scholarly journals Perbedaan Pengaruh Antara Mobilisasi Saraf Dan Myofacial Release Terhadap Penurunan Nyeri Pada Pasien Carpal Tunnel Syndrome

2017 ◽  
Vol 6 (2) ◽  
Author(s):  
Budi Utomo ◽  
Yulianto Wahyono
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
The Body ◽  
Drop Out ◽  
Nerve Tissue ◽  
Research Subjects ◽  
Group I ◽  
Tunnel Syndrome ◽  
Group Ii ◽  
The Difference

Abstract : Nerve Mobilization, Myofacial Release, Carpal Tunnel Syndrome. Carpal tunnel syndrome (CTS) is defined with signs and symptoms resulting from compression of the median nerve at the wrist. CTS lead to discomfort and pain, limited daily activities, sleep deprivation and the inability to work. Nerve mobilization is manipulative technique in which the nerve tissue is moved and stretched out both motions relative to the surrounding (interface mechanical) or with the development of tension. Myofascial Release (MFR) refers to massage techniques, instructions for stretching the fascia and releasing bonds between fascia and integument, muscles, bone, with the aim to relieve pain, increase range of motion and balance the body. Some research concluded the difference in the length of time the treatment is with a shorter time can produce significant pain reduction. The aim of this study was to determine the effect of the difference between the provision of nerve mobilization and myofacial release to the reduction of pain in patients with carpal tunnel syndrome. This research is a quasi experimental study with two group pre test and post test control design. The subjects were all patients diagnosed with carpal tunnel syndrome who came to the clinic physiotherapy Dr. Moewardi Surakarta hospital who met the inclusion criteria, exclusion and drop out. Number of research subjects in group I, amounting to 8 people and group II amounted to 7 people. Group I was treated nerve mobilization and group II were treated Myofacial release. Treatment was given 2 times per week for 3 weeks. Results: (1) mobilization of the nerve may reduce pain in patients with CTS (p = 0.012), (2) MFR can reduce a patient's pain CTS (p = 0.018), (3) there is no difference between mobilization nerves and MFR to reduce pain CTS patients (p= 0.189).

Forensic Implications of Carpal Tunnel Syndrome in Relation to Neurological, Radiological and Orthopedic Assessments

2021 ◽  
Vol 15 (8) ◽  
pp. 2169-2171
Author(s):  
Muhammad Faheem Ashraf ◽  
Tanveer Haider ◽  
Shams Munir ◽  
Muhammad Imran Khan ◽  
Uzma Zaheen ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Control Group ◽  
Sectional Area ◽  
Cross Sectional ◽  
Medical College ◽  
Group I ◽  
Tunnel Syndrome ◽  
Forensic Implications ◽  
Group Ii

Objective: To determine forensic implications of carpel tunnel syndrome in relation to neurological, radiological and orthopedic assessments. Study Design: Prospective Place and Duration of Study: Department of Forensic Medicine in collaboration with Radiology and Orthopaedic Departments, Govt. Khawaja Muhamamd Safdar Medical College Sialkot from 1st March 2020 to 28th February 2021. Methodology: One hundred and fifty patients of both genders were enrolled and age between 15-70 years. Details demographics age, sex and body mass index of all patients were recorded after taking written consent. Patients were divided into 2 groups. Group I had 75 patients with carpal tunnel syndrome and group II had 75 patients without carpal tunnel syndrome. Patients were undergone for ultrasonography and ultradiagnostic test used to diagnose the carpal tunnel syndrome. The carpal tunnel and proximal levels of the median nerve's CSA were measured, delta cross-sectional area (CSA) was determined for each wrist based on the differences between CSAc and CSAp. Sensitivity and specificity in wrists among both groups were identified. Results: There were 15 (20%) males and 60 (80%) females in group I with 90 wrists while in group II 17 (22.7%) males and 58 (77.3%) females in group II with 100 wrists. Mean age in group I was 49.68±9.66 years with mean BMI 26.47±9.54 kg/m2 and in group II mean age was 51.68±9.66 years with mean BMI 25.47±9.54 kg/m2. Mean CSAc in affected wrists group I was 17.11±6.44 greater than group II 08.17±6.58 mm2. Mean delta CSA in healthier wrists was lower 1.01±2.11 than group I 8.44±9.55 mm2. It was shown that the delta-CSA threshold of 2 mm2 had the maximum sensitivity (98.7%) and specificity (100%) in group I than control group. Conclusion: As compared to CSAc, the CSA is more accurate in diagnosing carpal tunnel syndrome. Keywords: Carpel tunnel syndrome (CTS), CSA, Wrists, Specificity, Sensitivity, Ultrasonography

scholarly journals Identification of Common Risk Factors Associated with Carpal Tunnel Syndrome

