scholarly journals A Novel Fuzzy Expert System for the Identification of Severity of Carpal Tunnel Syndrome

2013 ◽  
Vol 2013 ◽  
pp. 1-12 ◽  
Author(s):  
Reeda Kunhimangalam ◽  
Sujith Ovallath ◽  
Paul K. Joseph
Keyword(s):  
Expert System ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Clinical Symptoms ◽  
Study Data ◽  
Fuzzy Expert System ◽  
Peripheral Nerve Disorder ◽  
Expert’S Opinion ◽  
Tunnel Syndrome ◽  
Output Field

The diagnosis of carpal tunnel syndrome, a peripheral nerve disorder, at the earliest possible stage is very crucial because if left untreated it may cause permanent nerve damage reducing the chances of successful treatment. Here a novel Fuzzy Expert System designed using MATLAB is proposed for identification of severity of CTS. The data used were the nerve conduction study data obtained from Kannur Medical College, India. It consists of thirteen input fields, which include the clinical values of the diagnostic test and the clinical symptoms, and the output field gives the disease severity. The results obtained match with the expert’s opinion with 98.4% accuracy and high degrees of sensitivity and specificity. Since quantification of the intensity of CTS is a crucial step in the electrodiagnostic procedure and is important for defining prognosis and therapeutic measures, such an expert system can be of immense use in those regions where the service of such specialists may not be readily available. It may also prove useful in combination with other systems in providing diagnostic and predictive medical opinions and can add value if introduced into the routine clinical consultations to arrive at the most accurate medical diagnosis in a timely manner.

The Most Important Risk Factors for Carpal Tunnel Syndrome

2021 ◽  
Author(s):  
Ali Asghar Sharifi
Keyword(s):  
Risk Factors ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Clinical Symptoms ◽  
Normal Subjects ◽  
Shape Index ◽  
Mean Values ◽  
Tunnel Syndrome ◽  
Independent Risk Factors ◽  
Hand Length

Background: The aim of this study was to determine the risk factors for carpal tunnel syndrome and its relationship with the severity of the disease. Methods: A total of 131 patients with clinical symptoms of CTS and 131 normal subjects were enrolled, of whom 121 were female both in the CTS cases and the controls. All cases were electro diagnostically confirmed and assigned to three severity groups. BMI, wrist ratio, shape index, digit index and hand length/height ratio were measured in all participants. Mean values for each item were compared between cases and controls and severity subgroups. A logistic regression analysis was performed to determine independent CTS risk factors. Results: The mean values of BMI, wrist ratio and shape index were significantly higher in all CTS patients and females compared to controls, whereas in males only BMI and wrist ratio were higher. The patients in the mild severity subgroup had a significantly lower age and wrist ratio. BMI, wrist ratio and shape index were found to be independent risk factors of CTS development in all patients and females. Conclusion: Our study showed BMI, wrist ratio and shape index as independent risk factors for CTS. These findings are important anatomically and clinically and these are the risk factors of anatomical malfunction of the wrist in CTS.

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.

ELECTRODIAGNOSTIC CRITERIA FOR DIAGNOSING CARPAL TUNNEL SYNDROME NEED TO BE REVISED IN HYPOTHYROID PATIENTS

2017 ◽  
Vol 20 (03) ◽  
pp. 1750014
Author(s):  
Mahdieh Asadi ◽  
Sharareh Roshanzamir
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Clinical Symptoms ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Control Group ◽  
Tunnel Syndrome ◽  
Clinical Signs And Symptoms ◽  
Relationship Of ◽  
Hypothyroid Patients

Background: Previous studies do not agree with each other on the association between electrodiagnostic findings and clinical symptoms of Carpal tunnel syndrome (CTS). In most of these studies, many variables such as age, sex, obesity and hypothyroidism have not been taken into account. Material & methods: About 62 patients with hypothyroidism and 62 patients without hypothyroidism with sign and symptoms of CTS were included in this study. Electrodiagnostic tests were done for all patients. And relationship of the severity of CTS signs and symptoms with electrodiagnostic parameters was examined statistically in each group. Results: This study showed that distal motor latency in control group (without hypothyroidism) is significantly more prolonged than hypothyroid patients. Also there was significant correlation between clinical symptoms and electrodiagnostic findings in control group, but there was not such correlation in hypothyroid patients. In 62% of hypothyroid patients with clinical signs and symptoms of CTS, electrodiagnostic findings were normal and only in 38% of cases, electrodiagnostic findings were suggestive of CTS. Conclusion: Relationship of the severity of CTS signs and symptoms with electrodiagnostic parameters is very weak in hypothyroid patients. Many hypothyroid patients with clinical signs and symptoms of CTS have normal electrodiagnostic findings; so we need more studies for revising the para-clinic criteria of labeling patients having CTS in hypothyroid patients.

