Carpal Tunnel Syndrome and Its Prevalence in Pregnant Females of Faisalabad Pakistan (original) (raw)
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Prevalence of Carpel Tunnel Syndrome among Pregnant Women in Lahore City
2020
Carpal Tunnel Syndrome (CTS) is one of the most common neuropathies and pregnancy is a risk factor of CTS. The frequency of CTS during pregnancy, especially that according to the gestational age, is not well determined, and here we attempted to determine it in three hospitals in Lahore, Pakistan. By the use of non-probability purposive sampling method, 286 samples of pregnant females were collected. The diagnosis of CTS was made using Phalens test and others. Phalen test was positive in 20.8, 29.6, and 45.3% during 1 st , 2 nd and 3 rd trimester, respectively. The questionnaire data indicated that CTS was present in 11.2, 37.0 and 49.5% in 1 st , 2 nd and 3 rd trimester, respectively. Swelling of the joint was observed in 31.6, 51.9 and 77.8% in 1, 2 and 3 trimester, respectively. The same tendency of the occurrence of CTS according to the three trimesters was observed when using nerve compression test or Tinels test.
Prevalence of Carpal Tunnel Syndrome in Pregnant Women: A Prevalence Study
2019
Objectives: To find out the prevalence of Carpal Tunnel Syndrome in pregnant women including both primagravida and multigravida women of all three trimesters of pregnancy and to find out functional limitation in affected women with Carpal Tunnel Syndrome. Methods: A cross sectional survey was conducted. Closed ended questionnaire, clinical tests and physical examination were used to collect data from 200 pregnant women by using non-probability convenience sampling technique in different hospitals of Punjab, Pakistan. Primagravida and multigravida women, 1st, 2nd and 3rd trimester pregnant women were included. Fisher's Exact Test was used for associations and Spearman correlation between wrist pain and nature of pain. The duration of study was 3 months from December 2016 to end of February 2017. Results: The result revealed that prevalence of Carpal Tunnel Syndrome in pregnant women with classical sign and symptoms of wrist pain with alteration of sensation and functional limitation is 40%. Conclusion: This study concluded that prevalence of Carpal Tunnel Syndrome is more common in multigravida pregnant women in third trimester of pregnancy with alteration of sensation and functional limitation occurs due to this syndrome.
Prevalence and individual risk factors of carpal tunnel syndrome in pregnant women
Journal of Bashir Institute of Health Sciences
Background: Prevalence of carpal tunnel syndrome (CTS) among pregnant women is very much common among the whole population. Due to rapid economic and social changes, an increasing trend of this disorder, as well as its individual risk factors, has also been observed in Pakistan. Objective: The present study aimed to find out the prevalence of CTS in pregnant women and to identify the risk factors associated with CTS in pregnancy. Material & Methods: Descriptive cross-sectional survey for the prevalence of CTS and a case-control study to find out the risk factors were administered on a sample of n=304 participants of pregnant women of Rawalpindi and Islamabad hospitals for six months from October 2016 to March 2017. Data was collected by non-probability convenient sampling through a self-structured questionnaire. The Association of risk factors was measured by odds ratio. Result: The present study showed the prevalence of CTS is 76(25%) based on Phalen’s test and the prevalence of CT...
Clinical Evaluation of the Treatment of Carpal Tunnel Syndrome Conservatively in Pregnant Women
2019
Original Research Article Background: Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy. It is more common in the middle age group and more common in women than men. Several factors cause CTS, including pregnancy and lactation. Very few studies have been conducted regarding the treatment of CTS in Bangladesh. So the local data related to the issue are very limited. Aim of study: The aim of the study was to evaluate of carpal tunnel syndrome conservatively in pregnant women. Methods: This was an observational prospective study. The study was conducted in the Department of Orthopedics of Shaheed M. Monsur Ali Medical College, Sirajganj, Bangladesh during the period from January 2017 to December 2018. In total 60 pregnant women with carpal tunnel syndrome was the study population. Patients were classified into mild, moderate and severe carpal tunnel syndrome according to clinical and nerve conduction grading. Results: Based on clinical assessment, 56.67% had mild to...
Prevalence of Carpel Tunnel Syndrome in Middle Aged Pregnant Females
American Journal of Health, Medicine and Nursing Practice
Purpose: The purpose of study was to check the prevalence of CTS in pregnant women of Multan city. Methodology: The study design was Cross sectional. Data was collected by convenient sampling technique from 260 participants, in accordance with defined inclusion & exclusion criteria. Study settings include Ibn e Sina Hospital, Nishtar Hospital and Fatima Hospital Multan. The study duration was 6 months. The Boston Carpal Tunnel Syndrome Questionnaire was used as an outcome measure to obtain data from targeted population. The questionnaire was filled by researcher through asking questions to participants. Data was analyzed by using spss 21 Findings: The study results showed that 22% of women had CTS during pregnancy. It was more common among women in their third trimester with age of 18 to 28 years. About 13.1%ad slight pain and 2.3% had severe pain in their hand or wrist. The study concluded that CTS is prevalent in pregnant women. With increasing gestational age, the frequency of CT...