2013 ◽  
Vol 29 (2) ◽  
pp. 70-78
Author(s):  
MD Nahidul Islam ◽  
Mohammad Shah Jahirul Hoque Chowdhury ◽  
MD Tauhidul Islam Chowdhury ◽  
Ahmed Hossain Chowdhury ◽  
Mahmudul Islam ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Diabetes Mellitus ◽  
Risk Factors ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Factors Associated ◽  
Group I ◽  
Tunnel Syndrome ◽  
Common Risk Factors ◽  
Group Ii

Objective: To identify the common risk factors associated with carpal tunnel syndrome. Methodology:This case-control observational study was conducted in the department of neurology and medicine, DMCH from May 2010 to April 2011 for a duration of 1 year. The study included purposively selected 80 persons. Patients attending the outdoor and admitted in indoor of department of neurology and medicine, DMCH with a clinically suspected CTS and established by electrophysiological parameters selected as cases (group –I) . Healthy volunteers and subjects who were devoid of any features of CTS but having history with isolated injury to the lower limb nerve and isolated facial nerve palsy with normal electrophysiological parameters selected as control (group –II). Data were collected by interview of the patients, clinical examination and laboratory investigations using the research instrument. Result: The mean age was 42.7±9.8 years with range from 24 to 64 years and 41.1±9.1 years with range from 26 to 61 years in group-I and group-II respectively. The proportion of male and female patients was similar in both the study groups. Male Female ratio was 1: 7 in both groups. In this study it was observed that hypothyroidism was found 25.0% in group I and 5.0% in group II, which was significantly (p<0.05) higher in carpal tunnel syndrome patients. Diabetes mellitus was significantly higher in carpal tunnel syndrome patients, which was 22.5% in group I and 7.5% in group II. Rheumatoid arthritis was found 20.0% in group I and 5.0% in group II, which was significantly (p<0.05) higher in patients with carpal tunnel syndrome. Pregnancy was found 11.4% in group I and 2.9% in group II. CKD with hemodialysis was found 17.5% and 7.5% in group I and group II respectively. In pregnancy and CKD with hemodialysis difference was not statistically significant (p>0.05) among the two groups. Regarding obesity it was found in this present series that 42.5% and 17.5% patients were obese in group I and group II respectively. Obesity was significantly (p<0.05) higher in patients with carpal tunnel syndrome. In this study it was found in multivariate analysis that patients with hypothyroidism 1.28 times, DM 2.20 times, RA disease 3.84 times, obesity 5.9 times more likely to be associated with carpal tunnel syndrome but CKD with hemodialysis patients and pregnancy were not significantly associated in multivariate analysis. In this study it was also found that almost a half (47.5%) of the patients was housewives followed by garment workers (27.5%) and clerical workers (22.5%) in group I, which indicates that carpal tunnel syndrome was more common among housewives. Conclusion: A conclusion can be made from the above mentioned result that CTS is multifactorial. Obesity, diabetes mellitus, hypothyroidism and rheumatoid arthritis are commonly associated with carpal tunnel syndrome. Moreover female sex and age were also associated with CTS. This study also found that patients diagnosed as having work-related CTS have a high prevalence of concurrent medical conditions capable of causing CTS without respect to any particular occupation. Bangladesh Journal of Neuroscience 2013; Vol. 29 (2) : 70-78

scholarly journals Comparison between Carpal Tunnel Syndrome and Individuals with Symptoms of Obsessive- Compulsive Disorder

2020 ◽  
Author(s):  
Meliha GÜNDAĞ PAPAKER ◽  
Anas ABDALLAH ◽  
Mehmet Hakan SEYİTHANOĞLU ◽  
Engin CAN ◽  
Aygül TANTİK PAK ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Patient Group ◽  
Carpal Tunnel ◽  
Significant Relationship ◽  
Control Group ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Tunnel Syndrome ◽  
Anxiety Levels ◽  
The Difference

Abstract Objective: Carpal tunnel syndrome (CTS) is the most common peripheral nerve entrapment neuropathy and is seen in 3 % of the general population. The aim to this study was examine the relationship between the symptoms of cleaning compulsion with using Moudsley obsessive compulsive inventory ( MOCI ) and patients with CTS. Methods: Sixty patients with CTS and 60 healty controls were evaluated in Bezmialem Vakif University Faculty of Medicine Neurosurgery Clinic. Neurological examination, Electrophysiological findings, the presence of neuropathic pain evaluated by the Leeds assessment of neuropathic symptoms and signs (LANSS) , the symptoms of obsessive- compulsive disorder using with MOCI and anxiety levels assessed by the Beck Anxiety Inventory (BAI) were evaluated. Results: No statistically significant relationship was observed between anxiety levels and CTS (p › 0.005). No statistically significant relationship was found MOCI rumination, control and doubting subscale scores (p › 0.005). Patient group had higher MOCI cleaning subscale scores than the control group and the difference was statistically significant (p=0.008). Patient group had higher MOCI slowness subscale scores than the control group and the difference was statistically significant (p=0.004). Conclusion: Increased wrist movement in people that have the symptoms of compulsive cleaning is associated with the risk of CTS. Our study show that a reduction of high level of wrist flexion-extansion movements may decrease the new CTS cases.

