| Women With Carpal Tunnel Syndrome Show Restricted Cervical Range of Motion. | |
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MedLine Citation:
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PMID: 21471650 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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STUDY DESIGN: A case-control blinded study. OBJECTIVES: To compare the amount of cervical range of motion between women with minimal, mild/moderate, and severe carpal tunnel syndrome (CTS) and healthy controls. We also sought to assess the relationships between cervical range of motion and clinical variables related to the intensity and temporal profile of pain within each CTS group. BACKGROUND: It is plausible that the cervical spine may be involved in individuals with CTS. No study has investigated the relationship between cervical range of motion and symptoms associated with CTS severity. METHODS: Cervical range of motion was assessed in 71 women with CTS (18 with minimal, 18 with mild/moderate, and 35 with severe signs and symptoms), aged 35 to 59 years (mean ± SD: 45 ± 8 years) and 20 similar healthy women, aged 31 to 60 (45 ± 8 years) by an experienced therapist blinded to the participants' condition. A cervical range of motion (CROM) device was used to assess cervical motion. Mixed-model ANOVAs were conducted to evaluate the differences in cervical range of motion among the 3 groups of patients with CTS and healthy controls. A corrected P-value < 0.025 was used as threshold for significance (Bonferroni correction). RESULTS: The mixed-model ANOVAs revealed that the individuals with CTS exhibited restricted cervical range of motion compared to healthy controls (P<0.001) with no significant differences among the groups with minimal, mild/moderate, or severe CTS (P > 0.356). A significant negative correlation between pain intensity and cervical spine lateral flexion away from the affected side was identified: the greater the mean pain intensity, the lesser the cervical lateral flexion away from the affected side. CONCLUSIONS: Women with minimal, mild/moderate, or severe CTS exhibited less cervical range of motion as compared to woman of a similar age, suggesting that restricted cervical range of motion is a common feature in individuals with CTS independent of severity subgroups that are defined on the basis of electrodiagnosis. Future research should investigate if restricted cervical range of motion is a consequence or a promoting factor of CTS and related symptoms. J Orthop Sports Phys Ther, Epub 6 April 2011. doi:10.2519/jospt.2011.3536. |
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Authors:
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Ana I De-la-Llave-Rincón; César Fernández-de-Las-Peñas; Sofía Laguarta-Val; Ricardo Ortega-Santiago; Domingo Palacios-Ceña; Almudena Martínez-Perez |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-4-6 |
Journal Detail:
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Title: The Journal of orthopaedic and sports physical therapy Volume: - ISSN: 0190-6011 ISO Abbreviation: - Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-4-7 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7908150 Medline TA: J Orthop Sports Phys Ther Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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