Factors affecting symptoms and functionality of patients with carpal tunnel
syndrome: a retrospective study |
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Authors: | Hulya Yucel |
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Affiliation: | 1) Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bezmialem Vakif University, Turkey |
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Abstract: | Purpose] The aim of this retrospective study was to determine the associations between
clinical, physical, and neurophysiological outcomes and self-reported symptoms and
functions of patients after surgical carpal tunnel release. Subjects and Methods] Among
261 patients who had undergone open surgical carpal tunnel release within the last three
years, 83 (mean age 50.27 ± 11.13 years) participated in this study. Their
socio-demographics and comorbidities were recorded. The intensity of pain, paresthesia,
and fatigue symptoms in the hand were assessed by means of a Visual Analogue Scale, the
Semmes-Weinstein Monofilaments test of light touch pressure sensation, and Jamar
dynamometry for measurement of grip and pinch strengths. The Boston Carpal Tunnel
Questionnaire evaluated the severity of symptoms and hand functional status, and the
variables were analyzed by multivariate linear regression. Results] The severity of the
symptoms and functional status of release surgery patients was associated with diabetes
mellitus, migraine, night pain, paresthesia and fatigue symptoms, impaired light touch
pressure, and lack of medical treatment. Conclusion] Appropriate post-surgery treatment
programs for these factors should be taken into consideration to help patients obtain
optimal functionality and health in their daily lives.Key words: Carpal tunnel syndrome, Patient outcome assessment, Surgical therapy |
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