Carpal tunnel syndrome in rheumatoid arthritis patients: the role of combined ultrasonographic and electrophysiological assessment

Mahmoud, Wafaa; El-Naby, Mona Mansour Hassab; Awad, Ahmed Abdellatif

doi:10.1186/s43166-022-00147-9

Cited by 2 publications

(3 citation statements)

References 33 publications

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“…Синдром зап'ястного каналу (зап'ястковий тунельний синдром) -це сукупність симптомів, пов'язаних зі здавленням серединного нерва в зап'ястному каналі, що спостерігається в клінічній практиці при ревматоїдному артриті. Даний синдром відносять до компресійних нейропатій, а це означає, що механічне здавлення є причиною несприятливих змін у нерві [1,2,3].…”

Section: національний університет водного господарства та природокори...unclassified

“…Зазвичай до них приєднуються м'язова слабкість, нездатність скласти пальці в кулак, погіршення рухливості та атрофія м'язів. Уражається периферійна нервова система: це виражається в блідому, а іноді синюшному кольорі руки, сухості шкіри, ламкості нігтів та похолоданні кисті [2,3].…”

Section: національний університет водного господарства та природокори...unclassified

“…Критеріями включення були: наявність встановленого діагнозу ревматоїдний артрит на підставі критеріїв ACR/ EULAR 2010 р. [13] [3].…”

Section: національний університет водного господарства та природокори...unclassified

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Assessment of Functional Disorders of the Upper Limbs in Patients with Rheumatoid Arthritis

Nogas¹

2023

Ukr. ž. med. bìol. sportu

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The purpose of the study was to assess functional disorders of the upper limbs in patients with rheumatoid arthritis using the Boston Carpal Tunnel Questionnaire. Materials and methods. To assess the functional status of the affected upper limbs of patients with rheumatoid arthritis, the Boston Carpal Tunnel Questionnaire was used, which consists of two scales: the Symptom Severity Scale and the Function Status Scale, which were filled out by the patients themselves. The study was conducted on the basis of rheumatology department of the Municipal Enterprise “Yuriy Semeniuk Rivne Regional Clinical Hospital” in Rivne during the period from 2016 to 2018. 216 patients took part in the examination, of which 178 (82%) were women and 38 (18%) were men. The patients’ age is from 25 to 59 years old (average age is 46 ± 0.24). The inclusion criteria were: the presence of an established diagnosis of rheumatoid arthritis based on the ACR/EULAR 2010 criteria, and in accordance with the Order of the Ministry of Health of Ukraine dated April 11, 2014 No. 263 “Unified clinical protocol of primary, secondary, of tertiary medical care and medical rehabilitation of patients with rheumatoid arthritis”, the presence of informed consent of patients to participate in the study. Patients' rights were respected in accordance with the Declaration of Helsinki “Ethical Principles of Medical Research Involving Human Subjects” developed by the World Medical Association, “Universal Declaration of Bioethics and Human Rights (UNESCO)”. Results and discussion. During the initial examination, it was found that the majority of patients had moderate (20.3%) and severe pain (16.6%) in the affected upper limbs (hands / wrists), which in the last two weeks had caused the patients to wake up at night: once – 10.6% of patients, 2–3 times –15.7% of patients. During the day, 20.3% of patients complained of moderate pain in a hand / wrist, and 17.5% of people were bothered by severe pain. The majority of patients (15.7%) noted that the pain lasted from 10 to 60 minutes. As for functional disorders, the greatest difficulties for patients occurred when buttoning clothes – 45.3%, doing household chores – 39.8%, and opening a bottle – 36.1% of patients. Manifestation of local symptoms of damage to the carpal tunnel affects the general physical and psychological condition of the patient. The patient loses work capacity, concentration, and the quality of his / her life decreases. Conclusion. Considering the above results, we are convinced of the need to implement the concept of physical rehabilitation/therapy, which would be able to reduce the level of existing functional disorders and improve the quality of life for patients with rheumatoid arthritis

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Section: національний університет водного господарства та природокори...unclassified

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Assessment of Functional Disorders of the Upper Limbs in Patients with Rheumatoid Arthritis

Nogas¹

2023

Ukr. ž. med. bìol. sportu

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Assessment of Hand Function in Patients With Rheumatoid Arthritis as a Result of Physical Therapy

Nogas¹

2023

Scientific and practical journal

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Assessment of hand function is the great importance in physical therapy for patients with rheumatoid arthritis, as the choice of rehabilitation measures and evaluation of their results depends on the functional capacity of the hand. The purpose is to evaluate hand function in patients with rheumatoid arthritis as a result of physical therapy using the Sollerman test. Materials and methods. The research was conducted on the basis of the rheumatology department and the department of rehabilitation treatment using traditional and alternative methods of the Municipal Enterprise “Rivne Regional Clinical Hospital named after Yuriy Semeniuk” in Rivne. The results of the research were accumulated as patients were admitted for inpatient treatment. A total of 188 patients with rheumatoid arthritis were examined, with an average age of 44.9±7.6 years. All patients were randomly assigned to the control (n=92) and main (n=96) groups. Patients of the control group underwent rehabilitation in accordance with the recommendations of the regulatory document of the Ministry of Health of Ukraine. Patients in the main group were treated according to the proposed physical therapy technology, which included the following elements: therapeutic exercises, therapeutic massage, physiotherapy, hydrotherapy, orthotics, kinesiotaping of the upper extremities, mechanotherapy and psychological support. A physical therapy programme was developed for each patient for a long-term period of 6 months. To determine the function of the arm, the Sollerman test was used. The obtained digital material was processed statistically using the Statistica 10 statistical analysis package (Serial Number: STA999K347150-W). Results. The initial examination revealed the presence of disorders of the basic functions of the hand and deviations from the norm, as well as impaired fine motor skills and various types of hand grip according to the Solleraman test. We analysed the quality of different types of grasping in patients with rheumatoid arthritis, in particular, the greatest difficulties were in performing spherical and cylindrical grasping – in 82.9% of patients and 89.3% of cases, respectively. Forceps grasping was also difficult in 76.5% of patients. During the repeated examination after 3 and 6 months, patients in both groups showed positive dynamics in the performance of individual test tasks. Thus, in patients of the main group, after 3 months, the average Sollerman test scores increased to 65.1±5.3 points, in the control group this figure was significantly lower than 61.8±3.6 points (x ±S) (p<0.05). In 6 months after hospitalisation, the mean values of the Sollerman test in the main group of patients with rheumatoid arthritis increased significantly and were close to normal values. In patients of the control group, the average values of this test also increased, but they were significantly lower than those of the main group. Accordingly, the mean Sollerman test score in patients of the main group increased from 65.1±5.3 points to 70.2±6.3 points, which is significantly higher than in patients of the control group – from 61.8±3.6 points to 65.1±3.8 points (x±S) (p<0.05). The results of the Sollerman test in the main group are significantly higher than those of the control group, which indicates the effectiveness of the developed rehabilitation technology for patients in the main group. Conclusions. The increase in the functional capacity of the upper extremities of patients in the main group with rheumatoid arthritis confirms the effectiveness of the implemented physical therapy technology.

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Carpal tunnel syndrome in rheumatoid arthritis patients: the role of combined ultrasonographic and electrophysiological assessment

Cited by 2 publications

References 33 publications

Assessment of Functional Disorders of the Upper Limbs in Patients with Rheumatoid Arthritis

Assessment of Functional Disorders of the Upper Limbs in Patients with Rheumatoid Arthritis

Assessment of Hand Function in Patients With Rheumatoid Arthritis as a Result of Physical Therapy

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