scholarly journals Prevalence and individual risk factors of carpal tunnel syndrome in pregnant women

2020 ◽  
Vol 1 (1) ◽  
pp. 03-08
Author(s):  
Tooba Sherazi ◽  
Umara Yaqub ◽  
Muhammad Aazib Sherazi ◽  
Rabbiya Riaz ◽  
Summaiya Malik Zaman ◽  
...  

Background: Prevalence of carpal tunnel syndrome (CTS) among pregnant women is very much common among the whole population. Due to rapid economic and social changes, an increasing trend of this disorder, as well as its individual risk factors, has also been observed in Pakistan. Objective: The present study aimed to find out the prevalence of CTS in pregnant women and to identify the risk factors associated with CTS in pregnancy. Material & Methods: Descriptive cross-sectional survey for the prevalence of CTS and a case-control study to find out the risk factors were administered on a sample of n=304 participants of pregnant women of Rawalpindi and Islamabad hospitals for six months from October 2016 to March 2017. Data was collected by non-probability convenient sampling through a self-structured questionnaire. The Association of risk factors was measured by odds ratio. Result: The present study showed the prevalence of CTS is 76(25%) based on Phalen’s test and the prevalence of CTS is 86(28.3%) based on Tinel’s test. History of CTS (OR=3.38) is the most common risk factor. Swelling (OR=2.74) is very common in pregnancy. Other factors including kidney disease, weightlifting, excessive household, cooking, and obesity, use of oral contraceptives, stress, smoking, sewing, diabetes, and thyroid dysfunction are also associated with CTS except for Rheumatoid arthritis, computer work and forceful griping. Conclusion: This study showed significant results regarding the prevalence and risk factors of CTS among pregnant women in the hospitals of Islamabad and Rawalpindi.

2011 ◽  
Vol 68 (12) ◽  
pp. 928-933 ◽  
Author(s):  
S. Burt ◽  
K. Crombie ◽  
Y. Jin ◽  
S. Wurzelbacher ◽  
J. Ramsey ◽  
...  

2013 ◽  
Vol 70 (8) ◽  
pp. 568-574 ◽  
Author(s):  
Susan Burt ◽  
James A Deddens ◽  
Ken Crombie ◽  
Yan Jin ◽  
Steve Wurzelbacher ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Beibei Feng ◽  
Kedi Chen ◽  
Xiaoxia Zhu ◽  
Wing-Yuk Ip ◽  
Lars L. Andersen ◽  
...  

Abstract Background Carpal tunnel syndrome (CTS) is a common cause of pain, numbness and tingling in the wrist and hand region and is associated with repetitive wrist and hand use in office workers. However, scarce knowledge exists about the epidemiology of clinically confirmed CTS among Chinese office workers. This study aimed to investigate the prevalence of wrist/hand symptoms and CTS in office workers in China and to identify associated risk factors. Methods A cross-sectional survey was carried out in a metropolitan city in China involving 969 respondents (aged 17–49 years) from 30 workplaces. A questionnaire was distributed to each participant to collect their demographic, work-related physical and psychosocial factors, and wrist and hand symptoms. The wrist and hand pain/numbness symptoms were marked on a body chart and the nature and intensity of symptoms, nocturnal symptoms, as well as aggravating activities were also recorded. Clinically confirmed CTS cases were screened based on the history, Phalen’s test, Tinel Sign and skin sensation testing among symptomatic respondents. Logistic regression was employed to estimate the odds ratio (OR) and 95% confidence interval (95% CI) for the occurrence of self-reported wrist and hand symptoms and clinically confirmed CTS. Results The clinically confirmed CTS prevalence was 9.6%. The prevalence of wrist and hand symptoms were 22 and 15%, respectively. Frequently working in pain was associated with higher odds of CTS. Multivariate modelling adjusted for age and gender showed that prolonged computer use time and working without breaks were associated with presence of wrist/hand symptoms (adjusted ORs: 1.11 (95% CI 1.02–1.22) and 1.88 (95% CI 1.12–3.14)). Educational level was inversely associated with CTS and smoking was associated with wrist/hand complaints (adjusted OR: 2.20 (95% CI 1.19–4.07)). Conclusions The prevalence of work-related clinically confirmed CTS symptoms among young office workers in China is high. Frequently working in pain is closely associated with clinically confirmed CTS. Intense computer use and no breaks at work are associated with wrist and hand symptoms.


