Dissertations / Theses: 'Carpal Tunnel Syndrome (CTS)'

1

Turner, James P. "A case control study of the carpal tunnel syndrome, with special reference to vitamin B6 status." Thesis, University of Surrey, 1989. http://epubs.surrey.ac.uk/848093/.

Full text

Abstract:

Carpal tunnel syndrome (CTS) is a condition characterised by a collection of signs and symptoms indicative of focal median nerve dysfunction within the anatomical confines of the carpal tunnel at the wrist. The syndrome appears to be multifactorial in its aetiology. It has been asociated with certain systemic disorders, (e. g. Diabetes Mellitus, Acromegaly), factors related specifically to the movements and actions of the wrists and hands, (e.g., repetitive manual work, prolonged pinching and grasping and the use of vibratory hand held tools) and other conditions or characteristics which are systemic in nature but do not necessarily represent diseases (e. g. pregnancy, side effects to certain drugs). Recent reports suggest that vitamin B6 deficiency might play a role in the development of CTS. A review of the literature has shown there to be a paucity of analytical epidemiological data concerning these hypothesized risk factors. A study was therefore undertaken to investigate the association between a set of risk factors identified in the literature, (including low vitamin B6 status) and CTS. The study design selected was that of a pair matched case-control study. In this way, associations between aspects of CTS, aspects of vitamin B6 status and other hypothesized risk factors were examined. Thirty four cases were identified (electrophysiologically) and these were matched (for sex and age +/-3 years) with controls attending physiotherapy departments for accidental injuries involving the lower half of the body. Data were collected at interview, examination, and using a self administered questionnaire. Venous blood samples were also obtained from 32 cases and 20 controls. Vitamin B6 status was assessed using an enzyme stimulation assay, (Erythrocyte Glutamate Oxaloacetic Transaminase or EGOT). No statistically significant differences between the cases and controls regarding any aspects of vitamin B6 status were evident. These findings were confirmed by comparison with a group of fifty healthy volunteer subjects, (university staff). The need for further elucidation regarding the possible role of vitamin B6 in the treatment is highlighted. Cases statistically outnumbered controls with respect to the performance of repetitive manual work (p=0.019; exposure odds ratio = 5.0) and participation in leisure pursuits (p=0.03; exposure odds ratio = 2.75) involving the use of the hands. This supports the findings of other studies reported in the literature. The cases reported significantly more oedema (p=0.04; exposure odds ratio 3.0) and stiffness, (p=0.001) than the controls. A significant impairment in the range of movement of the index finger was noted. Certain of these symptoms have been reported to occur in groups of CTS sufferers and improve upon vitamin B6 therapy. The implications of these and other findings are discussed in the light of the current knowledge of the many hypothesized risk factors.

APA, Harvard, Vancouver, ISO, and other styles

2

Arvidsson, Hanna, and Felicia Norberg. "Nervmobilisering som fysioterapeutisk behandling vid karpaltunnelsyndrom." Thesis, Uppsala universitet, Åsenlöf: Fysioterapi, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-443562.

Full text

Abstract:

Bakgrund: Karpaltunnelsyndrom är den vanligaste typen av perifera nervinklämningar och orsakas av att medianusnerven blir klämd i karpaltunneln. De symtom som kännetecknar karpaltunnelsyndrom är nattliga domningar och smärta i hand och fingrar. Syfte: Att undersöka effekt och evidens för nervmobilisering som behandling vid karpaltunnelsyndrom. Metod: Sökningar genomfördes i databaserna PudMed, PEDro, CINAHL, AMED och Scopus med målet att identifiera randomiserade kontrollerade studier där nervmobilisering som behandling vid karpaltunnelsyndrom undersökts. Inkluderade artiklar kvalitetsgranskades enligt PEDro och de med hög kvalitet evidensgraderades enligt GRADEstud. Resultat: Nio studier inkluderades i översikten. I alla studier observerades en positiv effekt av nervmobilisering avseende symtom och/eller funktion och en signifikant skillnad sågs mellan grupperna i 7 av 9 studier. Sex av nio studier hade hög kvalitet och tre hade låg kvalitet enligt PEDro-skalan. Evidensgraderingen visade att nervmobilisering som behandling vid karpaltunnelsyndrom har måttligt hög tillförlitlighet (+++). Små studier med få deltagare resulterade i ett poängs avdrag för bristande precision. Slutsats: Nervmobilisering tycks ge positiva effekter på funktion och symtom vid karpaltunnelsyndrom och har enligt GRADEstud måttligt hög tillförlitlighet. Nervmobilisering kan ge effekt även på lång sikt och kan minska behovet av operation men fler större studier med god kvalitet behövs för att kunna bekräfta detta. Nyckelord: Carpal tunnel syndrome, CTS, neural mobilization, nerve gliding
Background: Carpal tunnel syndrome is the most common type of peripheral neuropathy caused by compression of the median nerve in the carpal tunnel. The condition is characterized by night time tingling and pain in the hand and fingers. Objective: The purpose of this study was to investigate the effects and evidence of neural mobilization as a treatment for carpal tunnel syndrome. Methods: Searches were made in the databases PubMed, PEDro, CINAHL, AMED and Scopus to try and find randomized controlled trials that investigated neural mobilization as treatment for carpal tunnel syndrome. All of the included articles were appraised by the PEDro-scale and the level of evidence was graded using GRADEstud. Results: Nine studies were included in this review. In all of the included studies a positive effect could be seen by neural mobilization on symptoms and/or function with a significant difference between groups in seven out of the nine studies. Six out of the nine studies had high quality and three had low quality according to the PEDro-scale. The grading of evidence showed that neural mobilization as treatment for carpal tunnel syndrome has a moderately high level of evidence (+++). Few studies with few participants resulted in one point deduction for lack of precision. Conclusion: Neural mobilization could have positive effects on symptoms and function in patients with carpal tunnel syndrome and has a moderately high level of evidence according to GRADEstud. Neural mobilization may have positive effects long term and could reduce need for surgery but more high quality research is needed to confirm this. Key words: Carpal tunnel syndrome, CTS, neural mobilization, nerve gliding.

APA, Harvard, Vancouver, ISO, and other styles

3

Kelceoglu, Bekir. "Preventing carpal tunnel syndrome : a product design study to assist carpal tunnel syndrome prevention techniques." Connect to resource, 2006. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1194647505.

Full text

APA, Harvard, Vancouver, ISO, and other styles

4

Krom, Marcus Cornelis Thomas Franciscus Maria de. "Carpal tunnel syndrome an epidemiological study /." [Maastricht : Maastricht : Rijksuniversiteit Limburg] ; University Library, Maastricht University [Host], 1989. http://arno.unimaas.nl/show.cgi?fid=5459.

Full text

APA, Harvard, Vancouver, ISO, and other styles

5

Burger, Marilize Cornelle. "Genetic risk factors for carpal tunnel syndrome." Doctoral thesis, University of Cape Town, 2014. http://hdl.handle.net/11427/12714.

Full text

Abstract:

Includes bibliographical references.
Carpal tunnel syndrome (CTS) is a common occupational injury that is caused by an increase in pressure within the carpal tunnel structure which, in turn, causes compression of the median nerve. Although several factors are believed to be associated with increased risk of CTS, the direct causes of this injury remain unknown and it is generally accepted that CTS, with the exception of acutely caused CTS, is a multifactorial condition. Although it is generally accepted that an increase in pressure within the carpal tunnel structure, which contains nine flexor tendons, causes compression of the median nerve, the involvement of these tendons and other connective tissue structures in the aetiology of CTS cannot be excluded. In support of this, pathology of these connective structures have been proposed as being comorbid conditions or a precursor of CTS, cause CTS and/or can lead to an increase in carpal tunnel pressure. Several studies have suggested that specific non-occupational risk factors, such as anatomical, systemic and chronic factors as well as mostly repetition- and force-related occupational risk factors are associated with CTS. Although genetic influences in the aetiology of CTS have been proposed, this area has received little attention. Common DNA sequence variants on the other hand have previously been reported to associate with common exercise-associated tendon, such as chronic Achilles tendinopathy, and ligament injuries. The aim of this thesis was to determine whether common DNA sequence variants within several genes that have been associated or implicated in the aetiology of exercise-related musculoskeletal soft tissue injuries, are associated with altered risk of CTS by using a genetic association case-control study approach.

APA, Harvard, Vancouver, ISO, and other styles

6

Salem-Saqer, Khaled. "Studies in carpal tunnel syndrome and cold intolerance." Thesis, University of Nottingham, 2008. http://eprints.nottingham.ac.uk/10491/.

Full text

Abstract:

Carpal tunnel syndrome (CTS) presentation is usually classic but cold-related Raynaud's phenomenon (RP)-like symptoms were described in CTS and more commonly in the injured hand (HI). The work presented in this thesis is divided into two domains; the first aims to extend understanding of the response of the hand to cold in CTS and HI using two processes. [1] The modified cold provocation test (CPT) validated in a group of controls and both primary and secondary (vibration induced) RP subjects. Both hands were immersed in a 12°C water bath and the digital temperature recorded every 6 seconds using thermocouples until the digital temperature dropped to 15°C. The hands were then removed and allowed to passively re-warm. Baseline temperature (difference between the ambient temperature and the digital temperature), T30sec (temperature gain in the first 30 seconds post-cooling) and T5°C (time required to gain 5°C) were assessed. [2] Laser Doppler Imaging (LDI), a well-established method for investigating skin microcirculation with an endothelial challenge (facilitated by iontophoresis delivery Sodium Nitroprusside and Acetylcholine). The second domain centred on the management of CTS and in particular outcome assessment of conservative versus surgical treatment in registrar and nurse practitioner CTS clinics in a community hospital. Data on 86 controls, 31 primary RP and 59 secondary RP were collected. In the control group the baseline temperature was >6°C, which was higher than the primary and secondary RP groups (p-value <0.05, sensitivity 79%, 78%, specificity 43%, 45%, inter-class correlation 53%, 49%); T30sec in secondary RP was >1.8°C, which was higher than controls and the primary RP groups (p value <0.001, sensitivity 70%, 71%, specificity 76%, 79%, inter-class correlation 3%, 40%); and T5°C in primary RP was >300 seconds, which was longer than that of the controls and secondary RP groups (p-value <0.001, sensitivity 64%, 61%, specificity 70%, 64%, inter-class correlation 70%, 70%); data given for left and right hands respectively. CPT and LDI studies were undertaken on 60 controls and 60 CTS patients pre-operatively and repeated on 40 subjects 5-7 months post-decompression. Post-operatively, the baseline temperature increased by 1.5°C (p-value <0.05) in both hands and 2.5°C (p-value <0.001) in the median nerve supplied digits, T5oC was reduced in the hands (pre- versus post-operative from 474 to 348 seconds) (p-value 0.06) and from 468 to 273 seconds in the median nerve supplied digits (p-value 0.01). Endothelial dependent and independent control at mean and maximum pre- and post-cooling perfusion was significantly depressed (p value 0.05) post-cold exposure in the control group. LDI limited to the dorsum of the hand identified no significant difference pre- and post-operatively (p-value >0.05). HI subject recruitment was challenging: the absence of a financial incentive and the possible income loss during working days for a young working cohort might have contributed to the poor recruitment. Of the 60 subject targets only 14 recruited and the injury severity varied widely between the recruits; the data gathered through CPT and LDI in this group did not show a significant difference from that collected in controls. CTS management audits on 74 subjects in a nurse-led clinic and 173 subjects in a registrar-led clinic identified a high failure rate of the conservative management (60%) at 6 months follow up in both clinics with unclear success predictors suggesting an extra burden on clinics providing decompression surgery.

APA, Harvard, Vancouver, ISO, and other styles

7

Manning, Clayton T. "Predictors of Outcome of Surgery for Carpal Tunnel Syndrome." DigitalCommons@USU, 2004. https://digitalcommons.usu.edu/etd/6203.

