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carpal tunnel rehabilitation

S T Kokkalis, A F Mavrogenis, C Vottis, L Papatheodorou, P J Papagelopoulos, P N Soucacos, D G Sotereanos
Nerve wrap protectors are bioabsorbable synthetic materials made of collagen or extracellular matrix that provide a non-constricting encasement for injured peripheral nerves. They are designed to be used as an interface between the nerve and the surrounding tissue. After hydrated, they transform into a soft, pliable, nonfriable, easy to handle porous conduit. The wall of the nerve wrap has a longitudinal slit that allows to be placed around the injured nerve. Τhis article presents the surgical technique for median nerve neurolysis and nerve coverage using a collagen or an extracellular matrix nerve wrap protector in 10 patients with recurrent or persistent carpal -tunnel syndrome...
August 2016: Acta Orthopaedica Belgica
Sana Salah, Mariem Rekik, Iheb Bel Haj Youssef, Soumaya Boudokhane, Houda Migaou, Anis Jellad, Zohra Ben Salah Frih
OBJECTIVE: The objective of this study was to assess the musculoskeletal disorders (MSD) of diabetes mellitus (DM) patients in a Physical Medicine and Rehabilitation (PMR) department. MATERIAL/PATIENTS AND METHODS: We carried out a retrospective study (January-December 2013) in which we enrolled 193 patients with DM. General (epidemic and clinical) characteristics were measured. Statistical analysis was performed using the statistical software SPSS 16. RESULTS: The participants' median age was 58 years (20-86), 98 men (50...
September 2016: Annals of Physical and Rehabilitation Medicine
Haifa Aroui, Irtyah Merchaoui, Mohamed Adnène Henchi, Ines Rassas, Noura Belhadj, Neila Chaari, Charfeddine Amri
OBJECTIVE: Describe the medical and professional consequences in victims of carpal tunnel syndrome. MATERIAL/PATIENTS AND METHODS: Exhaustive and descriptive study on 233 cases of carpal tunnel syndrome identified in two occupational medicine departments of the center of Tunisia from 2005 to 2010. The Boston questionnaire was used to assess the functional disability. RESULTS: To study the medical and professional becoming, we contacted 128 employees (54...
September 2016: Annals of Physical and Rehabilitation Medicine
Elliot B Bodofsky, Stephen J Cohen, Rohini J Kumar, Adam Schindelheim, John Gaughan
PURPOSE: To prove that the relationship between sensory latencies and amplitudes is useful in determining the severity of neuropathies. This is achieved by deriving a mathematical relationship between sensory distal latency and amplitude. Determine whether sensory amplitudes below predicted correlate with a worse pathology. PROCEDURES: Patients seen for Nerve Conduction Studies by the Department of Physical Medicine and Rehabilitation at Cooper University Hospital between 12/1/12 and 12/31/14 were invited to participate in a prospective database...
August 28, 2016: Journal of Electromyography and Kinesiology
Zixian Yang, Therma Wai Chun Cheung
BACKGROUND: Risk factors contributing to upper limb repetitive stress injuries (RSIs) have been well-documented in literature, but there has been no such data in Singapore. OBJECTIVE: To investigate potential contributory factors to upper limb RSIsMETHODS: We performed a retrospective cohort study of clients who were referred to outpatient upper limb rehabilitation in 2012. Demographic information was retrieved from an electronic documentation system. Descriptive analyses were performed using Statistical Package for Social Sciences (SPSS) Version 17...
August 12, 2016: Work: a Journal of Prevention, Assessment, and Rehabilitation
F Neubrech, T Gentzsch, D Kotsougiani, B Bickert, U Kneser, L Harhaus
BACKGROUND: In the current literature, there are reports of associations between complex regional pain syndromes (CRPS) and carpal tunnel syndromes (CTS). The aim of this study was to determine the prevalence of both disease patterns in hand rehabilitation patients and to investigate whether there is a correlation between CTS and CRPS. Furthermore, differences in the healing process of patients with and without additional CTS, and the effectiveness of the rehabilitative therapy for both diseases, were investigated...
June 2016: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
Susan Peters, Matthew J Page, Michel W Coppieters, Mark Ross, Venerina Johnston
BACKGROUND: Various rehabilitation treatments may be offered following carpal tunnel syndrome (CTS) surgery. The effectiveness of these interventions remains unclear. This is the first update of a review first published in 2013. OBJECTIVES: To review the effectiveness and safety of rehabilitation interventions following CTS surgery compared with no treatment, placebo, or another intervention. SEARCH METHODS: On 29 September 2015, we searched the Cochrane Neuromuscular Specialised Register, the Cochrane Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, CINAHL Plus, AMED, LILACS, and PsycINFO...