scholarly journals ENMG PROFILE OF PATIENTS WITH HAND PAIN COMPLAINTS

2020 ◽  
Vol 8 (1) ◽  
pp. 243-249
Author(s):  
Shahdevi NK ◽  
Kandhisa ◽  
H Machlusil ◽  
Neila R
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Neuromuscular Disorders ◽  
Daily Practice ◽  
Study Data ◽  
Research Subjects ◽  
Old Patients ◽  
Hand Pain ◽  
De Quervain ◽  
Tunnel Syndrome

Introduction: Hand pain is a complaint that often found in daily practice. Electroneuromyography (ENMG) examination has pivotal role neuromuscular disorders in hand pain. This study aims to determine ENMG profile of patients with hand pain complaints also its characteristics. Methods: This research is a descriptive observational study. Data were obtained by interviewing technique conducted in neurology polyclinic General Hospital of Dr. Saiful Anwar Malang (RSSA), comprises patient characteristic and their ENMG summaries. There were a total of 58 patients with hand complaint that fulfilled inclusion criteria. ENMG was conducted to all research subjects. Results: For 10 months (April 2017 – December 2017) there were 58 patients complained of hand pain, comprised 50 new patients (86%) and 8 old patients (13%). A total of 41 subjects (71%) were women and 17 subjects (29%) were men with complaints of unilateral hand 44 (76%) and bilateral 14 (24%) subjects. The major age group was 45-55 years (70%). The average occupation that experienced by patients was housewife (63%). Patients came with paresthesia as their most complaints (60%) with positive Tinnel sign found in 62% of patients and hypertension 34% and DM 24% as comorbids. ENMG was conducted to all patients with carpal tunnel syndrome (CTS) 44 patients (75%), polyneuropathy 6 patients (10%), de Quervain 6 patients (10%) as results. Conclusion: The most ENMG results of patients with hand pain complaints is carpal tunnel syndrome.

Using Ultrapure Water in Hemodialysis Delays Carpal Tunnel Syndrome

1991 ◽  
Vol 14 (11) ◽  
pp. 681-685 ◽  
Author(s):  
M. Baz ◽  
C. Durand ◽  
A. Ragon ◽  
K. Jaber ◽  
D. Andrieu ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Interleukin 1 ◽  
Actuarial Survival ◽  
Group Iii ◽  
Kaplan Meier ◽  
Group I ◽  
Cellulose Acetate Membranes ◽  
Tunnel Syndrome ◽  
Stimulation Of

Since 1977, our patients have undergone chronic HD with ultra-pure dialysate (UPD), defined as having endotoxin levels below 0.008 ng/ml and less than 1 bacteria/ml of dialysate. We evaluated the incidence of carpal tunnel syndrome (CTS) in three groups of patients. Group I (GI), 84 patients, dialysed for 6.1 ± 3.2 years (mean ± SD) with UPD only; Group II (GII), 39 patients, first dialysed for 3.7 ± 2.3 years with non-UPD and afterwards for 8.4 ± 2.1 years with UPD; Group III (G III), 103 patients treated for 6 ± 5.9 years exclusively with non-UPD. All patients were dialysed with cuprophan or cellulose acetate membranes. Results, expressed by Kaplan-Meier actuarial survival curves as the percent of patients without CTS, show that CTS occurred significantly less in GI than in GIII. This may be due to less stimulation of monocytes resulting from the absence of bacteria, endotoxins and pyrogens in the dialysate which would reduce the stimulation of cytokines release, interleukin 1 and 6, and tumor necrosis factor, known to stimulate β2 microglobulin synthesis.

scholarly journals Study on individualized prostate biopsy guided by prostate specific antigen at different ranges

2021 ◽  
Vol 5 (1) ◽  
pp. 8-12
Author(s):  
Jin-Qi Song ◽  
Ya-Nan Zhou ◽  
Gang-Liang Tu ◽  
Hui Xu ◽  
Meng Ding
Keyword(s):  
Prostate Specific Antigen ◽  
Prostate Biopsy ◽  
Specific Antigen ◽  
Research Subjects ◽  
Early Screening ◽  
Diagnostic Efficacy ◽  
Positive Expression ◽  
Group I ◽  
Group Ii ◽  
The Difference