Full text

Abstract:

Wrist surgery is a common method for treating carpal tunnel syndrome (CTS) although few studies have examined patient outcomes or predictive correlates of such procedures. The objectives of this study were to characterize Utah workers who received surgery for CTS in terms of relevant presurgical and outcome variables and to identify presurgical correlates of patient outcomes. Participants were 75 Utah workers' compensation patients who underwent surgery for CTS from 1999-2002 and were at least 6 months postsurgery at time of follow-up. A retrospective cohort design was utilized consisting of a review of presurgical medical records and a postsurgical telephone survey. Presurgical variables included: gender, age, history of depression, and litigation status. Correlational analyses revealed that age and lawyer involvement were consistent significant predictors of poorer outcomes. The importance of conceptualizing CTS surgery patient outcomes from a biopsychosocial perspective is discussed.

APA, Harvard, Vancouver, ISO, and other styles

8

Faught, Brent E. "Efficacy of clinical tests in the diagnosis of carpal tunnel syndrome." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/NQ63657.pdf.

Full text

APA, Harvard, Vancouver, ISO, and other styles

9

Main, Erin Kimberly. "Constitutive mechanical properties of carpal tunnel soft tissue structures." Thesis, University of Iowa, 2011. https://ir.uiowa.edu/etd/1015.

Full text

Abstract:

Carpal tunnel syndrome is a frequently encountered chronic peripheral nerve entrapment disorder caused by mechanical insult to the median nerve, which may occur from impingement by the surrounding digital flexor tendons and the tunnel boundaries. Anatomic finite element models of the carpal tunnel provide a method to evaluate the potential contact stresses that may develop on the median nerve between the digital flexor tendons and tunnel boundaries. Realistic finite element simulations are dependent upon the use of physiologically accurate material properties. The purpose of this work was to ascertain material properties for the digital flexor tendons, median nerve and transverse carpal ligament to inform finite element simulations. The compressive mechanical behavior of the digital flexor tendons, median nerve and transverse carpal ligament was characterized under functionally relevant axial tensile loads. These properties can now be implemented into full scale finite element models of the carpal tunnel to evaluate the mechanism of insult to the median nerve leading to the development of carpal tunnel syndrome.

APA, Harvard, Vancouver, ISO, and other styles

10

Lai, Chi-ming. "Hand surface landmarks for release of trigger finger and carpal tunnel : an anatomic study /." View the Table of Contents & Abstract, 2005. http://sunzi.lib.hku.hk/hkuto/record/B31494870.

Full text

APA, Harvard, Vancouver, ISO, and other styles

11

Serrano, Tendero Isabel Asunción. "Diagnostic role of repeater f-waves in carpal tunnel syndrome with subclinical radiculopathy." Doctoral thesis, Universitat Autònoma de Barcelona, 2014. http://hdl.handle.net/10803/133336.

Full text

Abstract:

Introducció: Les ones F repetitives s'observen de vegades en els estudis habituals de la Síndrome del Túnel carpià (STC). Aquestes respostes tardanes són particularment útils per al diagnòstic de polineuropaties i lesions nervioses proximals en un estadi molt primerenc. Objectiu: El propòsit d'aquest estudi va ser avaluar, comparar i analitzar la incidència i característiques de les ones F repetitives tant en atrapaments nerviosos perifèrics com en radiculopaties cervicals. Mètodes: Revisem sistemàticament el significat clínic de les ones F repetitives en registres dels nervis mitjà i cubital en pacients consecutius amb síndrome del túnel carpià, mononeuropatia cubital i radiculopaties cervicals, en diferents combinacions. Les polineuropatías perifèriques van ser excloses de l'estudi. Es va estimar el nombre d'ones F idèntiques i les seves repeticions en mostres de 20 estímuls. Resultats: Es van estudiar un total de 123 pacients (197 extremitats superiors) durant un període de 6 mesos. Les ones F repetitives es van produir amb més freqüència en els nervis dels grups amb radiculopaties que en aquells grups definits per atrapaments nerviosos perifèrics o per subjectes sans. Es va observar una correlació negativa entre la persistència d'ones F repetitives i la d'ones F no repetitives. Discussió: Els nostres troballes suggereixen que les ones F repetitives mostren diferències entre la patologia radicular i els atrapaments nerviosos perifèrics, encara que no entre diferents nivells de patologia cervical o en el cas de dany axonal molt incipient. Fins i tot en els estudis habituals amb mostres de 20 traces, l'índex de respostes F repetitives respecte al total d'ones F podria ser pres com un signe inespecífic de patologia axonal proximal. Conclusions: Les ones F repetitives en les síndromes d'atrapament de nervis perifèrics són proporcionals a la gravetat de la lesió, sobretot en presència de radiculopaties cervicals subclíniques. L'electromiografia en aquests pacients pot ajudar al diagnòstic precoç de radiculopaties cervicals subclíniques. Paraules clau: motoneurones; atrapament nerviós perifèric; STC, radiculopatia cervical; ones F repetitives; persistència d'ones F.
Introducción: Las ondas F repetitivas se observan a veces en los estudios habituales del Síndrome del Túnel Carpiano (STC). Estas respuestas tardías son particularmente útiles para el diagnóstico de polineuropatías y lesiones nerviosas proximales en un estadío muy temprano. Objetivo: El propósito de este estudio fue evaluar, comparar y analizar la incidencia y características de las ondas F repetitivas tanto en atrapamientos nerviosos periféricos como en radiculopatías cervicales. Métodos: Revisamos sistemáticamente el significado clínico de las ondas F repetitivas en registros de los nervios mediano y cubital en pacientes consecutivos con síndrome del túnel carpiano, mononeuropatía cubital y radiculopatías cervicales, en diferentes combinaciones. Las polineuropatías periféricas fueron excluidas del estudio. Se estimó el número de ondas F idénticas y sus repeticiones en muestras de 20 estímulos. Resultados: Se estudiaron un total de 123 pacientes (197 extremidades superiores) durante un período de 6 meses. Las ondas F repetitivas se produjeron con más frecuencia en los nervios de los grupos con radiculopatías que en aquellos grupos definidos por atrapamientos nerviosos periféricos o por sujetos sanos. Se observó una correlación negativa entre la persistencia de ondas F repetitivas y la de ondas F no repetitivas. Discusión: Nuestros hallazgos sugieren que las ondas F repetitivas muestran diferencias entre la patología radicular y los atrapamientos nerviosos periféricos, aunque no entre distintos niveles de patología cervical o en el caso de daño axonal muy incipiente. Incluso en los estudios habituales con muestras de 20 trazas, el índice de respuestas F repetitivas con respecto al total de ondas F podría ser tomado como un signo inespecífico de patología axonal proximal. Conclusiones: Las ondas F repetitivas en los síndromes de atrapamiento de nervios periféricos son proporcionales a la gravedad de la lesión, sobre todo en presencia de radiculopatías cervicales subclínicas. La electromiografía en estos pacientes puede ayudar al diagnóstico precoz de radiculopatías cervicales subclínicas. Palabras clave: motoneuronas; atrapamiento nervioso periférico; STC; radiculopatía cervical; ondas F repetitivas; persistencia de ondas F.
Introduction: Repeater F-waves are sometimes seen in Carpal Tunnel Syndrome’s (CTS) routine studies. These late responses are particularly useful for the diagnosis of polyneuropathies and proximal nerve lesions at a very early stage. Objective: The aim of this study was to assess, compare and analyze the incidence and characteristics of repeater F-waves in both peripheral nerve entrapments and cervical radiculopathies. Methods: We systematically reviewed the clinical significance of repeater F-waves in median and ulnar nerve recordings in consecutive patients with carpal tunnel syndrome, ulnar mononeuropathy and cervical root lesion in different combinations. Peripheral polyneuropathies were excluded from the study. The number of identical F-waves and their repetitions in samples of 20 stimuli were estimated. Results: A total of 123 patients (197 upper limbs) were studied over a 6-month period. Repeater F-waves occurred significantly more frequently in the nerves of radiculopathy groups than in peripheral nerve entrapments or healthy individuals. Their persistence was negatively correlated with that of non-repeaters F-waves. Discussion: Our findings suggest that repeater F-waves differentiate between radiculopathy and peripheral nerve entrapment pathology although not between different cervical levels of pathology or when too mild axonal damage. Even in routinely recorded samples of 20 traces, the index of repeater to all F-waves could be used as a nonspecific sign of proximal axonal pathology. Conclusions: Repeater F-Waves in peripheral nerve entrapment syndromes are proportional to the severity of the lesion and higher when subclinical cervical radiculopathies are present. Electromyography in these patients may help to the early diagnosis of subclinical cervical radiculopathies. Key words: motor neurons; peripheral entrapment neuropathy; CTS; cervical radiculopathy; repeater F-waves; F-wave persistence.

APA, Harvard, Vancouver, ISO, and other styles

12

Goodson, Jason Talley. "Occupational and Bio \psychosocial Risk Factors for Carpal Tunnel Syndrome: A Case-Control Study." DigitalCommons@USU, 2005. https://digitalcommons.usu.edu/etd/6219.

Full text

Abstract:

The present study was designed to assess the risk factors associated with carpal tunnel syndrome (CTS). Toward this end, a wide range of putative occupational, biological , and psychosocial correlates of CTS was investigated using a case-control methodology. Cases were 87 patients from an orthopedic clinic with clinical symptoms and electrodiagnostic testing results suggestive of CTS. Controls were 74 gender-matched patients from the same orthopedic clinic, without clinical symptoms of CTS and normal electrodiagnostic testing results. Participants completed a self-report questionnaire that included eight potential occupational correlates (i.e., repetition, force, vibration, typing, lifting heavy loads, and standing on feet), 10 potential personological correlates (i.e., obesity, advocational exercise levels, diabetes, thyroid problems, arthritis, gynecological surgery, and menstrual complications), and 11 potential psychosocial correlates (i.e., depression, anxiety, somatization, health locus of control job satisfaction, and physical and mental health indices). Results of multiple logistic regression analyses revealed that occupational repetition , vigorous exercise, physical activities with wrist strain, physical health, and job satisfaction were significant predictors of CTS. In addition, obesity was a borderline significant predictor of CTS. Plausible explanations for the current findings, along with implications, are discussed .

APA, Harvard, Vancouver, ISO, and other styles

13

Pogul, Brinda Balchand. "CORTICAL REPRESENTATIONS AND MOTOR PERFORMANCE OF THE DIGITS IN PATIENTS WITH CARPAL TUNNEL SYNDROME." Cleveland State University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=csu1529257236449936.

Full text

APA, Harvard, Vancouver, ISO, and other styles

14

Li, Stella Tsz-Yee. "Effectiveness of splinting for work-related carpal tunnel syndrome, a three-month follow-up study." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ40076.pdf.

Full text

APA, Harvard, Vancouver, ISO, and other styles

15

Norman, Andrew R. "A pair matched case control study of the carpal tunnel syndrome using magnetic resonance imaging." Thesis, University of Surrey, 1991. http://epubs.surrey.ac.uk/843651/.

Full text

Abstract:

A system for collecting cross-sectional MRI images of the human wrist was developed, using the 0.15 Tesla resistive, whole body MRI system at the University of Surrey. A new patient position was designed. After experimentation and development using phantoms and pigs trotters, 58 normal human wrists were imaged. The carpal tunnel cross-sectional areas of the dominant and non-dominant sides were compared. Significant differences were found (p < 0.05). Thus it was necessary to employ a pair matched case control study. In a pair matched case control study, axial wrist images of cases and controls (patients/subjects with and without carpal tunnel syndrome) were collected. 13 cases and controls were matched by gender, age (+/-5 years) and gross hand dominance. The diagnosis of carpal tunnel syndrome was confirmed where possible using electrophysiological tests. Images were analysed on a graphics monitor and measures obtained of the wrist and carpal tunnel; width, depth and cross-sectional areas. The intra and inter observer reliability of the measuring technique was examined. No significant difference was found for intra-observer reliability (p > 0.05), when an observer performed the identical analysis, either on the same day or on different days. Differences were found for the inter-observer reliability (p < 0.025), indicating the need to provide adequate training for naive observers performing analyses. One observer (the author) analysed all of the images throughout the case control study. No significant differences were found between the cases and controls for any of the carpal tunnel measures.lt was therefore not possible to identify differences between cases and controls using this method and equipment. This result confirms the latest findings where Computed Tomography was used to image the carpal tunnel.