scholarly journals Initiating "Healthy Batik Village"/ “Desa Batik Sehat” to Empower Batik Workers Through Collaborative Health, Environmental and Social Interventions

2021 ◽  
Author(s):  
Sri Awalia Febriana ◽  
Katharina Oginawati ◽  
Ikeu Tanziha ◽  
Roto Roto ◽  
Fean Davisunjaya Sarian ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Kidney Function ◽  
Carpal Tunnel ◽  
Clinical Symptoms ◽  
Air Pollutant ◽  
Health Interventions ◽  
National Standard ◽  
Treatment Technology ◽  
Social Interventions ◽  
Tunnel Syndrome

Abstract Background: Beautifully and colorfully dyed batik cloth is an Indonesian cultural heritage. Batik production exposes workers and the environment to various physical and chemical hazards. This interdisciplinary study aimed to assess the environmental and health parameters of batik workers, and apply environmental and health interventions to achieve environmentally friendly batik production with no human hazards.Methods: To assess the environmental pollutants, the wastewater quality parameters were measured. Air pollutant assessment was done using a low volume sampler. Liver, kidney function and blood chromium were compared between batik workers and healthy controls. Health interventions were done to choose the best gloves for the batik workers followed with assessing convenience level of selected gloves and identifying obstacles that prevent them from using gloves properly. The effectiveness of nerve gliding and wrist exercises in improving carpal tunnel syndrome clinical symptoms were evaluated. Environmental interventions were done by developing wastewater treatment technology using modified electrochemical systems. To assess the sustainability of the “Healthy Batik Village”, we analyzed batik owners’ and workers’ commitment using multi-dimensional scaling methods.Results:The parameters of water pollutants were above the national standard for wastewater, while theair pollutants were still below the standard threshold, withAl, Fe, Cu, and Zn having the highest breathing zone concentrations. There were significant differences (p<0.05) in liver and kidney function levels between batik workers and controls. The modified electrochemical system using graphene electrodes was effective to degrade the dyes used in batik production. Based on the market survey, literature study and comfort assessment, neoprene gloves were chosen as a test glove. Neoprene gloves were considered significantly more convenient compared to polyvinylchloride (PVC) gloves as the workers’ daily gloves (p<0.05).Nerve gliding exercises and wrist splints were effective in causing noticeable carpal tunnel syndrome clinical improvement. Improvements in workers' health, high quality of batik waste treatment, and an ideal management strategy are needed for the sustainability of the "Healthy Batik Village".Conclusion: This study showed there were occupational and environmental hazards exposed to the workers. The health, environmental, and social interventions executed are part of the implementation research to establish the “Healthy Batik Village”.

scholarly journals Evaluation of Clinical Symptoms in Patients with Different Severities of Carpal Tunnel Syndrome

2017 ◽  
Vol 3 (10) ◽  
pp. 143-150
Author(s):  
Saghar Abbasi ◽  
Majid Ghasemi ◽  
Fariborz Khorvash ◽  
Keyvan Ghadimi ◽  
Parisa Madahian ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Clinical Symptoms ◽  
Tunnel Syndrome

Acupuncture and Ergonomic interventions in the management of carpal tunnel syndrome among industrial workers- Case studies

2014 ◽  
Author(s):  
Ganiyu Oluwaleke Shokunbi
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Case Studies ◽  
Symptom Score ◽  
Carpal Tunnel ◽  
Acupuncture Treatment ◽  
Clinical Symptoms ◽  
Job Analysis ◽  
Complete Recovery ◽  
Industrial Workers ◽  
Tunnel Syndrome

SummaryBackground:  There are several studies on carpal tunnel syndrome (CTS), but despite this, considerable uncertainties and controversies exists on prevention, appropriate strategies and outcome of various treatment methods. The efficacy of ergonomic job analysis and acupuncture in the prevention and treatment of mild to moderate CTS among industrial workers appears not to have been widely investigated.Objectives: These case studies assessed the short-term effects of acupuncture treatment and application of ergonomic job analysis in the management of carpal tunnel syndrome among industrial workers.Methods: Subjects for this study were three industrial workers with a diagnosis of CTS of more than 3 months duration. Ergonomic work analysis was carried out to analyze and prescribe corrective measures for musculoskeletal and postural load in the subjects’ area of works. In addition to ergonomic job intervention, subjects underwent acupuncture treatment twice weekly for 8 weeks. The clinical symptoms of CTS was assessed using global symptom score (GSS) at baseline and at 8 weeks (after the intervention). Thus the main outcome measures used were GSS scores and ergonomic job analysis worksheet.Results:   All the subjects in this study completed the 8 week intervention and were evaluated for pain, weakness, numbness and frequency of wakening up at night and Paresthesia.  The 3 subjects showed improvement with recovery from symptoms at the end of treatment at 8 week. Two of the three participants reported more than 80% reductions in pain intensity while one of the three reported complete recovery (100%) from pain. Numbness and paraesthesia were reportedly reduced by not less than 50% at the end of 8 week treatment in all the subjects. One of the participants recorded 85% (highest) reduction in the overall GSS scores while another recorded 75% reduction (lowest) at the end of 8 week treatment. Two of the three participants also showed complete recovery from the weakness in hand grip strength due to CTS. Frequency of wakening up at night was reduced to zero in all the three participants. Conclusions: Findings from this study indicated that the acupuncture and application of ergonomic job analysis improved the overall symptoms of carpal tunnel syndrome among industrial workers suffering with CTS.KEYWORDS: Acupuncture, Carpal Tunnel Syndrome, Ergonomics, Global Symptom Score, Physiotherapy

