Correlation of Segmental Carpal Tunnel Pressures with Changes in Hand and Wrist Positions in Patients with Carpal Tunnel Syndrome and Controls

Luchetti, Riccardo; Schoenhuber, R; Nathan, Peter A.

doi:10.1016/s0266-7681(98)80009-0

Cited by 63 publications

(53 citation statements)

References 25 publications

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“…Similarly, Luchetti et al showed that carpal tunnel pressure was higher when the wrist was in extension compared to flexion. 13 You et al investigated the relationships between the clinical symptom severity scales and nerve conduction measurements in CTS and found them to be significant. 14 This may explain the conflicting results concerning the provocative tests.…”

Section: Discussionmentioning

confidence: 99%

The Contribution of Wrist Flexion to Electrophysiological Studies in Patients with Suspected Carpal Tunnel Syndrome

Adam¹,

Doruk²,

Leblebici³

2012

Turkiye Klinikleri J Med Sci

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A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : This study aims to evaluate the effect of wrist flexion on electrophysiological studies in suspected cases of carpal tunnel syndrome (CTS) when patients have already undergone routine nerve conduction studies (NCS) and difference tests and had normal results. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : In this study, 27 patients (41 hands) with CTS symptoms who had previously undergone routine electrophysiological studies and difference tests and had normal results were investigated. After performing provocative wrist flexion bilaterally at a 90 degree angle for five minutes, the median nerve distal sensory latencies (DSLs), median versus radial first digit sensory latency differences, and median versus ulnar fourth digit sensory latency differences were recorded. R Re es su ul lt ts s: : The mean value of the median DSL observed before the wrist flexion provocation was 2.92±0.25, and it was 2.91±0.25 ms (p>0.05) afterwards. The median versus the ulnar fourth digit sensory latency difference recorded before the provocation was 0.21±0.20 while it was 0.24±0.17 ms (p>0.05) after the procedure. There was a statistically significant difference between the two measurements for median versus radial nerve first digit sensory latency differences (0.06±0.23 ms versus 0.18±0.25 ms, p<0.05), but this increase was not sufficient to reach the accepted electrodiagnostic criteria for CTS diagnosis. C Co on nc cl lu us si io on n: : In this study, it was concluded that patients with CTS symptoms who had undergone routine electrophysiological studies and difference tests had no additional benefit from provocative wrist flexion performed for five minutes.K Ke ey y W Wo or rd ds s: : Carpal tunnel syndrome; electrophysiology; wrist Ö ÖZ ZE ET T A Am ma aç ç: : Bu çalışmada rutin sinir ileti çalışmaları ve fark testleri normal olan şüpheli karpal tünel sendromlu (KTS) hastalarda el bilek fleksiyonunun, elektrofizyolojik çalışmalara olan etkisini değerlendirmek amaçlanmıştır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Bu çalışma KTS semptomları bulunan, rutin elektrofizyolojik çalışmaları ve fark testleri normal olan 27 hasta (toplam 41 el) üzerinde yapıldı. Beş dakikalık provokatif bilateral 90° el bilek fleksiyonunu takiben median duyusal distal latans (ddl), başparmak median-radial ddl farkı ve 4. parmak median-ulnar ddl farkları tekrarlandı. B Bu ul lg gu ul la ar r: : Provakasyon öncesi saptanan median sinir ortalama dsl değeri 2,92±0,25 ms idi. Provokasyon sonrası median sinir ortalama ddl değeri ise 2,91±0,25 ms idi (p>0,05). Dördüncü parmak median-ulnar ddl farkı değerleri provakasyon öncesi 0,21±0,20 ms ve provakasyon sonrası 0,24±0,17 ms ölçüldü (p>0,05). Başparmak median-radial sinirler ddl farkları iki ölçüm arasında istatistiksel olarak anlamlı fark vardı (0,06±0,23 ms ve 0,18±0,25 ms p<0,05). Ancak bu artış KTS tanısında kullanılmak üzere elektrodiagnostik kriter olarak kabul edilen farka ulaşmıyordu. S So on nu uç ç: : Bu çalışmada, rut...

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Section: Discussionmentioning

confidence: 99%

The Contribution of Wrist Flexion to Electrophysiological Studies in Patients with Suspected Carpal Tunnel Syndrome

Adam¹,

Doruk²,

Leblebici³

2012

Turkiye Klinikleri J Med Sci

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“…Although upper-extremity musculoskeletal disorders have not been directly associated with this muscle group, it was chosen because the finger flexor tendons travel through the carpal tunnel and increased force on these tendons has been shown to increase carpal tunnel pressure (24,25). A surface EMG electrode with dual 8-millimeter diameter bipolar silver-silver chloride surfaces, an interelectrode distance of 22 millimeters, and onsite preamplification with a gain of 35 (EQ Inc, Chalfont, PA, USA) was interfaced with a portable data logger collection system (Tattletale Model 5F-LCD, Onset Computer Corp, Pocasset, MA, USA).…”

Section: Direct Exposure Assessmentmentioning

confidence: 99%

Method for quantitatively assessing physical risk factors during variable noncyclic work