Multicenter study on carpal tunnel syndrome and pregnancy incidence and natural course
Acta Neurochirurgica
Objective. To evaluate the incidence of carpal tunnel syndrome (CTS) in pregnancy through a validated and multiperspective assessment of CTS and to assess the course of carpal tunnel syndrome after pregnancy. Methods. During 2000-2001, the Italian CTS study group in 7 Italian centers studied the occurrence of CTS in women during the last period of pregnancy. The group enrolled and followed-up (10-15 months) 63 women during and after pregnancy with multiple measurements of CTS. In addition to the physician-centered and neurophysiologic traditional evaluations, a validated patientoriented measurement to obtain more comprehensive and consistent data for severity of symptoms and functional impairment was adopted. Results. CTS was clinically diagnosed in more than half of women (62%). Neurophysiological evaluation provided diagnosis of CTS in around half of women (43% were positive in one hand at least). Comparison of baseline and follow-up data showed a significant spontaneous improvement of patient-oriented and neurophysiologic measurements. Nevertheless, about half of women with CTS during pregnancy still complained of CTS symptoms one year after delivery. Conclusions. Our observations confirmed the frequent occurrence of CTS in pregnancy. At follow-up we observed that most CTS cases improve spontaneously without treatment but only in half of women CTS symptoms disappeared one year after delivery.
Frequency of Local Treatment in Carpal Tunnel Syndrome during Pregnancy
Pakistan Journal of Medical and Health Sciences, 2021
Background and Aim: The most common entrapment neuropathy is carpal tunnel syndrome (CTS). Carpal tunnel syndrome is caused by median nerve compression at the wrist joint. Idiopathic carpal tunnel syndrome is the most common cause. Among the other physiologic causes of carpal tunnel syndrome (wrist trauma, diabetes, hypothyroidism, rheumatoid arthritis, occupation, contraception, and pregnancy), pregnancy is the most common. The objective of the present study was to determine the frequency of local treatment in carpal tunnel syndrome during pregnancy. Materials and Methods: This cross-sectional study was carried out on 45 pregnant women with carpal tunnel syndrome in the departments of Neurology and Gynaecology, Ayub Teaching Hospital, Abbottabad from May 2020 to April 2021. Individuals who met the inclusioncriteria were enrolled in this study. Ethical approval and consent forms were taken from the participants. All the patients were treated with local treatment (dexamethasone aceta...
Prevalence and severity of carpal tunnel syndrome in women
Iranian journal of public health, 2012
Carpal tunnel syndrome (CTS) is entrapment of median nerve in carpal tunnel of the wrist. The prevalence of CTS related to pregnancy and non-pregnancy is unknown in some countries such as Iran. The main aim of this study was to determine the prevalence of CTS in women of Boyerahmad Township located in South-West part of Iran. This cross-sectional descriptive analytic study was done since February 2010 to January 2011 in Obstetrics and Gynecology clinics in 2656 non-pregnant and 1508 pregnant women. The women that had clinical symptoms of CTS performed standard electro diagnostic techniques for rule in or rule out of CTS. The prevalence of CTS in pregnant and non- pregnant women was 3.4 and 2 .3 percent respectively. The prevalence of CTS in all women was 2.7%. Overall, 51 pregnant women had CTS that 59.4% had mild, 18.8 % had moderate and 21.9% had severe CTS. Sixty-one non-pregnant women had CTS that 73.6 %had mild, 20.8 %t had moderate and 5.6 % had severe CTS. Although the preval...
Medical Science
Background: Carpal tunnel syndrome (CTS) is the most common median nerve compression neuropathy. Its symptoms and clinical presentation are well known Carpal tunnel syndrome (CTS) accounts for approximately 90% of peripheral entrapment neuropathy cases. By this study the level of knowledge and attitude towards carpel tunnel syndrome and treatment methods among the population of Hail in Saudi Arabia is assessed. Methods: A well-defined questionnaire was conceded among the general population. The study subjects include both male and female gender involving the age above 18 years. The data was collected and questionnaire was used to assess public knowledge and awareness of sciatica symptoms, causes, risk factors, complications and treatment. Duration of study was six month and after collection of data, it was analyzed using the Statistical Package of Social Science Software (SPSS). Results: Among 470 people involved in the study, 40.21% aged between 18 and 30 years old, followed by age group (31-40) with 37.87%, then 21.91% aged more than 40 years old. The majority were Saudi (95.96%). Conclusion: Patient education is crucial regarding Carpel Tunnel Syndrome. It can have a variety of reasons. Most instances of CTS are treated most effectively with conservative measures unless there is an immediate compression of the nerves. The awareness of community was less than expectation among adult population in Hail city 49% and the symptom worsen (59%) in pregnant ladies.
Carpal tunnel syndrome and its associated factors in third trimester of pregnancy
2020
Objective: To assess Carpal tunnel syndrome (CTS) presence and its associated factors in third trimester of pregnancy. Methodology: By using convenient sampling this cross-sectional study of 150 Patients was done in 6 months at Madinah teaching Hospital and Allied Hospital, Faisalabad. Boston Carpal tunnel questionnaire, Tinel's test and Phalen's test were used. Data were analyzed through SPPS version 20. Result: Out of 150 females, Only 24(16%) had CTS symptoms measured through Tinel's test and Phalen's test. There was no significant association (P=0.179) between CTS and third trimester of pregnancy. CTS occurrence was not associated (P=0.251) with age of patient. Conclusion: The study shows low presence of CTS in third trimester of pregnancy. Moreover, there is no significant association exists among age of patient, month of pregnancy and carpal tunnel syndrome. CTS can occur at any age and during any month of pregnancy.