APA, Harvard, Vancouver, ISO, and other styles

16

Lai, Chi-ming, and 賴志明. "Hand surface landmarks for release of trigger finger and carpaltunnel: an anatomic study." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2005. http://hub.hku.hk/bib/B45010274.

Full text

APA, Harvard, Vancouver, ISO, and other styles

17

Oliveira, Alessandro Júlio de Jesus Viterbo de. "Diagnóstico da síndrome do Túnel do Carpo : comparação entre diferentes equipamentos de eletroneuromiografia /." Botucatu : [s.n.], 2009. http://hdl.handle.net/11449/87353.

Full text

Abstract:

Orientador: Luiz Antonio de Lima Resende
Banca: Renato Mazzonetto
Banca: Paulo André Teixeira Kimaid
Resumo: Este trabalho estudou pacientes com síndrome do túnel do carpo, submetidos a estudos de condução nervosa em diferentes equipamentos: Nihon-Kohden e Nicolet Viking Select (Grupo I), Neuromax 1000 e Nicolet compass meridien (Grupo II). Para os estudos de condução nervosa sensitiva, não foram observadas diferenças estatisticamente significativas entre os equipamentos. Para os estudos de condução nervosa motora, foram observadas latências motoras mais prolongadas nos aparelhos Nicolet que nos equipamentos Nihon-Kohden e Neuromax. As diferenças entre os equipamentos foram mais pronunciadas para os casos menos graves.
Abstract: This work analysed motor and sensory conduction studies in patients with carpal tunnel syndrome. Different equipments were employed: Nihon- Kohden and Nicolet Viking Select (Group I), Neuromax 1000 and Nicolet compass meridien (Group II). For sensory conduction studies no significant statistic differences were found; for motor conduction studies enlargements of the distal motor latencies were observed for Nicolet equipments in relation to the Nihon-Kohden and Neuromax. The differences were more marked for the slight cases.
Mestre

APA, Harvard, Vancouver, ISO, and other styles

18

Fleming, Hunter. "Approach to a Performance-Related Musculoskeletal Disorder in a Drummer." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/asrf/2020/presentations/23.

Full text

Abstract:

Performance-related musculoskeletal disorders in musicians are common due to the biomechanics required in their craft. Unfortunately, injuries can cause many to abandon music, so determining the best approach to treatment and prevention is key. This case study’s importance is to evaluate the optimal approach to carpal tunnel syndrome in a drummer. The patient is a 55-year-old male full-time drummer with a history of diabetes mellitus and osteoarthritis, who presented to clinic with chronic bilateral hand numbness and tingling that had been present for years. The location of the symptoms were mainly in the palmar aspect of the 1st digit, 2nd digit, 3rd digit, and the radial side of the 4th digit. The symptoms had progressively been worsening, and his discomfort was initially rated at a 10/10 bilaterally. He had tried over-the-counter and prescription anti-inflammatory medications as well as braces without improvement. His physical exam was positive for Tinel’s sign. The diagnosis of carpal tunnel syndrome was eventually made. The patient was treated with bilateral ultrasound-guided carpal tunnel injections with lidocaine and methylprednisolone. The other component of treatment was relative rest, which allowed us to tailor treatment to his drumming. After treatment, his discomfort was rated at 0/10 bilaterally, and he was drumming without issue. It was found that relative rest and carpal tunnel injections are effective in treating carpal tunnel syndrome in drummers. His treatment was tailored to his specific instrument type, which was a key component to the success. Upon review, there is limited to no specific information on treating drummers as a specific group in the literature, but rather more information on treating musicians as a whole. Different instrumentalists have different postures and repetitive movements, so future studies would do well to examine the individual biomechanics of the different instrumentalists to better tailor treatment and prevention.

APA, Harvard, Vancouver, ISO, and other styles

19

Evangelista, Felipe Carvalho [UNESP]. "Avaliação ultrassonográfica quantitativa e qualitativa do canal do carpo em equinos." Universidade Estadual Paulista (UNESP), 2013. http://hdl.handle.net/11449/108577.

Full text

Abstract:

Made available in DSpace on 2014-08-13T14:50:45Z (GMT). No. of bitstreams: 0 Previous issue date: 2013-06-28Bitstream added on 2014-08-13T18:00:42Z : No. of bitstreams: 1 000755547_20150628.pdf: 250824 bytes, checksum: 795dea93e01fd5ccf15d5ca4b855d266 (MD5) Bitstreams deleted on 2015-06-30T11:22:15Z: 000755547_20150628.pdf,. Added 1 bitstream(s) on 2015-06-30T11:23:08Z : No. of bitstreams: 1 000755547.pdf: 2462293 bytes, checksum: 04864172a4ab96dc6e73edd28ba4e665 (MD5)
O canal do carpo foi avaliado ultrassonograficamente em 60 equinos da raça quarto de milha de corrida, hígidos, em diferentes faixas etárias. Os animais foram divididos em três grupos: potros, adultos jovens e adultos, contendo 10 machos e 10 fêmeas em cada grupo. O objetivo deste estudo foi a caracterização e padronização das estruturas do canal do carpo, pelo exame ultrassonográfico modo B e pelo exame ultrassonográfico Doppler. Dentro do canal do carpo foram avaliados os tendões flexores digitais superficial e profundo, juntamente com o tendão flexor carpo radial. Para cada tendão foi mensurado as dimensões de altura dorso palmar, largura médio lateral e a área dos tendões. Além dos tendões, foram avaliados os nervos palmar medial e palmar lateral, conforme a morfologia normal e a dimensão dorso palmar. No exame ultrassonográfico modo Doppler foram padronizados os índices dopplerfluxométricos das artérias radial e ramo palmar da artéria mediana. Para padronização de ecogenicidade e ecotextura dos tendões foram realizados o histograma. As médias da área do TFDS variaram de 99,20 a 123,20 mm2, do TFDP 114,60 a 143,80 mm2 e o TFCR 17,50 a 24,22 mm2. As médias do diâmetro do retináculo flexor variaram de 1,33 a 1,55 mm, do nervo palmar lateral de 0,93 a 1,09 mm, o do nervo palmar medial 1,10 a 1,44 mm, da artéria radial de 2,54 a 3,06 mm e da artéria palmar medial de 4,23 a 5,47. As médias do índice de resistividade e pulsatilidade da artéria radial variaram de 0,82 a 0,88 e 2,02 a 3,73, respectivamente. As médias do índice de resistividade e pulsatilidade da artéria palmar medial variaram 0,72 a 0,84 e 1,71 a 2,73. Neste estudo foi possível concluir que não ocorreu diferença entre os membros direito e esquerdo para o mesmo animal. Há tendência dos animais adultos apresentaram os tendões maiores e mais heterogêneos do que os adultos jovens e potros. Embora existam diferenças estatísticas entre as ...
The carpal tunnel was sonographically evaluated in 60 quarter horse healthy equines in different age groups, divided into three groups, being these foals, young adults and adults, with 10 males and 10 females in each group. The aim of this study was the characterization and standardization of the structures of the carpal tunnel, through the ultrasound B-mode and the Doppler ultrasonography. Within the carpal tunnel were evaluated superficial digital flexor tendon and deep with the radial carpal flexor tendon. For each tendon was measured the height dimensions dorsal palmar, the medial lateral width and the area of the tendons. Besides the tendons were evaluated the medial palmar nerves and the lateral palmar according to the normal morphology and dorsal palmar dimension. In the Doppler ultrasound were standardized the Dopplerfluxometry indices of the radial arteries and palmar branch of the median artery. For the echogenicity and echotexture standardization of the tendons were performed the histogram. The mean area of the TSDF ranged from 99.20 to 123.20 mm2, of the TDDF from 114.60 to 143.80 mm2 and of the TFCR from 17.50 to 24.22 mm2. The mean diameter of the flexor retinaculum ranged from 1.33 to 1.55 mm, of the lateral palmar nerve from 0.93 to 1.09 mm, of the medial nerve palmar from 1.10 to 1.44 mm, of the artery radial from 2.54 to 3.06 mm and of the medial palmar artery from 4.23 to 5.47. The mean of the resistivity and pulsatility indexes of the radial artery ranged from 0.82 to 0.88 and from 2.02 to 3.73, respectively. The mean resistivity and pulsatility indexes of the medial palmar artery ranged from 0.72 to 0.84 and from 1.71 to 2.73, respectively. The mean resistivity and pulsatility indexes of the medial palmar artery ranged from 0.72 to 0.84 and from 1.71 to 2.73. In this study was concluded that there was no difference between the right and left limbs for the same animal and there is ...

APA, Harvard, Vancouver, ISO, and other styles

20

Evangelista, Felipe Carvalho. "Avaliação ultrassonográfica quantitativa e qualitativa do canal do carpo em equinos /." Botucatu, 2013. http://hdl.handle.net/11449/108577.

Full text

Abstract:

Orientador: Luis Carlos Vulcano
Coorientador: Vânia Maria de Vasconcelos Machado
Banca: Celso Antonio Rodrigues
Banca: Rodrigo Romero Corrêa
Resumo: O canal do carpo foi avaliado ultrassonograficamente em 60 equinos da raça quarto de milha de corrida, hígidos, em diferentes faixas etárias. Os animais foram divididos em três grupos: potros, adultos jovens e adultos, contendo 10 machos e 10 fêmeas em cada grupo. O objetivo deste estudo foi a caracterização e padronização das estruturas do canal do carpo, pelo exame ultrassonográfico modo B e pelo exame ultrassonográfico Doppler. Dentro do canal do carpo foram avaliados os tendões flexores digitais superficial e profundo, juntamente com o tendão flexor carpo radial. Para cada tendão foi mensurado as dimensões de altura dorso palmar, largura médio lateral e a área dos tendões. Além dos tendões, foram avaliados os nervos palmar medial e palmar lateral, conforme a morfologia normal e a dimensão dorso palmar. No exame ultrassonográfico modo Doppler foram padronizados os índices dopplerfluxométricos das artérias radial e ramo palmar da artéria mediana. Para padronização de ecogenicidade e ecotextura dos tendões foram realizados o histograma. As médias da área do TFDS variaram de 99,20 a 123,20 mm2, do TFDP 114,60 a 143,80 mm2 e o TFCR 17,50 a 24,22 mm2. As médias do diâmetro do retináculo flexor variaram de 1,33 a 1,55 mm, do nervo palmar lateral de 0,93 a 1,09 mm, o do nervo palmar medial 1,10 a 1,44 mm, da artéria radial de 2,54 a 3,06 mm e da artéria palmar medial de 4,23 a 5,47. As médias do índice de resistividade e pulsatilidade da artéria radial variaram de 0,82 a 0,88 e 2,02 a 3,73, respectivamente. As médias do índice de resistividade e pulsatilidade da artéria palmar medial variaram 0,72 a 0,84 e 1,71 a 2,73. Neste estudo foi possível concluir que não ocorreu diferença entre os membros direito e esquerdo para o mesmo animal. Há tendência dos animais adultos apresentaram os tendões maiores e mais heterogêneos do que os adultos jovens e potros. Embora existam diferenças estatísticas entre as ...
Abstract: The carpal tunnel was sonographically evaluated in 60 quarter horse healthy equines in different age groups, divided into three groups, being these foals, young adults and adults, with 10 males and 10 females in each group. The aim of this study was the characterization and standardization of the structures of the carpal tunnel, through the ultrasound B-mode and the Doppler ultrasonography. Within the carpal tunnel were evaluated superficial digital flexor tendon and deep with the radial carpal flexor tendon. For each tendon was measured the height dimensions dorsal palmar, the medial lateral width and the area of the tendons. Besides the tendons were evaluated the medial palmar nerves and the lateral palmar according to the normal morphology and dorsal palmar dimension. In the Doppler ultrasound were standardized the Dopplerfluxometry indices of the radial arteries and palmar branch of the median artery. For the echogenicity and echotexture standardization of the tendons were performed the histogram. The mean area of the TSDF ranged from 99.20 to 123.20 mm2, of the TDDF from 114.60 to 143.80 mm2 and of the TFCR from 17.50 to 24.22 mm2. The mean diameter of the flexor retinaculum ranged from 1.33 to 1.55 mm, of the lateral palmar nerve from 0.93 to 1.09 mm, of the medial nerve palmar from 1.10 to 1.44 mm, of the artery radial from 2.54 to 3.06 mm and of the medial palmar artery from 4.23 to 5.47. The mean of the resistivity and pulsatility indexes of the radial artery ranged from 0.82 to 0.88 and from 2.02 to 3.73, respectively. The mean resistivity and pulsatility indexes of the medial palmar artery ranged from 0.72 to 0.84 and from 1.71 to 2.73, respectively. The mean resistivity and pulsatility indexes of the medial palmar artery ranged from 0.72 to 0.84 and from 1.71 to 2.73. In this study was concluded that there was no difference between the right and left limbs for the same animal and there is ...
Mestre

APA, Harvard, Vancouver, ISO, and other styles

21

SELVARAJ, NARENRAJ. "Biomechanics of Thenar Muscles And Transverse Carpal Ligament During Pipetting." Cleveland State University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=csu1528985532616584.

