI 1.19–4.07)). Conclusions The prevalence of work-related clinically confirmed CTS symptoms among young office workers in China is high. Frequently working in pain is closely associated with clinically confirmed CTS. Intense computer use and no breaks at work are associated with wrist and hand symptoms.

scholarly journals Carpal Tunnel Syndrome: A National Survey to Monitor Knowledge and Operating Methods

2021 ◽  
Vol 18 (4) ◽  
pp. 1995
Author(s):  
Valentina Scalise ◽  
Fabrizio Brindisino ◽  
Leonardo Pellicciari ◽  
Silvia Minnucci ◽  
Francesca Bonetti
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Manual Therapy ◽  
Carpal Tunnel ◽  
Signs And Symptoms ◽  
Current Evidence ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Therapeutic Exercises ◽  
Chi Squared ◽  
Tunnel Syndrome

The aim of this article was to investigate the knowledge, management, and clinical practice of Italian physiotherapists concerning patients with carpal tunnel syndrome (CTS). A national cross-sectional survey consisted of 24 questions was administered from December 2019 until February 2020. A Chi-squared independence test was run to study any difference between subgroups of the sample and responses to the questionnaire. Five hundred and eight respondents completed the survey. Most respondents (n = 225/508; 44.3%) are under 29 years old, female (n = 256/508; 50.4%) and have been working as physiotherapists for less than 5 years (n = 213/508; 41.9%). Most of respondents correctly knows about the cause (n = 455/508, 89.6%), main signs and symptoms of CTS (n = 415/508, 81.70%) and administer education, manual therapy, myofascial techniques and therapeutic exercises (n = 457/508, 89.88%). Three hundred and sixty-four (71.68%) respondents were aware of the influence of psychosocial factors on the patient’s outcomes. The survey showed greater adherence to evidences by physiotherapists holding a master’s degree. The results are mostly comparable with other surveys structured all over the world on the same topic. Italian physiotherapists management of the CTS was not always in line with current evidence. Interventions such as education, manual therapy, therapeutic exercise, nerve and tendon glide techniques are widely used, while the orthotic is only offered by half of the sample.

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