Anton¹,

Cook²,

Rosecrance³

et al. 2003

Scand J Work Environ Health

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“…KTS'de en çok tercih edilen volar destekli nötral splintlerdir (6)(7)(8). Bileğin nötral pozisyonda splintlenmesindeki amaç, nötral pozisyonda karpal tü-nel hacminin artırılması ve median sinir üzerindeki basıncın azaltılmasıdır (7).…”

Section: Introductionunclassified

“…Bileğin nötral pozisyonda splintlenmesindeki amaç, nötral pozisyonda karpal tü-nel hacminin artırılması ve median sinir üzerindeki basıncın azaltılmasıdır (7). El bileğinin ekstansiyon hareketindeki artış karpal tünel basıncının daha fazla artmasına neden olur (8).…”

Section: Introductionunclassified

Comparison of short-term effects of rigid tape and night splint on pain and function in patient with carpal tunnel syndrome: a randomized clinical trial

Eraslan

Yüce

Kermalli

et al. 2014

Turk J Physiother Rehabil

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Amaç: Bu çalışmanın amacı konservatif tedavide klasik fizyoterapi ve rehabilitasyon yöntem-lerine ek olarak kullanılan gece splinti veya sert bant uygulamalarının karpal tünel sendromu olan hastaların semptomları üzerine kısa dönem etkilerini karşılaştırmaktı. Gereç ve Yöntem:Elektonöromiyografi sonucuna göre orta şiddetli Karpal Tünel Sendromu tanısı konulan 30 hasta (yaş ortalaması: 46.2 yıl) çalışmaya dahil edildi. Hastalara 21 seans klasik fizyoterapi ve rehabilitasyon modalitelerine ek olarak bir gruba gece splinti diğer gruba ise sert bantlama uygulandı. Hastalar Boston Anketinin Semptom ve Fonksiyon Skalası ve 100 mm'lik Görsel Analog Skala kullanılarak ağrı, parestezi ve fonksiyon açısından tedavi öncesi ve sonrasında aynı fizyoterapist tarafından değerlendirildi. Sonuçlar: Gruplar demografik özellikleri bakımından benzerdi. Başlangıç değerleri ile karşı-laştırıldığında tedavi sonrasında, Boston Anketi ve Görsel Analog Skalası puanlarına göre her iki grupta da anlamlı gelişmeler elde edildi (p<0.05). Gruplar arası karşılaştırmalarda, Boston Anketi ve Görsel Analog Skalasına göre sert bantlama grubunda gece splinti grubuna göre daha anlamlı sonuçlar elde edildi (p<0.05).Tartışma: Bu çalışmada Karpal Tünel Sendromlu hastalara uygulanan her iki fizyoterapi ve rehabilitasyon yaklaşımının ağrıyı azaltmada ve fonksiyonu artırmada etkili olduğu bulundu. Ancak sert bantlamanın karpal tünel sendromunun neden olduğu semptomların azaltılmasın-da gece splintine göre daha etkili olduğu görüldü.Anahtar Kelimeler: Karpal tünel sendromu, atletik bant, splintler, ağrı RESEARCH ARTICLE COMPARISON OF SHORT-TERM EFFECTS OF RIGID TAPE AND NIGHT SPLINT ON PAIN AND FUNCTION IN PATIENT WITH CARPAL TUNNEL SYNDROME: A RANDOMIZED CLINICAL TRIAL ABSTRACTPurpose: The aim of this study was to compare the short-term effects of rigid taping and night splinting in addition to classical physiotherapy and rehabilitation modalities of conservative treatment, on symptoms of patients with Carpal Tunnel Syndrome. Material and Method:The study included 30 patients (mean age: 46.2years) diagnosed as moderately severe Carpal Tunnel Syndrome, according to the electroneuromyographic findings. In addition to classical physiotherapy and rehabilitation modalities night splint was applied to a group of patients and rigid taping to other one for 21 sessions. Patients were evaluated by the same physiotherapist both before and after treatments, in regards to pain, paresthesia and function, using Symptom and Functional Scales of Boston Questionnaire, and 100 mm visual analogue scale.Results: Demographic data were similar in each group. At the end of treatments, both groups showed significant improvements in Boston Questionnaire and visual analog scale scores, compared with baseline (p<0.05). In inter-group comparisons, rigid taping group showed more improvement in Boston Questionnaire and visual analog scale scores compared with night splinting group (p<0.05).Discussion: In this study, both physical therapy and rehabilitation modalities, were found to be ...

show abstract

Correlation of Segmental Carpal Tunnel Pressures with Changes in Hand and Wrist Positions in Patients with Carpal Tunnel Syndrome and Controls

Cited by 63 publications

References 25 publications

The Contribution of Wrist Flexion to Electrophysiological Studies in Patients with Suspected Carpal Tunnel Syndrome

The Contribution of Wrist Flexion to Electrophysiological Studies in Patients with Suspected Carpal Tunnel Syndrome

Method for quantitatively assessing physical risk factors during variable noncyclic work

Comparison of short-term effects of rigid tape and night splint on pain and function in patient with carpal tunnel syndrome: a randomized clinical trial

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