Full text

APA, Harvard, Vancouver, ISO, and other styles

22

Monteiro, Tamiris Aparecida [UNESP]. "Tratamento da síndrome do túnel do carpo com laser." Universidade Estadual Paulista (UNESP), 2015. http://hdl.handle.net/11449/132121.

Full text

Abstract:

Made available in DSpace on 2015-12-10T14:24:00Z (GMT). No. of bitstreams: 0 Previous issue date: 2015-02-27. Added 1 bitstream(s) on 2015-12-10T14:30:08Z : No. of bitstreams: 1 000851769.pdf: 1354680 bytes, checksum: 50510165e2f58c33137b57d0d3d4fe5e (MD5)
A síndrome do túnel do carpo (CTS) é a neuropatia compressiva mais comum. Após cirurgias descompressivas diferentes tipos de complicações podem ocorrer, donde a necessidade de procurarmos novas opções de tratamento. O objetivo deste estudo foi avaliar eventual eficácia da terapia com Laser de baixa intensidade na CTS. Foram realizadas avaliações clínicas e ENMG antes e após tratamento com Laser de baixa intensidade. Terapia com Laser utilizou emissor de Laser gálioíndio- fósforo-alumínio, com comprimento de onda de 660 nm, potência média de 30 nW, regime contínuo de área de 0,06 cm2. A fluência de irradiação foi de 10 J/cm2, com energia de 0,6 J, com exposição de 10 segundos por ponto, e 2 J/cm² no modo varredura, totalizando 6 pontos de irradiação sobre o canal do carpo, no sentido proximal-distal, sobre o trajeto anatômico do nervo mediano, no retináculo flexor. O Laser foi posicionado a 90o em relação à pele. Foram realizadas 2 sessões por semana, durante 12 semanas (total de 24 sessões). Os dados antes e após tratamento foram analisados pelo teste t de Student para amostras correlatas. Até o momento foram estudadas 20 mãos de 13 pacientes. Escala visual analógica de dor, força muscular do músculo abdutor pollicis brevis e velocidades de condução sensitiva do nervo mediano apresentaram melhora após tratamento (p < 0.0001, 0.0003 and 0.045, respectivamente). Entre estes 3 parâmetros não foram observadas correlações pelo teste de correlação de Spearman. Em nossa opinião terapia com Laser de baixa intensidade para pacientes com síndrome do túnel do carpo é inovadora, barata e não invasiva, com resultados iniciais encorajadores
The carpal tunnel syndrome (CTS) is the most common entrapment neuropathy. After surgery different types of complication may occur, than search for new clinical forms of treatment is necessary. The aim of this study was to test the effectiveness of low intensity laser therapy in patients with CTS. Patients with clinical and ENMG diagnosis of CTS never previously treated were included and submitted to clinical evaluation and conduction studies before and after treatment. Sensory and motor conduction studies were performed by conventional described techniques. Low intensity laser treatment was by 660 nm wave length, average power of 30 nw, continuous operation area of 0.06 cm2, fluence of irradiation of 10 J/cm2, exposure of 10 seconds per point, totaling 6 points of irradiation on the carpal tunnel, from the proximal to the distal sense. Laser was positioned at 90o to the skin, 2 sessions per week during 3 months were performed (24 sessions). To this moment 20 hands of 13 patients were studied. Visual analogic scale of pain (VAS), strength of the abductor pollicis brevis and sensory velocity of the median nerve showed improvement after the treatment (p < 0.0001, 0.0003 and 0.045, respectively). No correlation between these 3 parameters were observed from the Spearman correlation test. In our opinion low intensity laser therapy is a new, no expensive and easy to apply encouraging treatment for CTS

APA, Harvard, Vancouver, ISO, and other styles

23

Monteiro, Tamiris Aparecida. "Tratamento da síndrome do túnel do carpo com laser /." Botucatu, 2015. http://hdl.handle.net/11449/132121.

Full text

Abstract:

Orientador: Luiz Antônio de Lima Resende
Banca: Claudi Ferreira da Rosa Sobreira
Banca: José Luiz Pedroso
Resumo: A síndrome do túnel do carpo (CTS) é a neuropatia compressiva mais comum. Após cirurgias descompressivas diferentes tipos de complicações podem ocorrer, donde a necessidade de procurarmos novas opções de tratamento. O objetivo deste estudo foi avaliar eventual eficácia da terapia com Laser de baixa intensidade na CTS. Foram realizadas avaliações clínicas e ENMG antes e após tratamento com Laser de baixa intensidade. Terapia com Laser utilizou emissor de Laser gálioíndio- fósforo-alumínio, com comprimento de onda de 660 nm, potência média de 30 nW, regime contínuo de área de 0,06 cm2. A fluência de irradiação foi de 10 J/cm2, com energia de 0,6 J, com exposição de 10 segundos por ponto, e 2 J/cm² no modo varredura, totalizando 6 pontos de irradiação sobre o canal do carpo, no sentido proximal-distal, sobre o trajeto anatômico do nervo mediano, no retináculo flexor. O Laser foi posicionado a 90o em relação à pele. Foram realizadas 2 sessões por semana, durante 12 semanas (total de 24 sessões). Os dados antes e após tratamento foram analisados pelo teste "t" de Student para amostras correlatas. Até o momento foram estudadas 20 mãos de 13 pacientes. Escala visual analógica de dor, força muscular do músculo abdutor pollicis brevis e velocidades de condução sensitiva do nervo mediano apresentaram melhora após tratamento (p < 0.0001, 0.0003 and 0.045, respectivamente). Entre estes 3 parâmetros não foram observadas correlações pelo teste de correlação de Spearman. Em nossa opinião terapia com Laser de baixa intensidade para pacientes com síndrome do túnel do carpo é inovadora, barata e não invasiva, com resultados iniciais encorajadores
Abstract: The carpal tunnel syndrome (CTS) is the most common entrapment neuropathy. After surgery different types of complication may occur, than search for new clinical forms of treatment is necessary. The aim of this study was to test the effectiveness of low intensity laser therapy in patients with CTS. Patients with clinical and ENMG diagnosis of CTS never previously treated were included and submitted to clinical evaluation and conduction studies before and after treatment. Sensory and motor conduction studies were performed by conventional described techniques. Low intensity laser treatment was by 660 nm wave length, average power of 30 nw, continuous operation area of 0.06 cm2, fluence of irradiation of 10 J/cm2, exposure of 10 seconds per point, totaling 6 points of irradiation on the carpal tunnel, from the proximal to the distal sense. Laser was positioned at 90o to the skin, 2 sessions per week during 3 months were performed (24 sessions). To this moment 20 hands of 13 patients were studied. Visual analogic scale of pain (VAS), strength of the abductor pollicis brevis and sensory velocity of the median nerve showed improvement after the treatment (p < 0.0001, 0.0003 and 0.045, respectively). No correlation between these 3 parameters were observed from the Spearman correlation test. In our opinion low intensity laser therapy is a new, no expensive and easy to apply encouraging treatment for CTS
Mestre

APA, Harvard, Vancouver, ISO, and other styles

24

Bergfors, Monica. "Improved diagnosis of Carpal tunnel syndrome using amplitude difference between m. Abductor pollicis brevis and m. Pronator quadratus?" Thesis, Uppsala University, Department of Medical Biochemistry and Microbiology, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-9102.

Full text

Abstract:

The purpose of this study was to investigate the difference in amplitude between M-response from m. Abductor pollicis brevis/m. Pronator quadratus and m. Abductor pollicis brevis/m. Abductor digiti minimi on patients with carpal tunnel syndrome, compared with control subjects. We wanted to see if m. Pronator quadratus is a better alternative than m. Abductor digiti minimi as comparison with m. Abductor pollicis brevis on patients with carpal tunnel syndrome.

Nerve conduction studies were performed on 20 patients with carpal tunnel syndrome and on 31 healthy subjects.

The test-retest result shows that this method was reproducible. The amplitude difference of m. Abductor pollicis brevis-m. Abductor digiti minimi, for the patients, was 1,5mV lower and the amplitude for m. Abductor pollicis brevis-m. Pronator quadratus was 2mV lower than for healthy subjects. Two of the patients were outside the 2SD for the m. Abductor pollicis brevis-m. Pronator quadratus difference but not on the m. Abductor pollicis brevis-m. Abductor digiti minimi. This may indicate that m. Pronator quadratus was better than m. Abductor digiti minimi in the comparison with the m. Abductor pollicis brevis amplitude.

APA, Harvard, Vancouver, ISO, and other styles

25

Kunze, Nicole Marie. "Investigation of local deformation of the median nerve in magnetic resonance images of the carpal tunnel." Thesis, University of Iowa, 2010. https://ir.uiowa.edu/etd/534.

Full text

Abstract:

As the incidence of diagnosed carpal tunnel syndrome continues to increase, an understanding of the mechanism(s) of insult to the median nerve which leads to its development becomes ever more imperative. Knowledge of the exact cause of CTS could lead to improved diagnostic and treatment methods, or more importantly, to better preventative measures. The goal of this study was to investigate movements and interactions of structures within the carpal tunnel during wrist flexion and hand loading in order to obtain information about a specific mechanism of insult to the median nerve. Symptomatic and normal subjects were compared to observe differences in the interactions of the median nerve and its surrounding structures. A new methodology was developed to facilitate the evaluation of these populations.

APA, Harvard, Vancouver, ISO, and other styles

26

Sanniec, Kyle. "Effect of Carpal Tunnel Syndrome on Trial-to-Trial Adaptation to Object Mass-Sensorimotor Integration for Multi-Digit Grasping." Thesis, The University of Arizona, 2013. http://hdl.handle.net/10150/281794.