Author(s):  
Janet Waters

Carpal tunnel syndrome is the most common neuropathy experienced by pregnant women. It has an incidence of 3.4% in the general population in the United States. It occurs more frequently in pregnant women than in the general population, with an incidence of 17%. It is the most common mononeuropathy in pregnant women. This chapter covers the symptoms and signs that allow a clinician to make the diagnosis of carpal tunnel syndrome. Neuroanatomy and physiological changes that predispose pregnant women to this disorder are described. Management and prognosis of carpal tunnel syndrome in pregnancy are discussed: conservative management with wrist splints worn at night is effective in over 80% of patients. Local steroid injections can provide relief in patients with severe symptoms.


2015 ◽  
Vol 44 (suppl_1) ◽  
pp. i88-i88
Author(s):  
G. A. Dias ◽  
A. C. M. Santini ◽  
L. S. Vianna ◽  
E. S. Santos ◽  
A. Dias

2007 ◽  
Vol 12 (6) ◽  
pp. 5-8 ◽  
Author(s):  
J. Mark Melhorn

Abstract Medical evidence is drawn from observation, is multifactorial, and relies on the laws of probability rather than a single cause, but, in law, finding causation between a wrongful act and harm is essential to the attribution of legal responsibility. These different perspectives often result in dissatisfaction for litigants, uncertainty for judges, and friction between health care and legal professionals. Carpal tunnel syndrome (CTS) provides an example: Popular notions suggest that CTS results from occupational arm or hand use, but medical factors range from congenital or acquired anatomic structure, age, sex, and body mass index, and perhaps also involving hormonal disorders, diabetes, pregnancy, and others. The law separately considers two separate components of causation: cause in fact (a cause-and-effect relationship exists) and proximate or legal cause (two events are so closely related that liability can be attached to the first event). Workers’ compensation systems are a genuine, no-fault form of insurance, and evaluators should be aware of the relevant thresholds and legal definitions for the jurisdiction in which they provide an opinion. The AMA Guides to the Evaluation of Permanent Impairment contains a large number of specific references and outlines the methodology to evaluate CTS, including both occupational and nonoccupational risk factors and assigning one of four levels of evidence that supports the conclusion.


Author(s):  
Valentina Scalise ◽  
Fabrizio Brindisino ◽  
Leonardo Pellicciari ◽  
Silvia Minnucci ◽  
Francesca Bonetti

The aim of this article was to investigate the knowledge, management, and clinical practice of Italian physiotherapists concerning patients with carpal tunnel syndrome (CTS). A national cross-sectional survey consisted of 24 questions was administered from December 2019 until February 2020. A Chi-squared independence test was run to study any difference between subgroups of the sample and responses to the questionnaire. Five hundred and eight respondents completed the survey. Most respondents (n = 225/508; 44.3%) are under 29 years old, female (n = 256/508; 50.4%) and have been working as physiotherapists for less than 5 years (n = 213/508; 41.9%). Most of respondents correctly knows about the cause (n = 455/508, 89.6%), main signs and symptoms of CTS (n = 415/508, 81.70%) and administer education, manual therapy, myofascial techniques and therapeutic exercises (n = 457/508, 89.88%). Three hundred and sixty-four (71.68%) respondents were aware of the influence of psychosocial factors on the patient’s outcomes. The survey showed greater adherence to evidences by physiotherapists holding a master’s degree. The results are mostly comparable with other surveys structured all over the world on the same topic. Italian physiotherapists management of the CTS was not always in line with current evidence. Interventions such as education, manual therapy, therapeutic exercise, nerve and tendon glide techniques are widely used, while the orthotic is only offered by half of the sample.


The Lancet ◽  
1960 ◽  
Vol 275 (7122) ◽  
pp. 453-454 ◽  
Author(s):  
Marcia Wilkinson

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