297. Study of Nerve Function Related to Occupational Repetitive Motion Injury and Carpal Tunnel Syndrome

1999 ◽  
Author(s):  
A. Bartol ◽  
L. Levin
2003 ◽  
Vol 49 (9) ◽  
pp. 1437-1444 ◽  
Author(s):  
Mariska A J van Dijk ◽  
Johannes B Reitsma ◽  
Johan C Fischer ◽  
Gerard T B Sanders

Abstract Background: Carpal tunnel syndrome (CTS) is known as a repetitive motion disorder, but the role of other diseases in the development or prognosis of CTS is uncertain. We reviewed the literature to determine whether there is evidence for an increased prevalence of specific conditions in CTS patients and whether this evidence would support laboratory screening for these conditions. Methods: Medline, Embase, and Cochrane Controlled Trial Register were searched for key words related to CTS and associated diseases. Relevant articles were selected according to specific criteria. Sources of bias and heterogeneity attributable to differences in study design and in patient selection were investigated by subgroup analysis. Results: After an initial search, we limited ourselves to three potentially important conditions: diabetes mellitus (DM), hypothyroidism (HT), and rheumatoid arthritis (RA). We identified nine articles with a total of 4908 CTS patients and 7671 controls that met our selection criteria. The nine studies were heterogeneous with respect to clinical and methodologic factors. In general, the prevalence of concurrent diseases was higher in CTS patients than in controls: the pooled odds ratios were 2.2 (95% confidence interval, 1.5–3.1) for DM, 1.4 (1.0–2.0) for HT, and 2.2 (1.4–3.4) for RA. Studies of lower methodologic quality reported, on average, higher odds ratios. Only one study provided information about whether the diagnosis of the concurrent condition was already made at the time of the CTS diagnosis. Conclusions: We found evidence that the prevalences of DM, HT, and RA are higher in CTS patients, but only one study specifically addressed the issue of the prevalence of nonmanifest cases of the concurrent condition. At present, there is insufficient evidence for routine laboratory screening for concurrent conditions in all newly diagnosed CTS patients.


1996 ◽  
Vol 38 (5) ◽  
pp. 485-491 ◽  
Author(s):  
Alfred Franzblau ◽  
Cheryl L. Rock ◽  
Robert A. Werner ◽  
James W. Albers ◽  
Matthew P. Kelly ◽  
...  

2021 ◽  
Vol 8 (1) ◽  
pp. 91
Author(s):  
Ni Luh Made Susanthi Pramandani ◽  
I Made Ady Wirawan

ABSTRAK Carpal Tunnel Syndrome (CTS) merupakan salah satu gangguan pada lengan tangan akibat penyempitan terowongan karpal sehingga terjadi penekanan terhadap nervus medianus. Gerakan tangan saat menggunakan keyboard dan mouse dalam bermain game online memiliki tingkat repetisi tinggi pada jari tangan sehingga dapat berpengaruh terhadap kejadian CTS. Penelitian ini bertujuan untuk mengetahui proporsi dan faktor risiko CTS pada siswa SMA pemain game online di Kota Denpasar. Penelitian kuantitatif analitik dengan rancangan cross-sectional study. Responden berjumlah 70 siswa dengan teknik pengambilan sampel purposive sampling. Hasil menunjukan proporsi CTS responden sebesar 31,43% dengan kategori ringan. Seluruh variabel karakteristik individu yang mencakup usia (p=0,25) dan jenis kelamin (p=0,50) tidak memiliki hubungan yang bermakna dengan kejadian CTS, sedangkan variabel pola bermain, perangkat bermain, dan repetitive motion (p=0,00) terbukti memiliki hubungan bermakna dengan kejadian CTS. Pola bermain merupakan faktor risiko yang paling berpengaruh terhadap kejadian CTS pada siswa pemain game online dengan OR= 23,74. Oleh karena itu diperlukan adanya dukungan pemerintah berupa program preventif - rehabilitatif bagi pecandu game untuk mengedukasi siswa dan orangtua terkait dampak game online.   Kata Kunci: Carpal Tunnel Syndrome, Siswa, Game Online


2020 ◽  
Vol 3 (1) ◽  
pp. 12-17
Author(s):  
Ayu Permata ◽  
Ismaningsih Ismaningsih

Latar Belakang: Carpal tunnel syndrome (CTS) merupakan kumpulan gejala dan tanda penyakit yang disebabkan oleh terjepitnya saraf medianus di terowongan karpal pada pergelangan tangan. Kondisi CTS ini merupakan salah satu jenis neuropati yang paling sering terjadi. Sindrom ini timbul dengan gejala nyeri, baal, dan kelemahan pada tangan akibat penekanan nervus medianus. Carpal tunnel syndrome merupakan suatu syndrome yang berhubungan dengan gerakan yang berulang (repetitive motion) dan posisi yang menetap pada durasi yang lama sehingga memperngaruhi suplai darah ke tangan dan menimbulkan rasa nyeri. Tujuan: Penelitian ini ditujukan kepada penderita kondisi Carpal Tunnel Syndrom untuk mengurangi nyeri. Intervensi fisioterapi yang diberikan pada kondisi CTS  yaitu penurunan nyeri yang dapat dilakukan dengan berbagai tindakan diantaranya dengan pemberian teknik Neuromuskuler Taping Metode Penelitian: Case study dengan desain penelitian pre and post test yaitu membandingkan antara tingkat nilai nyeri sebelum dan sesudah  yang diukur dengan alat ukur Visual Analogue Scale (VAS) terhadap pemberian intervensi  Neuromuskuler Taping pada kondisi carpal tunnel syndrome selama 3 mingggu. Hasil: Analisa uji beda nilai nyeri dengan VAS pada kelompok sampel dengan nilai signifikasi yaitu 0,006 yang menunjukkan < 0.05yang bermakna ada pengaruh pemberian Neruromusculer taping terhadap perubahan tingkat nyeri VAS penderita Carpal Tunnel Syndrom.


Hand Surgery ◽  
2007 ◽  
Vol 12 (01) ◽  
pp. 13-18 ◽  
Author(s):  
B. K. K. Fung ◽  
K. Y. Chan ◽  
L. Y. Lam ◽  
S. Y. Cheung ◽  
N. K. Choy ◽  
...  

Occupational risk factors of carpal tunnel syndrome (CTS) are popular current research targets, with main emphasis put on wrist posture and dynamics. In this study, we do not intend to pinpoint individual occupations, but aim to identify high risk wrist postures and actions which may occur across various occupations. It is hoped that prevention can thus be instituted in a general population by directing at the particular causative wrist actions rather than exclusively targeting isolated occupations. We performed a case-control study with 166 cases and 111 controls recruited from different hospitals in Hong Kong in 2004. All cases and controls completed the survey on their general health condition, smoking status, wrist posture and motion as well as psychosocial status at the time of diagnosis of CTS. Frequent flexion OR = 4.436 (95% CI: 1.833–10.734), frequent extension OR = 2.691 (95% CI: 1.106–6.547) of the wrist were found to be associated with CTS. Frequent sustained forceful motion of the wrist OR = 2.588 (95% CI: 1.144–5.851) was also found to be associated with CTS. Neutral wrist position and repetitive wrist motion were not associated with CTS. Adjustment was made for age, sex, BMI, smoking and psychosocial stress. Our study confirms that frequent flexion, extension and sustained force of the wrist increase the risk of developing CTS.


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