Full text

Abstract:

A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine.
Introduction/Objective: Somatosensory feedback from the fingertips is integrated with voluntary control of hand muscles in order to successfully grip objects. This integration can be disrupted in Carpal Tunnel Syndrome (CTS) and lead to dropping objects. This raises the question of how the central nervous system (CNS) integrates sensory information from CTS-affected and non-affected digits. The primary objective was to use CTS as a model to understand mechanisms underlying sensorimotor integration responsible for whole-hand griping of objects with a changing mass. CTS patients should be able to modulate digit forces to object weight, however, as different grip types involve the exclusive use of CTS-affected digits or a combination of CTS-affected and non-affected digits, we hypothesize sensorimotor deficits to be larger for grips involving the coordination of CTS-affected and non-affected digits. Methods: Sixteen CTS patients (3 males, 13 females) and age- and gender-matched controls participated in the study. Subjects were instructed to use one of four grip types: two digits, three digits, four digits, or all five digits to grasp, lift, hold level and release a grip device for 7 consecutive lifts. Object mass was changed across blocks of trials by inserting either a “light mass” (445g) or a “heavy mass” (745g) underneath the grip device. Force and torque exerted by each digit were measured. Results: CTS patients learned multi-digit force modulation to object weight regardless of grip type. Although controls exerted the same total grip force across all grip types, patients exerted significantly larger grip force than controls but only for manipulations with four and five digits. Importantly, this effect was due to CTS patients’ inability to change the finger force distribution when adding the ring and little fingers. Significance: These findings indicate CTS primarily challenges sensorimotor integration processes underlying the coordination of CTS-affected and non-affected digits.

APA, Harvard, Vancouver, ISO, and other styles

27

Miranda-Medina, José, Mateo Barba Cavigiolo, Alonso Soto, T. Wolny, and Pawel Linek. "Is manual therapy based on neurodynamic techniques effective in the treatment of carpal tunnel syndrome? A randomized controlled trial." SAGE Publications Ltd, 2019. http://hdl.handle.net/10757/625193.

Full text

Abstract:

El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.
Cartas al editor
Revisión por pares
Revisón por pares

APA, Harvard, Vancouver, ISO, and other styles

28

Larry, Fout Tyler. "Comparison of Magnetic Resonance Imaging & Sonography in an Animal Model in the Acute Stages of Carpal Tunnel Syndrome." The Ohio State University, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=osu1366024917.

Full text

APA, Harvard, Vancouver, ISO, and other styles

29

Nonno, Rogério Ortolan 1981. "Síndrome do túnel do carpo : acometimento, tratamentos e evolução clínica." [s.n.], 2013. http://repositorio.unicamp.br/jspui/handle/REPOSIP/308440.

Full text

Abstract:

Orientadores: Artur Udelsmann, José Inácio de Oliveira
Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
Made available in DSpace on 2018-08-22T19:15:57Z (GMT). No. of bitstreams: 1 Nonno_RogerioOrtolan_M.pdf: 1150117 bytes, checksum: f08faacc635ddd98fd84251c2717ccab (MD5) Previous issue date: 2013
Resumo: O presente estudo teve como objetivo identificar e descrever os pacientes com síndrome do túnel do carpo com relação aos dados demográficos, clínicos, de acometimento e de evolução. A partir disto, foi possível comparar as principais variáveis entre os tratamentos clínico e cirúrgico, e, também, avaliar se houve relação entre o tipo de tratamento com tempo de afastamento e de retorno ao trabalho. Para tornar possível a realização deste trabalho foram estudados os prontuários de 131 pacientes diagnosticados com STC no Ambulatório de Saúde do Trabalhador do HC da Unicamp. Para padronizar a coleta de dados foi utilizada uma ficha com itens que são comuns a todas as avaliações realizadas neste ambulatório. Por ter ocorrido bilateralmente em 76 indivíduos, o número total de punhos avaliados foi de 207. Para comparar as variáveis categóricas entre os grupos, foram utilizados o teste qui quadrado ou o teste exato de Fisher, e, para as variáveis numéricas entre 2 grupos, foi utilizado o teste de Mann-Whitney. De todos os 131 indivíduos pesquisados, 128 (97,71%) precisaram se afastar ao menos uma vez do trabalho e apenas 37 (28,91%) retornaram ao trabalho. O tempo médio de duração dos sintomas dos pacientes tratados cirurgicamente foi de 39 meses, enquanto o dos tratados clinicamente foi de 44,1 meses. Quanto aos resultados do tratamento, período de afastamento e de retorno ao trabalho, não houve diferença significativa entre os tratamentos clínico e cirúrgico. A partir dos resultados obtidos, foi possível concluir que a STC ocorre com maior frequência em mulheres, entre 30 e 49 anos. O acometimento foi mais frequentemente bilateral; nos casos unilaterais a mão dominante foi a mais comprometida. Tanto a evolução do tratamento clínico quanto do cirúrgico foi pouco satisfatória: em ambos os grupos apenas em cerca de 10% dos casos houve melhora total. As profissões encontradas com maior frequência foram operadores de máquinas, empregadas domésticas, trabalhadores rurais, secretárias e costureiras. Elas representam mais de 70% dos casos de STC encontradas nesta casuística
Abstract: The present study aimed to identify and describe characteristics of the patients who suffered from carpal tunnel syndrome concerning data on demographics and clinical features, type of injury and disease progression. Thus it was possible to compare the main variables between surgical and clinical treatments, and also to assess whether there was a relationship between the type of treatment and period of absence and return to work. In order to perform this study, a review of medical charts of 131 patients diagnosed with CTS in the occupational health clinic of the University Hospital of Unicamp. To standardize the data collection it was used a form with items that are common to all assessments made in this clinic. Because the carpal tunnel syndrome occurred bilaterally in 76 patients, the total wrists assessed were 207. To compare categorical variables between groups it was used chi-square test or Fisher's exact test, and to compare numerical variables between groups it was used the Mann-Whitney test. Out of 131 patients reviewed, 128 (97.71%) had to take a leave from work at least once, and only 37 (28.91%) returned to work. Mean duration of symptoms was 39 months in patients treated surgically and 44.1 months in patients treated clinically. Regarding treatment outcome, period of absence and return to work, there was no significant difference between treatments. Based on these outputs it was possible to conclude that CTS occurs more frequently in women, ranging in age 30 to 49 years. The presence of bilateral CTS was more common and in unilateral cases the dominant hand was the most affected. The progression of the surgical treatment, as well as the clinical, was not satisfactory: in both groups only around 10% of cases had complete recovery. The most frequently found professions were machine operators, domestic worker, farm workers, secretaries and sewing machine operators. They accounted for more than 70% of cases of CTS found in this sample
Mestrado
Fisiopatologia Cirúrgica
Mestre em Ciências

APA, Harvard, Vancouver, ISO, and other styles

30

Oliveira, Gladys Alexandra Dias de. "Prevalência de sintomas clínicos e fatores associados à ocorrência de síndrome do túnel do carpo na gravidez." Botucatu, 2016. http://hdl.handle.net/11449/137880.

Full text

Abstract:

Orientador: Adriano Dias
Resumo: Estimar a prevalência de sintomas de síndrome do túnel do carpo (STC) na gestação em parturientes e puérperas do município de Botucatu – SP e avaliar fatores associados à STC na gestação. Método: Estudo de caráter transversal e de base populacional realizado na Maternidade do Hospital das Clínicas da Faculdade de Medicina de Botucatu. No protocolo de avaliação constavam dados obstétricos da paciente, testes específicos para avaliação clínica de STC (Tinel, Phalen e estesiometria), e o Questionário de Boston. Resultados: Foram avaliadas 461 mulheres, sendo que destas 77,7% (358) não apresentavam nenhum sintoma clínico de STC (SQ) e 22,3% (103) os apresentavam (CQ). Os dados foram analisados utilizando o Statístical Package for Social Sciences (SPSS) e realizados testes de associação entre as variáveis com nível de significância de p≤0,05. As variáveis analisadas foram idade materna, idade gestacional, número de filhos intercorrências e alterações musculoesqueléticas. Os únicos fatores que mostraram diferença significativa foram idade materna e diabete melito gestacional (DMG), com nível de significância de p≤0,001. Conclusões: A prevalência de sintomas de STC na gravidez foi de 22,3% (103) e os fatores preditores associados à ocorrência de STC foram idade materna e o DMG.
Abstract: To estimate the prevalence of symptoms of carpal tunnel syndrome (CTS) during gestation by parturient women and mothers that recently given birth in Botucatu city- SP and evaluate associated factors with CTS during pregnancy. Method: transversal study and population based realized at the Maternity Hospital of Botucatu Medical School. The evaluation protocol contained obstetric data of the patient, specific tests for clinical evaluation of STC (Tinel, Phalen and esthesiometry), and Boston questionnaire.Results: 461 women were evaluated, and of these 77.7% (358) had not present any clinical symptoms of CTS (SQ) and 22.3% (103) had (CQ). The data were analyzed using the Statistical Package for Social Sciences (SPSS) and realized tests of association between variables with significance level of p<0,05. The variables analyzed were maternal age, gestational age, number of children complications and musculoskeletal disorders. The only factors that showed significant differences were maternal age and gestational diabetes mellitus (GDM), with p≤0,001 significance level. Conclusions: The prevalence of CTS symptoms during pregnancy was 22.3% (103) and predictors factors associated with CTS were maternal age and the DMG.
Doutor

APA, Harvard, Vancouver, ISO, and other styles

31

Edwards, Carl. "Are nerve conduction studies necessary? : the development and evaluation of a patient-completed screening version of the Carpal Tunnel Questionnaire for use in primary care." Thesis, University of Exeter, 2015. http://hdl.handle.net/10871/22891.

Full text

Abstract:

Introduction: Carpal tunnel syndrome (CTS) is the most common peripheral nerve entrapment seen within the outpatient orthopaedic clinic; therefore assessment and management of this common condition is of significant importance. Traditionally diagnosis has been made through detailed questioning; clinical examination and nerve conduction studies (NCS). There is however no true consensus as to the gold standard assessment of CTS and the use of NCS can confer additional costs and delay treatment. Previous studies have explored methods of predicting the presence of CTS including the clinician-administered Carpal Tunnel Questionnaire (CTQ) (Kamath and Stothard, 2003). The aim of the present studies is therefore to explore the versatility of the CTQ to see how a novel Patient-completed Version of the CTQ compares to the original Clinican-completed version. Psychometric properties of the questionnaire will be explored together the economic impact of integrating both versions within an orthopaedic care pathway. A further aim is to answer whether the CTQ more effective and cost-effective than NCS for patients referred to an orthopaedic clinic with suspected CTS. Method: 100 patients referred for further investigation of suspected CTS were assessed using parallel patient and clinician-completed versions of the CTQ and results were subsequently compared with those obtained from NCS. Item analysis explored each of the nine constructs of the questionnaire and the original scoring algorithm was validated using binary logistic regression and compared with alternative algorithms. Sensitivity and specificity of the questionnaire when compared to results of NCS was explored using Receiver Operating Characteristic (ROC) analyses. Inter-rater reliability was explored through Pearson’s correlation coefficient. Economic analysis and modelling was carried out to explore potential cost savings of use of the questionnaire rather than NCS for those with suspected CTS. Results demonstrated sensitivity of 92% and specificity of 54.67% (positive predictive value 95.35%) for the patient-completed questionnaire and 96% sensitivity with 70.67% specificity (98.15 positive predictive value) for the clinician-completed questionnaire when used to predict the outcome of NCS. Binary logistic regression confirmed the original scoring algorithm and a revised algorithm did not significantly improve sensitivity. Adoption of the clinician-completed CTQ would have screen out 54% of referrals for NCS, which in the case of the study site would have conferred cost savings of £73,305 per annum (base upon a referral rate of 750 per annum). The patient-completed CTQ in the current sample resulted in 43% of referrals with suspected CTS not requiring NCS to assist in diagnosis with a potential saving of £58,372.5 per annum. There are further considerations of the reduction in waiting times, which are explored further within the analysis. Conclusion: Economic evaluation is complex due to the variety of pathways adopted by different orthopaedic departments. While the results of the Patient-complete version of the CTQ may not be as convincing as the clinician completed the study does provide validation for its use and expands the versatility of this useful adjunct to the assessment of CTS. Both versions could potentially confer significant cost savings and reduce demands on investigative services, reducing waiting times and improving the patient journey in suspected CTS.

APA, Harvard, Vancouver, ISO, and other styles

32

Roll, Shawn C. "Relationship of Ultrasonographic Physiologic Changes to Personal Factors and Psychosocial Stressors in the Development and Diagnosis of Carpal Tunnel Syndrome." The Ohio State University, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=osu1305654432.