Background: Prostate specific antigen (PSA) is the most commonly used indicator for screening of prostate cancer(PCa), and the studies on PSA in PCa are very extensive at present. How to effectively use this indicator is worth for further study which this article wish to address.  Objective: The aim of this study is to explore how PSA in different ranges can better guide the individualized prostate biopsy.  Methods: A total of 117 patients with suspected PCa admitted to the Affiliated Hospital of Chengde Medical College from October 2018 to July 2020 were selected as the research subjects. PSA level and ratio of free and total PSA (F/TPSA) value of each patient were measured, and ultrasound-guided transrectal prostate biopsy was conducted for each patient, and then the PSA measurement results were compared with the prostate biopsy results.  Results: The result of biopsy was PCa in 40 cases, BPH in 77 cases. The positive expression rates of Group I in BPH and PCa patients were 25.97% and 87.50%, respectively, and the difference was statistically significant (P < 0.05).The positive expression rates of Group II in BPH and PCa patients were 10.39% and 75.00%, respectively, and the difference was statistically significant (P < 0.05). The sensitivity, specificity, positive predictive value and diagnostic coincidence rates of Group I and Group II were 87.50%, 74.03%, 63.63%, 78.63% and 75.00%, 89.61%, 78.94% and 84.62%, respectively.  Conclusion: Under different TPSA intervals, F/T < 0.16 has different diagnostic efficacy for PCa. Group I is more sensitive and suitable for early screening. Group II has stronger specificity in the diagnosis of PCa, Higher diagnostic coincidence rate, and has more diagnostic advantages before biopsy. Selecting Group II can help clinicians make more patient-friendly decisions and reduce the incidence of complications related to biopsy. According to patients’ aspiration for biopsy, auxiliary examinations such as magnetic resonance scan of prostate and bone scan should be performed actively for patients who meet the criteria I if they refuse to undergo biopsy. On the premise of not affecting PCa secondary prevention as much as possible, a more individualized biopsy plan was developed for patients. 

Carpal Tunnel Injury in Automobile Collisions

2019 ◽  
Author(s):  
John Wiechel ◽  
Douglas Morr ◽  
Brian Boggess ◽  
Tara Amenson
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
The Body ◽  
Low Energy ◽  
Mechanical Forces ◽  
Automobile Accidents ◽  
Vehicle Accident ◽  
Tunnel Syndrome ◽  
Automobile Collisions ◽  
Sufficient Magnitude

Abstract It is trite to say that automobile collisions cause injury due to mechanical force application to the body. It is also understood that carpal tunnel syndrome is a debilitating condition which is caused by mechanical forces applied to the structures of the wrist. With the increased incidence of carpal tunnel syndrome in the 1990’s, automobile accidents have been identified as a cause of carpal tunnel syndrome. Such relationship is often based on a patient’s complaints after the accident and lack of complaint before the accident. Regardless of the patient’s complaint history, a mechanical relationship between the forces present in the accident and the injury must exist. A number of vehicle accident configurations are investigated, and the forces applied to the vehicle occupant’s wrist are identified. The directions and magnitudes of these forces are discussed with respect to their relationship to carpal tunnel syndrome. This analysis shows that in low energy collisions (delta V &lt; 16 kph,10 mph) the forces necessary to cause carpal tunnel syndrome are not present. Other accident situations can cause carpal tunnel syndrome with a prerequisite being sufficient magnitude of force applied directly to the wrist.

TRIGGER DIGITS-ASSOCIATED CARPAL TUNNEL SYNDROME: RELATIONSHIP BETWEEN CARPAL TUNNEL RELEASE AND TRIGGER DIGITS

Hand Surgery ◽  
2005 ◽  
Vol 10 (02n03) ◽  
pp. 205-208 ◽  
Author(s):  
K. Harada ◽  
H. Nakashima ◽  
K. Teramoto ◽  
T. Nagai ◽  
S. Hoshino ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Flexor Tendon ◽  
Carpal Tunnel Release ◽  
Tendon Sheath ◽  
Flexor Tendon Sheath ◽  
Idiopathic Carpal Tunnel Syndrome ◽  
Tunnel Syndrome ◽  
The Difference ◽  
Performance Rate

Of 875 idiopathic carpal tunnel syndrome (CTS) cases, 101 (11.5%) required trigger digit release operations within three years before and/or after carpal tunnel release (CTR); these 101 cases were investigated, retrospectively. Trigger digit release (TDR) was performed most often after the CTR, especially within three months. Next most common was at the same time as the CTR. The TDR performance rate after CTR was 5.9%. The nerve conduction study (NCS) comparison between trigger digits-associated CTS and isolated CTS showed that pre-operative distal motor latency was significantly more delayed in trigger digits-associated CTS, while there was no evidence of any difference due to age or gender. The difference of operative method (open or endoscopic procedure) did not influence the incidence rate of trigger digits after the CTR. This study suggested that trigger digits-associated CTS has a previously developed wide-ranging narrowing of the flexor tendon sheath.

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