scholarly journals Ultrasound as a diagnostic tool in the investigation of patients with carpal tunnel syndrome

2018 ◽  
Vol 28 (2) ◽  
Author(s):  
Leila Kanafi Vahed ◽  
Afshin Arianpur ◽  
Mohammad Gharedaghi ◽  
Hosein Rezaei
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Clinical Symptoms ◽  
Cost Effective ◽  
Time Saving ◽  
Cross Sectional ◽  
Clinical Criteria ◽  
Flexor Retinaculum ◽  
Tunnel Syndrome

Carpal tunnel syndrome (CTS) is reveled to be the most common peripheral nerve entrapment syndrome, estimating for 90% of all compressive. The diagnosis of CTS is based on the use of clinical criteria and imaging technique tests such as ultrasonography (US) and magnetic resonance imaging (MRI). US is a time-saving method in the diagnosis of CTS, which induces less discomfort to the patient and may be a more cost-effective approach to confirm clinical suspicion of this syndrome .The current study was aimed to evaluate the value of US and physical examinations in the diagnosis of CTS. This cross-sectional and cross-sectional prospective case study was conducted to evaluate the usefulness of wrist ultrasonography in diagnosing CTS. Twenty one patients (21 wrists) were invited to participate in the study along with an age- and sex-matched group of participant controls. Physical examination included Phalen, Tinel, Durkan, Tourniquet test. Anteroposterior and mediolateral dimension of carpal tunnel, and the median nerve area at the tunnel were also measured. All the patients underwent the open surgical release of the flexor retinaculum. There was a significant statistical relationship (p=0.05) between anteroposterior diameter of the carpal tunnel and clinical and electro physiologic nerve involvement. Furthermore, some qualitative findings was achieved such as median nerve splitting, hypo echogenicity of the involved nerve, thickening of flexor retinaculum and disappearance of median nerve areas (especially mediolateral direction). In conclusion, ultrasonographic examination of the wrists in the patients with suspected clinical symptoms can improve the diagnostic ability of CTS, especially by improving technology and experience. US can be applied for the median nerve area (MNA) measurement as a first line technique in patients with CTS.

scholarly journals Carpal tunnel syndrome and HIV infection. A case report and literature review

2009 ◽  
Vol 1 (1) ◽  
pp. 2 ◽  
Author(s):  
Andrés Reyes-Corcho ◽  
Dagnis Barrueta-Reyes ◽  
Yadira Bouza-Jimenez ◽  
Blas Clemente Jam-Morales ◽  
Yanelka Bouza-Jiménez ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Hiv Infection ◽  
Carpal Tunnel ◽  
Scientific Literature ◽  
Clinical Symptoms ◽  
Electrophysiological Study ◽  
Similar Frequency ◽  
Compressive Neuropathy ◽  
Tunnel Syndrome ◽  
The Right

The first clinical case of carpal tunnel syndrome (CTS) in Cuban HIV-infected patient was described, and the scientific literature indexed in: PUBMED/MEDLINE, LILACS and BIREME were revised. The case presented was a male with HIV infection without preceding opportunistic illnesses, CD4+ T cell count over 200 cells/mm3 and clinical symptoms of pain, tingling and numbness in the right hand and wrist for three months. The electrophysiological study was compatible with CTS. The pharmacological treatment did not modify the symptoms and the patient received specific surgical treatment with absolute resolution of symptoms. CTS is a compressive neuropathy that can occur in HIV-positive individuals with as similar frequency as in the general population. The association between HIV infection and CTS is scarcely described in the medical scientific literature and probably does not represent a different phenomenon from what happens in the HIV-negative population. Nevertheless, its clinical recognition among other neurological and muscle-skeletal manifestations in HIV-infected patients is important.

Sign in / Sign up

Export Citation Format

Share Document