| Carpal tunnel syndrome in manual wheelchair users with spinal cord injury: a cross-sectional multicenter study. | |
| | |
MedLine Citation:
|
PMID: 19789435 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To investigate relationships between carpal tunnel syndrome, functional status, subject demographics, physical examination findings, and median nerve conduction study findings in manual wheelchair users with paraplegia. DESIGN: Multicenter cross-sectional study. One hundred twenty-six manual wheelchair-using individuals with chronic paraplegia answered self-administered questionnaires on demographics, symptoms, and functional status. They underwent physical examination specific for carpal tunnel syndrome and upper-limb nerve conduction studies. RESULTS: Fifty-seven percent of subjects had symptoms (72.2% bilateral); hand numbness was most common. Sixty percent of subjects had carpal tunnel syndrome physical examination findings (59.2% bilateral). Those with physical examination findings were more likely to have longer duration of injury (P = 0.003). Seventy-eight percent of subjects had electrophysiologic evidence of median mononeuropathy. Symptomatic subjects had significantly greater median-ulnar motor latency difference in the dominant hand (P = 0.02) and smaller compound muscle action potential amplitudes bilaterally (dominant hand, P = 0.01; nondominant hand, P = 0.04). Persons with carpal tunnel syndrome symptoms and physical examination findings had significantly worse functional status (symptoms, P < 0.001; physical examination, P = 0.02) and symptom severity scores (symptoms, P < 0.001; physical examination, P = 0.01), but a similar difference between subjects with and without median mononeuropathy was not seen. Logistic regression analysis revealed that the presence of symptoms was predicted by median-ulnar motor latency difference in the dominant hand (odds ratio, 4.38; 95% confidence interval 1.72-11.14) and sensory nerve action potential amplitude in the nondominant hand (odds ratio, 0.97; 95% confidence interval, 0.94-0.99). CONCLUSIONS: The interaction among symptoms, physical examination, and nerve conduction study findings is complex. Carpal tunnel syndrome and median mononeuropathy are highly prevalent and functionally significant. This study highlights the need for primary prevention and patient education for preserving upper-limb function. |
| | |
Authors:
|
Jennifer Yang; Michael L Boninger; Janet D Leath; Shirley G Fitzgerald; Trevor A Dyson-Hudson; Michael W Chang |
Related Documents
:
|
15810105 - Superficial branch of the radial nerve piercing the brachioradialis tendon to become su... 17765585 - Medial epicondylectomy. 1953315 - Man-in-the-barrel syndrome in a noncomatose patient: a case report. 10782355 - Silent period in carpal tunnel syndrome. 22153405 - Isolated abducens nerve palsy secondary to lemierre syndrome. 12946675 - Effective management of the airway in the pierre robin syndrome using a modified nasoph... |
Publication Detail:
|
Type: Journal Article; Multicenter Study |
Journal Detail:
|
Title: American journal of physical medicine & rehabilitation / Association of Academic Physiatrists Volume: 88 ISSN: 1537-7385 ISO Abbreviation: Am J Phys Med Rehabil Publication Date: 2009 Dec |
Date Detail:
|
Created Date: 2009-11-25 Completed Date: 2009-12-17 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8803677 Medline TA: Am J Phys Med Rehabil Country: United States |
Other Details:
|
Languages: eng Pagination: 1007-16 Citation Subset: AIM; IM |
Affiliation:
|
Human Engineering Research Laboratories, Department of Physical Medicine and Rehabilitation, School of Medicine, University of Pittsburgh, Pittsburgh, PA 15206, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Age Factors Aged Body Mass Index Carpal Tunnel Syndrome / diagnosis, etiology* Cross-Sectional Studies Electromyography Female Humans Male Middle Aged Odds Ratio Paraplegia Risk Factors Severity of Illness Index Sex Factors Spinal Cord Injuries / rehabilitation* Wheelchairs / adverse effects* Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Effect of Botulinum Toxin Injection on Nocturnal Bruxism: A Randomized Controlled Trial.
Next Document: Facilitating knowledge transfer with single-center trials or evaluating trial results for applicatio...