Full text

APA, Harvard, Vancouver, ISO, and other styles

33

Smith, Gabriel Charles. "Identifying prevention methods to reduce carpal tunnel syndrome incidents : based on analysis of employee perception and by utilizing the strain index /." Available to subscribers only, 2007. http://proquest.umi.com/pqdweb?did=1324372471&sid=25&Fmt=2&clientId=1509&RQT=309&VName=PQD.

Full text

APA, Harvard, Vancouver, ISO, and other styles

34

Oliveira, Alessandro Júlio de Jesus Viterbo de [UNESP]. "Diagnóstico da síndrome do Túnel do Carpo: comparação entre diferentes equipamentos de eletroneuromiografia." Universidade Estadual Paulista (UNESP), 2009. http://hdl.handle.net/11449/87353.

Full text

Abstract:

Made available in DSpace on 2014-06-11T19:22:50Z (GMT). No. of bitstreams: 0 Previous issue date: 2009-02-16Bitstream added on 2014-06-13T19:47:17Z : No. of bitstreams: 1 oliveira_ajjv_me_botfm.pdf: 288626 bytes, checksum: 08a257cbb3a60279d6803950ece099be (MD5)
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
Este trabalho estudou pacientes com síndrome do túnel do carpo, submetidos a estudos de condução nervosa em diferentes equipamentos: Nihon-Kohden e Nicolet Viking Select (Grupo I), Neuromax 1000 e Nicolet compass meridien (Grupo II). Para os estudos de condução nervosa sensitiva, não foram observadas diferenças estatisticamente significativas entre os equipamentos. Para os estudos de condução nervosa motora, foram observadas latências motoras mais prolongadas nos aparelhos Nicolet que nos equipamentos Nihon-Kohden e Neuromax. As diferenças entre os equipamentos foram mais pronunciadas para os casos menos graves.
This work analysed motor and sensory conduction studies in patients with carpal tunnel syndrome. Different equipments were employed: Nihon- Kohden and Nicolet Viking Select (Group I), Neuromax 1000 and Nicolet compass meridien (Group II). For sensory conduction studies no significant statistic differences were found; for motor conduction studies enlargements of the distal motor latencies were observed for Nicolet equipments in relation to the Nihon-Kohden and Neuromax. The differences were more marked for the slight cases.

APA, Harvard, Vancouver, ISO, and other styles

35

Rodrigues, Thaís. "O papel da estimulação ortodrômica simultânea dos nervos mediano-radial no diagnóstico da síndrome do túnel do carpo." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2014. http://hdl.handle.net/10183/115049.

Full text

Abstract:

Base teórica A síndrome do túnel do carpo (STC) é uma lesão compressiva nervosa mais comum que afeta o nervo mediano observada na prática clínica. Existem muitas técnicas eletrofisiológicas para diagnosticar a STC, mas a maioria dispende muito tempo, é dolorosa e tem sensibilidade variada. Objetivo Avaliar a acurácia de um método eletrofisiológico de investigação da STC e correlaciona-lo com aspectos clínicos. Métodos Pacientes do ambulatório de Neurologia com critérios clínicos para STC foram submetidos a uma bateria de testes clínicos e neurofisiológicos. Primeiramente, nós aplicamos o Questionário de Síndrome do túnel do Carpo de Boston e Escala visual analógica (EVA). Após, realizamos o método eletrofisiológico convencional de avaliação sensitiva do nervo mediano e ulnar. Posteriormente, outro médico eletrofisiologista, cegado para as avaliações anteriores, realizou a técnica de estimulação simultânea dos nervos mediano e radial no polegar com registro simultâneo de ambos potenciais na região punho. Os dados foram agrupados em STC leve, moderada e grave, baseados na latência motora do nervo mediano. Resultados A latência entre picos (LEP), obtida pela técnica em estudo, foi diferente entre os grupos baseados na classificação de gravidade da STC (Bonferroni; p<0.001). A velocidade de condução nervosa sensitiva do nervo mediano, obtida através da técnica standard, apresentou também diferentes valores entre os grupos. Houve correlação entre LEP e velocidade de condução nervosa sensitiva do mediano (Sperman; r=-0.52; p<0.01), bem como entre LEP e velocidade de condução nervosa sensitiva do mediano com o desconforto causado pela STC mensurado pela Escala visual analógica (EVA). A duração e o desconforto causado pela técnica de estimulação simultânea do nervo mediano e radial estão reduzidos quando comparados com a técnica padrão (t Student; p< 0.001 para as duas comparações). Conclusão A técnica de estimulação simultânea do nervo mediano e radial é acurada, sensível, tolerável e não somente útil no diagnóstico da STC, mas também na definição da gravidade. Então, seu uso deve ser encorajado na prática clínica.
Background Carpal tunnel syndrome (CTS) is the most common nerve entrapment observed in clinical practice affecting the median nerve at the wrist level. There are many electrophysiological ways to diagnose CTS, but most of them are time consuming, painful and have variable sensitivity. Objective To evaluate the accuracy of an electophysiologic method of CTS investigation and to correlate it with clinical symptoms. Methods Patients at the clinic outpatient Neurology with CTS clinical criteria underwent a battery of clinical and neurophysiological tests. First, we applied the Boston Carpal Tunnel Syndrome Questionnaire (BCTQ) and Visual analogue scale (VAS). After, we performed a standard method of analysis of the median and ulnar nerves. Posteriorly, a blinded neurophysiologist performed an orthodromic median-radial nerve simultaneous stimulation at the thumb with recording of both action potentials at the lateral aspect of the wrist. Data were grouped for mild, moderate and severe CTS, based on median motor latency. Results The interpeak latency (IPL), obtained with study technique, was different in groups based on CTS classification severity (Bonferroni. p<0.001). The median nerve conduction velocity, obtained with the standard approach, was also of different level among groups. There were correlation between IPL and median nerve conduction velocity (Sperman; r=-0.52; p<0.01), as well as, there was a significant correlation between IPL and median nerve conduction velocity with the discomfort caused by CTS and measured with VAS. However, the duration and unpleasantness caused by median-radial nerve simultaneous stimulation technique were reduced when compared to standard approach (t Student <0.001 for both comparisons). Conclusion The orthodromic median-radial nerve simultaneous stimulation technique is accurate, sensitive, tolerable and not only useful for CTS diagnosis but also for its severity assessment. Therefore, its use should be encouraged in clinical practice.

APA, Harvard, Vancouver, ISO, and other styles

36

Altınbağ, Senem Duru Akhan Galip. "Halı dokuyanlarda karpal tünel sendromu sıklığı /." Isparta : SDÜ Tıp Fakültesi, 2001. http://tez.sdu.edu.tr/Tezler/TT00068.pdf.

Full text

APA, Harvard, Vancouver, ISO, and other styles

37

Öğüt, Başak Savaş Serpil. "Karpal tünel sendromunda ultrason, lokal kortikosteroid enjeksiyonu ve splint tedavilerinin kısa dönem etkilerinin karşılaştırılması /." Isparta : SDÜ Tıp Fakültesi, 2005. http://tez.sdu.edu.tr/Tezler/TT00222.pdf.

Full text

APA, Harvard, Vancouver, ISO, and other styles

38

Nakamoto, Hugo Alberto. "Avaliação da sensibilidade cutânea na mão de pacientes com síndrome do túnel do carpo associada à hemodiálise, antes e após tratamento cirúrgico." Universidade de São Paulo, 2012. http://www.teses.usp.br/teses/disponiveis/5/5132/tde-07122012-153359/.

Full text

Abstract:

A síndrome do túnel do carpo é a neuropatia compressiva mais comum do membro superior. Cerca de 5% dos pacientes com insuficiência renal crônica submetidos à hemodiálise apresentam esta condição. A história clínica e o exame físico continuam sendo as ferramentas mais adequadas para seu diagnóstico. Testes complementares têm sido usados para auxiliar o diagnóstico e o controle de tratamento; dentre eles os de avaliação da sensibilidade cutânea. O PSSD (Pressurespecified sensory device ) consiste de aparelho que incorpora transdutor de pressão acoplado a um computador capaz de determinar os limiares cutâneos de sensibilidade à pressão no território do nervo mediano(superfície volar do índex). O objetivo do estudo foi determinar através do PSSD os limiares cutâneos de pressão no território do nervo mediano antes e depois do tratamento cirúrgico da síndrome. Para tanto, os pacientes foram divididos em dois grupos: Grupo 1: pacientes portadores de insuficiência renal crônica e submetidos à hemodiálise com síndrome do túnel do carpo. Grupo 2: pacientes com síndrome do túnel do carpo sem insuficiência renal. Foram avaliados com o PSSD as seguintes medidas: limiares cutâneos de pressão no teste de um ponto estático, no teste de um ponto dinâmico, no teste estático de dois pontos e no teste dinâmico de dois pontos. Houve evolução positiva no pós operatório(menor limiar) de todos os parâmetros avaliados pelo PSSD no grupo 1, enquanto no grupo 2 houve melhora significativa em todos os parâmetros, excetuando-se os do teste dinâmico de um ponto
Carpal Tunnel Syndrome is the most common compressive neuropathy on the upper limb. About 5% of the patients with chronic renal insufficiency who are treated with hemodialysis present carpal tunnel syndrome. Clinical history and physical examination remain the most adequate tools for the diagnosis. Evaluation of sensory thresholds can be used to complement those parameters. The PSSD (Pressurespecified sensory device) is a tool that incorporates a pressure transducer linked to a computer capable of measuring the cutaneous pressure thresholds referred by the patient. The aim of this study was to determine the values of pressure thresholds with the PSSD before and after treatment of carpal tunnel syndrome. The patients were divided in two groups: Group 1: patients with carpal tunnel syndrome associated to chronic hemodialysis. Group 2: patients with carpal tunnel syndrome without renal insufficiency. The following measurements were performed: static one point, moving one point, static two points and moving two points. The results showed better results in the post operative measurements in all parameters assessed in group 1, and improvements in all parameters with exception of the moving one point test in group 2

APA, Harvard, Vancouver, ISO, and other styles

39

Damann, Elizabeth Amelia. "Wrist posture during computer mouse usage: the effects of wrist support and surface height." Thesis, Virginia Tech, 1995. http://hdl.handle.net/10919/45053.

Full text

Abstract:

The transition from text-oriented software to graphically-based software has brought about a rapid increase in the number of mouse users. Recently, increased usage of the mouse has been linked with the development of cumulative trauma disorders. This investigation concerns the effects that mouse surface height and wrist support have on wrist posture. Distance between targets and target width were varied to determine performance time and performance accuracy throughout the conditions. Results showed that the presence of a wrist support decreased wrist extension and radial deviation, and increased wrist flexion. However, wrist support had no significant effect on ulnar deviation. There was a significant interaction of support and surface height for wrist extension. Surface height had a significant effect on all dimensions of wrist posture. Higher surface height resulted in increased flexion and ulnar deviation, and decreased extension and radial deviation. Distance between targets was a significant effect for ulnar deviation. The long distance resulted in a greater amount of ulnar deviation. Accuracy was significantly affected by distance between targets and target width. There was a significant interaction of distance and width for flexion. When distance between targets and target width were converted to Indices of Difficulty (ID), it was found that as ID became larger, movement time between targets became longer (as predicted by Fitts' Law).
Master of Science

APA, Harvard, Vancouver, ISO, and other styles

40

Kulbytė-Usavičienė, Aistė. "Pacientų, po riešo kanalo tunelinio sindromo operacijų, rankų funkcijos ir savarankiškumo kaita." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2014. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2014~D_20140630_141526-07240.