2016: Cochrane Database of Systematic Reviews
Rodney Li Pi Shan, Michael Nicolle, Ming Chan, Nigel Ashworth, Chris White, Paul Winston, Sean Dukelow
OBJECTIVES: 1) Assess which electrodiagnostic studies Canadian clinicians use to aid in the diagnosis of carpal tunnel syndrome (CTS). 2) Assess whether Canadian clinicians follow the American Association of Neuromuscular & Electrodiagnostic Medicine/American Academy of Neurology/American Academy of Physical Medicine and Rehabilitation Practice Parameter for Electrodiagnostic Studies in CTS. 3) Assess how Canadian clinicians manage CTS once a diagnosis has been established. METHODS: In this prospective observational study, an electronic survey was sent to all members of the Canadian Neuromuscular Group (CNMG) and the Canadian Association of Physical Medicine and Rehabilitation (CAPM&R) Neuromuscular Special Interest Group...
January 2016: Canadian Journal of Neurological Sciences. le Journal Canadien des Sciences Neurologiques
Armando Gavazzi, Francesca de Rino, Maria Claudia Boveri, Anna Picozzi, Massimo Franceschi
We evaluated 374 consecutive patients from May 2013 to April 2014 who underwent major cardiac surgery. Each patient had an interview and a neurological clinical examination during the rehabilitation period. Patients with possible peripheral nervous system (PNS) complications underwent further electrodiagnostic tests. Among 374 patients undergoing major heart surgery (coronary artery bypass grafting, valvular heart surgery, ascending aortic aneurysm repair) 23 (6.1 %) developed 34 new PNS complications. We found four brachial plexopathies; four carpal tunnel syndromes; five critical illness neuropathies; three worsening of pre-existing neuropathies; two involvement of X, one of IX and one of XII cranial nerves; three peroneal (at knee), one saphenous, two median (at Struthers ligament), six ulnar (at elbow) mononeuropathies; two meralgia parestheticas...
February 2016: Neurological Sciences
Batol Golriz, Monireh Ahmadi Bani, Mokhtar Arazpour, Mahmood Bahramizadeh, Sarah Curran, Seyed Pezhman Madani, Stephen W Hutchins
BACKGROUND: Different types of splints have been used as a conservative intervention to improve symptoms in patients with Carpal tunnel syndrome (CTS). Although a number of studies have been undertaken to compare different splints, information and understanding of the influence of these interventions are lacking. OBJECTIVES: The purpose of this study was to compare the effect of a classic thermoplastic wrist splint or a wrist splint with an additional metacarpophalangeal unit on pain, function, grip strength, and pinch strength in patients with mild-to-moderate carpal tunnel syndrome...
October 2016: Prosthetics and Orthotics International
S Edsfeldt, D Rempel, K Kursa, E Diao, L Lattanza
UNLABELLED: We measured in vivo forces in the flexor digitorum profundus and the flexor digitorum superficialis tendons during commonly used rehabilitation manoeuvres after flexor tendon repair by placing a buckle force transducer on the tendons of the index finger in the carpal canal during open carpal tunnel release of 12 patients. We compared peak forces for each manoeuvre with the reported strength of a flexor tendon repair. Median flexor digitorum profundus force (24 N) during isolated flexor digitorum profundus flexion and median flexor digitorum superficialis force (13 N) during isolated flexor digitorum superficialis flexion were significantly higher than during the other manoeuvres...
September 2015: Journal of Hand Surgery, European Volume
Helena Burger, Gaj Vidmar
BACKGROUND: Little is known about secondary impairments and overuse problems in patient with acquired or congenital upper limb deficiency. OBJECTIVES: Our aim was to estimate the frequency of overuse problems in persons after unilateral upper limb deficiency and identify the factors relevant for development of these problems. STUDY DESIGN: Cross-sectional study conducted at the University Rehabilitation Institute in Ljubljana. METHODS: In total, 65 persons after unilateral upper limb deficiency who had visited our subspecialist outpatient clinic during the 2011-2013 period (excluding those with other possible medical causes of overuse-type problems) were interviewed about the frequency, duration and severity of neck, elbow and shoulder pain and the presence of carpal tunnel syndrome and filled in the Orthotics and Prosthetics User Survey-Upper Extremity Functional Status questionnaire...
August 2016: Prosthetics and Orthotics International
Po-Tsun Chen, I-Ming Jou, Chien-Ju Lin, Hsiao-Feng Chieh, Li-Chieh Kuo, Fong-Chin Su
BACKGROUND: The impaired sensory function of the hand induced by carpal tunnel syndrome (CTS) is known to disturb dexterous manipulations. However, force control during daily grasping configuration among the five digits has not been a prominent focus of study. Because grasping is so important to normal function and use of a hand, it is important to understand how sensory changes in CTS affect the digit force of natural grasp. QUESTIONS/PURPOSES: We therefore examined the altered patterns of digit forces applied during natural five-digit grasping in patients with CTS and compared them with those seen in control subjects without CTS...
July 2015: Clinical Orthopaedics and related Research
Filip Georgiew, Andrzej Maciejczak, Jakub Florek
BACKGROUND: The method of carpal tunnel syndrome (CTS) treatment depends on the severity of the symptoms. It is generally accepted that patients with mild and moderate CTS may be referred for conservative treatment while surgical treatment is recommended in patients with severe symptoms. The conclusions drawn on the basis of our study results should facilitate predicting treatment outcomes in patients with various degrees of disturbance in median nerve conduction and the severity of accompanying symptoms...
September 2014: Ortopedia, Traumatologia, Rehabilitacja
Kenneth Koval, George J Haidukewych, Benjamin Service, Brian J Zirgibel
Controversies span the entire spectrum of management of distal radius fractures-fracture assessment, diagnosis, treatment, and evaluation of outcomes. The utility of multiple radiographic views described in the literature has not been validated. Likewise, the several classification systems that exist have yet to demonstrate substantial interobserver and intraobserver reliability. Nonsurgical controversies involve fracture reduction, use of anesthesia, type of fracture immobilization, and forearm position during healing...
September 2014: Journal of the American Academy of Orthopaedic Surgeons
Bionka M Huisstede, Jan Fridén, J Henk Coert, Peter Hoogvliet
OBJECTIVE: To achieve consensus on a multidisciplinary treatment guideline for carpal tunnel syndrome (CTS). DESIGN: Delphi consensus strategy. SETTING: Systematic reviews reporting on the effectiveness of surgical and nonsurgical interventions were conducted and used as an evidence-based starting point for a European Delphi consensus strategy. PARTICIPANTS: In total, 35 experts (hand surgeons selected from the Federation of European Societies for Surgery of the Hand, hand therapists selected from the European Federation of Societies for Hand Therapy, physical medicine and rehabilitation physicians) participated in the Delphi consensus strategy...
December 2014: Archives of Physical Medicine and Rehabilitation
Cesar Fernández-de-Las-Peñas
Cesar Fernández-de-las-Peñas completed his Bachelor's degree in Physical Therapy in 2000, in Spain. He obtained his first PhD degree in Biomedical Sciences in 2007, under the supervision of Dr Lars Arendt-Nielsen at the Sensory-Motor Interaction Center at the University of Aalborg (Denmark). In 2008, he obtained his second PhD degree in Preventive Medicine, under the supervision of Drs Pareja and Cuadrado in Spain. He is the Head of the Division of the Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine at Universidad Rey Juan Carlos, Spain...
March 2012: Pain Management
Ikuko Okuni, Nobuyuki Ushigome, Takashi Harada, Toshio Ohshiro, Yoshiro Musya, Masayuki Sekiguchi
BACKGROUND AND AIMS: In previous studies, we successfully applied Low Level Laser Therapy (LLLT) in patients with non-specific chronic pain of the shoulder joint and lower back. The purpose of the present study was to assess the effectiveness of LLLT for chronic joint pain of the elbow, wrist, and fingers. SUBJECTS AND METHODS: Nine male and 15 female patients with chronic joint pain of the elbow, wrist, or fingers, who were treated at the rehabilitation outpatient clinic at our hospital from April, 2007 to March, 2009 were enrolled in the study...
March 28, 2012: Laser Therapy
Daria Chmielewska, Aneta Skęczek-Urbaniak, Janusz Kubacki, Edward Błaszczak, Krystyna Kwaśna
BACKGROUND. Carpal tunnel syndrome is a common upper limb compression neuropathy. Postoperative rehabilitation improves the function of the limb. The aim of this study was to assess the effects of rehabilitation in patients who had undergone endoscopic vs. open surgical carpal tunnel release. MATERIAL AND METHODS. Twenty-six patients were divided into endoscopy (E) and open surgery (K) groups. The following parameters were assessed after rehabilitation: two-point discrimination by fingertips of the operated hand, ranges of motion of joints of the hand, circumferences of the radiocarpal and metacarpo pha langeal joints and the severity of pain and other symptoms...
October 31, 2013: Ortopedia, Traumatologia, Rehabilitacja
Torben B Hansen, Haider Ghalib Majeed
ECTR is an elegant minimally invasive operative treatment of CTS, providing a rapid rehabilitation without increasing the risk of complications. However, there is a significant learning curve and the cost of the operation is significantly higher than with conventional open technique. However, the faster rehabilitation and the probability of reducing sick leave may lead to ECTR being overall more cost-effective than open CTR.
February 2014: Hand Clinics
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