Full text

Abstract:

Darbo tikslas: Įvertinti pacientų, po riešo kanalo tunelinio sindromo operacijos, rankų funkciją ir savarankiškumą po ergoterapijos ir praėjus dviems metams po jos. Darbo uždaviniai: • Įvertinti pacientų, po riešo kanalo tunelinio sindromo operacijos, rankų funkciją ir savarankiškumą. • Įvertinti ergoterapijos poveikį pacientų, kuriems operuotas riešo kanalo tunelinis sindromas, rankų funkcijai ir savarankiškumui. • Nustatyti veiksnius, lemiančius pacientų rankų funkcijos ir savarankiškumo lygį po reabilitacijos ir praėjus dviems metams po jos. Metodika: Tyrimas buvo atliekamas VšĮ "Kauno kalniečių poliklinika" įstaigoje. Tyrimas buvo atliktas 2012-2014 metais. Tyrime dalyvavo 44 pacientai - 10 (23%) vyrų ir 34 (77%) moterys, kuriems buvo diagnozuotas riešo kanalo tunelinis sindromas ir atlikta operacija. Informacijai surinkti apie pacientus, kuriems buvo atlikta riešo kanalo tunelinio sindromo operacija, buvo naudojama: • Anketa; • Dinamometras; • Manometras • Goniometas; • Dviejų taškų diskriminacijos testas; • Kasdienės veiklos vertinimo klausimynas (ADL) ir SF-36 klausimynas; • Skaitmeninė skausmo įvertinimo skalė. Visi matavimai ir anketinės apklausos buvo atliekamos tris kartus: prieš ir po ergoterapijos procedūrų bei po 2 metų. Išvados: 1. Pacientai, kuriems buvo atlikta riešo kanalo tunelinio sindromo operacija, buvo sumažėjusi plaštakos raumenų jėga, riešo judesių amplitudė, sutrikę jutimai ir turėjo problemų su apsitarnavimu. 2. Po ergoterapijos... [toliau žr. visą tekstą]
Aim: To evaluate the patients after carpal tunnel syndrome surgery, hand function and independence after occupational therapy and two years after. Objectives: • To evaluate the patients after carpal tunnel syndrome surgery, hand function and independence. • To evaluate the effect of occupational therapy in patients after carpal tunnel syndrome surgery, hand function and independence. • To identify the factors influencing patients' hand function and level of independence after rehabilitation and two years after.

APA, Harvard, Vancouver, ISO, and other styles

41

Kaleff, Paulo Roland 1976. "Utilização de tecnica de incisão transversa minima no tratamento da sindrome do tunel do carpo." [s.n.], 2009. http://repositorio.unicamp.br/jspui/handle/REPOSIP/308844.

Full text

Abstract:

Orientador: Donizeti Cesar Honorato
Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas
Made available in DSpace on 2018-08-13T22:12:05Z (GMT). No. of bitstreams: 1 Kaleff_PauloRoland_M.pdf: 1919373 bytes, checksum: 0201e35b3a65c9c00ada905f14f6a364 (MD5) Previous issue date: 2009
Resumo: Propósito:Avaliação de técnica de incisão transversa limitada no tratamento da síndrome do túnel do carpo, quanto à segurança cirúrgica e efetividade na abertura do Retináculo Flexor(RF). Método: Estudo prospectivo de Trinta procedimentos realizados em vinte e oito pacientes submetidos à técnica com incisão transversa mínima. A segurança da técnica e a abertura total do RF foram avaliadas através de questionário baseado em observações clinicas e inspeção endoscópica, respectivamente. Resultados: Não foram observadas complicações maiores. Um único paciente apresentou neuropraxia de N. interdigital. Dois pacientes apresentaram hematoma local pequeno. Em dois dos cinco primeiros casos, durante a inspeção endoscópica, observou-se abertura incompleta do RF, sendo necessária abertura complementar. Todos os pacientes apresentaram melhora do quadro clínico de dor noturna e parestesias. Conclusão: A técnica foi executada com segurança no grupo analisado, sem a ocorrência de complicações graves, e com abertura do RF na quase totalidade dos casos. Uma avaliação de longo prazo e com um número maior de pacientes é necessária.
Abstract: Purpose: To evaluate the application of a limited transverse incision technique to treat the Carpal tunnel syndrome, with concern to its safety and efficacy in the opening of the Flexor Retinaculum (FR). Method: A prospective analysis of thirty FR release procedures performed on twenty-eight patients subjected to the proposed incision technique. Safety and total opening of the FR were evaluated through a questionnaire and an endoscopic inspection respectively. Results: No major complications were observed. Two cases presented small local hematoma. One patient presented with transient neuropraxia of digital branch. In two of the first five cases, incomplete FR opening was identified during endoscopic revision with need of complementary opening. All patients showed symptom relief. Conclusion: The technique was safely performed on the prospection group, no major complications were detected and the opening of FR was observed in the majority of the patients. Long term results and with a larger series of patients should be evaluated in further studies.
Mestrado
Neurologia
Mestre em Ciências Médicas

APA, Harvard, Vancouver, ISO, and other styles

42

Daborn, Cathryn Elizabeth. "The effect of a sustained upper limb neuroprovacation test on median nerve conduction and the role of neuroprovocation techniques in the management of carpal tunnel syndrome." Thesis, University of East Anglia, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.251633.

Full text

APA, Harvard, Vancouver, ISO, and other styles

43

Trejaut, Samir. "Eficácia da mobilização neurodinâmica sobre os pacientes com síndrome do canal cárpico: uma revisão bibliográfica." Bachelor's thesis, [s.n.], 2017. http://hdl.handle.net/10284/5886.

Full text

Abstract:

Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em Fisioterapia
Objetivo: Avaliar a eficácia da mobilização neurodinâmica sobre os pacientes com síndrome do canal cárpico (SCC). Metodologia: Foi realizada uma pesquisa computorizada nas bases de dados PubMed e PEDro para identificar estudos randomizados controlados que avaliassem os efeitos e a eficácia da mobilização neurodinâmica do nervo mediano em pacientes diagnosticados com SCC. Resultados: Foram incluídos 6 estudos, com uma classificação média de 5,8 na escala de PEDro, num total de 343 participantes. Após a comparação da terapia neurodinâmica com outras terapias conservadoras, apenas dois estudos destacaram esta intervenção para a melhoria da somação temporal e da funcionalidade da força do punho e dedos. Os outros estudos não apresentaram melhorias comparativamente com o grupo de controlo, submetidos ao tratamento conservador. Conclusão: A evidência duma eficácia da mobilização neurodinâmica do nervo mediano sobre os pacientes com SCC fica limitada. Através deste estudo, podemos concluir que o tratamento conservador aparenta ser o mais eficiente mas associar a mobilização neurodinâmica poderá ser benéfico para o paciente com SCC e evitar a cirurgia.
Objective: Evaluate the efficacy of neurodynamic mobilization on patients with carpal tunnel syndrome (CTS). Methods: A computerized study was conducted in the PubMed and PEDro databases to identify randomized controlled trials that evaluated the effects and efficacy neurodynamic mobilization of median nerve in patients diagnosed with CTS. Results: Six studies were included, with an average of 5.8 on the PEDro scale, with a total of 343 participants. After comparing neurodynamic therapy with other conservative therapies, only two studies have highlighted this intervention for the improvement of temporal summation along with wrist and finger functionality and pinch strength. The other studies showed no improvement compared to the control group, submitted to conservative treatment. Conclusion: Evidence of neurodynamic mobilization efficacy on median nerve in patients with CTS is limited. With this study, we can conclude that the conservative treatment seems to be the most efficient but associating neurodynamic mobilization may be beneficial for the patient with CTS and therefore avoid surgery.
N/A

APA, Harvard, Vancouver, ISO, and other styles

44

Mediouni, Zakia. "Syndrome du canal carpien et travail sur ordinateur." Thesis, Université Paris-Saclay (ComUE), 2018. http://www.theses.fr/2018SACLV042/document.

Full text

Abstract:

Le syndrome du canal carpien (SCC) est un syndrome canalaire fréquent, qui fait partie des troubles musculo-squelettiques (TMS) d’origine professionnelle. Sa survenue en lien avec le travail sur ordinateur reste débattue.Pour faire le point sur la question, nous avons effectué une revue de la littérature et une méta-analyse sur l’éventuel lien entre le SCC et le travail sur ordinateur, confronté le résultat à celui obtenu dans deux grandes cohortes, l’une européenne et l’autre Nord-américaine et détaillé les expositions à certains facteurs biomécaniques chez les participants de la cohorte française présentant une douleur de la main.La revue de la littérature et la méta-analyse n'ont pas montré d'association entre le travail sur ordinateur et le SCC, avec un méta-OR à 1,67 (IC 95%, 0,79 à 3,55). Cependant, peu d’études longitudinales, avec des définitions standardisées du SCC, faisaient partie de cette analyse.Pour contourner ces limites, nous avons utilisé la cohorte française COSALI et la cohorte américaine Predi CTS study. Les analyses multivariées ajustées sur l'âge, le sexe, l'obésité et la présence d'antécédents médicaux n’ont pas montré que l'exposition au travail sur l’ordinateur était un facteur de risque de SCC.Ces deux études montrent que le travail sur ordinateur n’apparait pas comme un facteur de risque du SCC, contrairement à ce qui a pu être longtemps relayé.L’analyse exploratoire de la relation entre douleur de la main et travail sur ordinateur, ajustée sur les expositions biomécaniques dans la cohorte COSALI, montre dans certains groupes un possible lien entre douleur de la main et travail sur ordinateur, sous certaines conditions qui vont nécessiter des analyses ultérieures
Carpal tunnel syndrome (CTS) is a common ductal syndrome which is part of occupational musculoskeletal disorders (MSDs). Its occurrence in connection with computer work remains debated.To review this issue, we conducted a review of the literature and a meta-analysis on the possible link between CTS and computer work, compared the result to that obtained in two large cohorts, one European and the other North American and detailed exposures to certain biomechanical factors in the French cohort in participants with pain in the hand.The literature review and meta-analysis show no association between CTS and computer work with a meta-OR at 1.67 (95% CI, 0.79 to 3.55). However, few longitudinal studies, with standardized CTS definitions were included in this analysis.To circumvent these limits, we used the French COSALI cohort and the American cohort PrediCTS study. Multivariate analyzes adjusted for age, gender, obesity and medical history did not show that computer exposure was a risk factor for CTS as it has long been relayed.The exploratory analysis of the relationship between hand pain and computer work adjusted to the biomechanical exposures in the COSALI cohort show in some groups a possible link between hand pain and computer work, under certain conditions, which will require further analysis

APA, Harvard, Vancouver, ISO, and other styles

45

Nakamoto, Hugo Alberto. "Avaliação da sensibilidade cutânea em pacientes com síndrome do túnel do carpo relacionada à hemodiálise." Universidade de São Paulo, 2009. http://www.teses.usp.br/teses/disponiveis/5/5158/tde-09122009-170425/.

Full text

Abstract:

A síndrome do túnel do carpo é a neuropatia compressiva mais comum do membro superior. Cerca de 5% dos pacientes com insuficiência renal crônica submetidos à hemodiálise apresentam esta condição. A história clínica e o exame físico continuam sendo as ferramentas mais adequadas para seu diagnóstico. Testes complementares têm sido usados para auxiliar o diagnóstico, dentre eles os de avaliação da sensibilidade cutânea. O objetivo deste estudo é descrever a utilização do PSSD (Pressure- specified sensory device ) como auxiliar ao diagnóstico de síndrome do túnel do carpo. O PSSD consiste de aparelho que incorpora transdutor de pressão com duas extremidades rombas e com regulagem de distância entre elas, acoplado a um computador capaz de determinar os limiares cutâneos de pressão. Para tanto, os pacientes foram divididos em três grupos: Grupo 1- grupo controle, pacientes sem neuropatia no membro superior ou insuficiência renal. Grupo 2- pacientes com síndrome do túnel do carpo e insuficiência renal crônica submetidos à hemodiálise. Grupo 3- pacientes com síndrome do túnel do carpo sem insuficiência renal. Os resultados demonstraram haver um maior benefício do uso do PSSD para o diagnóstico da síndrome para os pacientes do grupo 2 em dois dos quatro parâmetros avaliados quando comparados com os pacientes do grupo 3.
Carpal Tunnel Syndrome is the most common compressive neuropathy of the superior limb. Close to 5% of the patients with chronic renal insufficiency who need hemodialysis have carpal tunnel syndrome. There are controversies about the most reliable test to complement the clinical history and physical exam that remain as the most adequate tools for the diagnosis. Evaluation of sensory thresholds is being used as one of these tests. The aim of this study is to use the PSSD (Pressure-specified sensory device) for the diagnosis of carpal tunnel syndrome. The PSSD is a tool that incorporates a pressure transducer with two prongs, linked to a computer capable of measuring the cutaneous pressure thresholds referred by the patient. The patients were divided in three groups: Group 1- patients with neither superior limb neuropathy nor renal insufficiency. Group 2- patients with carpal tunnel syndrome related to chronic renal insufficiency under hemodialysis. Group 3- patients with carpal tunnel syndrome but no renal insufficiency. The results showed, for two of the four parameters measured, that group 2 had more benefits for the diagnosis of carpal tunnel syndrome than group 3.

APA, Harvard, Vancouver, ISO, and other styles

46

Oliveira, Gladys Alexandra Dias de [UNESP]. "Prevalência de sintomas clínicos e fatores associados à ocorrência de síndrome do túnel do carpo na gravidez." Universidade Estadual Paulista (UNESP), 2016. http://hdl.handle.net/11449/137880.

Full text

Abstract:

Submitted by GLADYS ALEXANDRA DIAS DE OLIVEIRA null (gladys.dias@hotmail.com) on 2016-04-10T00:02:01Z No. of bitstreams: 1 TESE DOUTORADO.pdf: 822240 bytes, checksum: 8999755203c72c48b11a54d5d20efe9f (MD5)
Approved for entry into archive by Ana Paula Grisoto (grisotoana@reitoria.unesp.br) on 2016-04-11T13:47:33Z (GMT) No. of bitstreams: 1 oliveira_gad_dr_bot.pdf: 822240 bytes, checksum: 8999755203c72c48b11a54d5d20efe9f (MD5)
Made available in DSpace on 2016-04-11T13:47:33Z (GMT). No. of bitstreams: 1 oliveira_gad_dr_bot.pdf: 822240 bytes, checksum: 8999755203c72c48b11a54d5d20efe9f (MD5) Previous issue date: 2016-03-01
Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Estimar a prevalência de sintomas de síndrome do túnel do carpo (STC) na gestação em parturientes e puérperas do município de Botucatu – SP e avaliar fatores associados à STC na gestação. Método: Estudo de caráter transversal e de base populacional realizado na Maternidade do Hospital das Clínicas da Faculdade de Medicina de Botucatu. No protocolo de avaliação constavam dados obstétricos da paciente, testes específicos para avaliação clínica de STC (Tinel, Phalen e estesiometria), e o Questionário de Boston. Resultados: Foram avaliadas 461 mulheres, sendo que destas 77,7% (358) não apresentavam nenhum sintoma clínico de STC (SQ) e 22,3% (103) os apresentavam (CQ). Os dados foram analisados utilizando o Statístical Package for Social Sciences (SPSS) e realizados testes de associação entre as variáveis com nível de significância de p≤0,05. As variáveis analisadas foram idade materna, idade gestacional, número de filhos intercorrências e alterações musculoesqueléticas. Os únicos fatores que mostraram diferença significativa foram idade materna e diabete melito gestacional (DMG), com nível de significância de p≤0,001. Conclusões: A prevalência de sintomas de STC na gravidez foi de 22,3% (103) e os fatores preditores associados à ocorrência de STC foram idade materna e o DMG.
To estimate the prevalence of symptoms of carpal tunnel syndrome (CTS) during gestation by parturient women and mothers that recently given birth in Botucatu city- SP and evaluate associated factors with CTS during pregnancy. Method: transversal study and population based realized at the Maternity Hospital of Botucatu Medical School. The evaluation protocol contained obstetric data of the patient, specific tests for clinical evaluation of STC (Tinel, Phalen and esthesiometry), and Boston questionnaire.Results: 461 women were evaluated, and of these 77.7% (358) had not present any clinical symptoms of CTS (SQ) and 22.3% (103) had (CQ). The data were analyzed using the Statistical Package for Social Sciences (SPSS) and realized tests of association between variables with significance level of p<0,05. The variables analyzed were maternal age, gestational age, number of children complications and musculoskeletal disorders. The only factors that showed significant differences were maternal age and gestational diabetes mellitus (GDM), with p≤0,001 significance level. Conclusions: The prevalence of CTS symptoms during pregnancy was 22.3% (103) and predictors factors associated with CTS were maternal age and the DMG.
FAPESP: 2011/23570-1

APA, Harvard, Vancouver, ISO, and other styles

47

Durrieu, Emilien. "Os efeitos da técnica de mobilização neural na reabilitação de pacientes com síndrome do túnel do carpo: uma revisão bibliográfica." Bachelor's thesis, [s.n.], 2021. http://hdl.handle.net/10284/10184.

Full text

Abstract:

Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em Fisioterapia
Introdução: A síndrome do túnel cárpico (STC) é uma patologia frequente das extremidades superiores e pode causar grande desconforto. A mobilização neural pode ser um tratamento alternativo para esta síndrome. Objetivo: Determinar os efeitos da mobilização neural nos doentes com STC. Metodologia: Pesquisa computorizada realizada nas bases de dados PubMed, PEDro e Web of Science, foi efetuada usando a combinação de palavras-chave: (“carpal tunnel syndrome”) AND (“neural mobilisation” OR “neurodynamic mobilisation” OR “nerve sliding”). Na base de dados PEDro foi utilizada: (“carpal tunnel syndrome”), (neurodynamic). Apenas estudos randomizados controlados foram incluídos no estudo. Resultados: Nesta revisão foram incluídos 8 artigos que cumpriram os critérios de elegibilidade com um total de 763 participantes e com média de 5,75/10 na escala de PEDro. Conclusão: A mobilização neural, na maioria dos estudos, parece ter efeitos positivos.
Background: Carpal tunnel syndrome (CTS) is a frequent pathology of the upper extremities and can cause great discomfort. Neural mobilization can be an alternative treatment for this syndrome. Objective: To determine the effects of neural mobilization in patients with CTS. Methodology: A computerized search of the PubMed, PEDro and Web of Science databases was performed using the keywords combination: (“carpal tunnel syndrome”) AND (“neural mobilization” OR “neurodynamic mobilization” OR “nerve sliding”). At PEDro database: (“carpal tunnel syndrome”), (neurodynamic) were used. Only randomized controlled trials were included in the study. Results: 8 articles meeting the eligibility criteria were included in this review with a total of 763 participants and an average of 5.75/10 on the PEDro scale. Conclusion: Neural mobilization, in the majority of studies, seems to have positive effects.
N/A

APA, Harvard, Vancouver, ISO, and other styles

48

Lloyd, John D. "Effect of wrist activity on median nerve function." Thesis, Loughborough University, 2001. https://dspace.lboro.ac.uk/2134/18967.

Full text

Abstract:

Background - Hand intense occupational activities have been associated with an increase in the incidence of carpal tunnel syndrome (CTS). CTS is characterized by an impairment of median nerve function. To date, a dose-response relationship between wrist activity and median nerve performance has not been documented. Since repetitive hand/wrist activity in the workplace has significant implications, it is important to establish a scientific basis for the aetiology of work-related carpal tunnel syndrome. Methods -- In a laboratory environment, twenty-seven clinically confirmed asymptomatic female subjects performed continuous repetitive wrist motion in the flexion-extension plane during which an angle of 120 degrees was subtended about the neutral wrist position. Four levels of wrist activity, corresponding with 0 (static), 22 (Iow), 38 (medium) and 49 (high) repetitions per minute, were prescribed. Wrist motion was recorded using a state-of-the-art 3D electromagnetic tracking system (HumanTRAC). Mathematical descriptors of wrist kinematics, including cycle time, amplitude, angular velocity and angular acceleration, were calculated. Sensory median nerve response to imposed physical stressors was monitored antidromically and recorded using a clinical electroneurometer every ten minutes throughout the simulated work activities. Near-nerve skin temperature was recorded at three sites along the distal sensory branch of the median nerve every twenty minutes. Results - After adjusting for changes in near-nerve skin temperature, a significant within-subject effect of duration of exposure (time) was detected. Sensory median nerve conduction velocity differed statistically by 2.1 ms-1 between the static and high wrist activity conditions after 120 minutes of exposure, signifying adverse effects on nerve conduction that are uniquely attributable to repetitive hand motion. Wrist activity measures of mean angular acceleration presented a highly significant association with nerve performance, where nerve conduction decreased as wrist activity increased. Using regression analysis, a maximum safe wrist-workload exposure limit of 0.91 repetitions per minute is proposed. Limitations of this result are discussed. A biomechanical model is presented to calculate the effect of physical risk factors on tendon forces at the wrist. This model offers a method by which findings of the study can be employed for workplace exposure surveillance and development of ergonomic workstation design recommendations. Conclusions -- Across the study population of clinically asymptomatic female participants, a change in median nerve performance was observed. This significant effect was evoked due to imposed physical stressors. A dose response relationship between work intensity, exposure time and median nerve conduction velocity was demonstrated. The research explored in this thesis presents a foundation for the future development of a "Dynamic Median Nerve Stress Test". This test would involve the performance of a repetitive motion activity of the wrist during which changes in the function of the median nerve are closely monitored. The Dynamic Median Nerve Stress Test might prove to be valuable both as a provocative clinical test as well as an important research tool.

APA, Harvard, Vancouver, ISO, and other styles

49

Magalhães, Ângelo Miguel Ribeiro. "Iontoforese no tratamento do síndrome de túnel cárpico." Bachelor's thesis, [s.n.], 2011. http://hdl.handle.net/10284/2496.

Full text

Abstract:

Trabalho apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em Fisioterapia
A síndrome do túnel cárpico constitui uma das patologias mais comuns da mão. Trata-se de uma lesão no nervo mediano provocada por um processo de compressão que leva à diminuição relativa do calibre do túnel cárpico. O tratamento por iontoforese tem sido referido como uma forma de tratamento, com eficácia na resolução da sintomatologia provocada pela síndrome de túnel cárpico. Objectivos: Resumir a informação recolhida em diversos estudos de modo a determinar a real viabilidade e parâmetros adequados da iontoforese para o tratamento da síndrome de túnel cárpico. Métodos: A pesquisa foi efectuada nas bases de dados electrónicas a partir do motor de busca B-on para identificar estudos de revisão e experimentais sobre a eficácia iontoforese na síndrome túnel cárpico. Conclusão: Neste estudo verificou-se que pacientes em estágios iniciais da doença podem beneficiar de procedimentos por iontoforese contudo, nos estágios avançados da doença os resultados não foram satisfatórios, sendo a cirurgia a opção mais referida. Carpal tunnel syndrome is one of the most common pathologies of the hand. This is an injury of the median nerve caused by a compression process that leads to relative decrease in the caliber of the carpal tunnel. The treatment by iontophoresis has been described as a form of treatment, with effectiveness in the resolution of symptoms caused by carpal tunnel syndrome. Objectives: Summarize the information gathered in several studies to verify the effectiveness of iontophoresis in the treatment of carpal tunnel syndrome. Methods: This study results from a computerized search carried out in the database B-on to identify review and experimental studies about the effectiveness of iontophoresis in carpal tunnel syndrome. Conclusion: This study shows that patients in the early stage of disease may benefit from procedures by iontophoresis, however, in advanced stages of disease the results were not satisfactory, surgery is the option most frequently mentioned.

APA, Harvard, Vancouver, ISO, and other styles

50

Volz, Kevin R. "Utilization of Musculoskeletal Sonography in Detecting Physiologic Changes of the Median Nerve in a Working Animal Model." The Ohio State University, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=osu1365003763.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Dissertations / Theses on the topic 'Carpal Tunnel Syndrome (CTS)'

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles