Effectiveness of home exercise in pregnant women with carpal tunnel syndrome (original) (raw)

Abstract

Carpal tunnel syndrome (CTS) is one of the most common upper limb compression neuropathies. 1 It has a prevalence of 3.7% to 5.8% when diagnosed clinically and neuro-physiologically in the general population. 2 Risk factors commonly known for CTS include repeated use of the hand and wrist, aging, obesity, pregnancy, acromegaly, amyloidosis, diabetes mellitus, kidney diseases, trauma, osteoarthritis and thyroid diseases. 3 Women, especially middle-aged women, are more susceptible to CTS with a 70% incidence rate, and it is a common problem during pregnancy. 4 CTS in pregnancy is reportedly 63% in the third trimester, and about 47% have bilateral CTS. 5 The earliest symptom of CTS is hand numbness and / or tingling 6. These symptoms occur especially on the palmar face of the second finger and on the palmar face of the thumb and the radial face of the middle finger, the ring finger, and the index finger. These symptoms do not occur in palm. The reason for this is that the branches of the median nerve innervating the palms are separated before entering the tunnel. In CTS, paraesthesia develops early in the sleeping period, but develops later in the day. During the day, handmade activations (dishwashing, knitting) trigger paraesthesia and pain symptoms. 7 In patients with CTS, the result of median nerve compression in one or both wrists usually results in pain, tingling sensation, numbness and weakness that worsen at night, especially in the first three fingers. 8

Figures (3)

* Mann-Whitney U test, ** Pearson Chi-Square, *** Fisher's Exact Test, BSSS: Boston Symptom Severity Scale score, BFCS: Boston Functional Capacity Scale score, SD: Standard deviation, TM: Trimester. Table-1: Significance levels of the difference between the demographic data of participants with and without carpal tunnel syndrome (CTS).

* Mann-Whitney U test, ** Pearson Chi-Square, *** Fisher's Exact Test, BSSS: Boston Symptom Severity Scale score, BFCS: Boston Functional Capacity Scale score, SD: Standard deviation, TM: Trimester. Table-1: Significance levels of the difference between the demographic data of participants with and without carpal tunnel syndrome (CTS).

*Pearson Chi-Square, **Fisher's Exact Test. Table-2: Significance levels of the difference between symptoms of participants with and without carpal tunnel syndrome (CTS).

*Pearson Chi-Square, **Fisher's Exact Test. Table-2: Significance levels of the difference between symptoms of participants with and without carpal tunnel syndrome (CTS).

* Wilcoxon Signed Ranks Test, ** Mann-Whitney U Test, BSSS: Boston Symptom Severity Scale score BFCS: Boston Functional Capacity Scale score, SD: Standard deviation. Table-3: Comparison of symptom severity and functional capacity scores before and after exercise therapy in groups.

* Wilcoxon Signed Ranks Test, ** Mann-Whitney U Test, BSSS: Boston Symptom Severity Scale score BFCS: Boston Functional Capacity Scale score, SD: Standard deviation. Table-3: Comparison of symptom severity and functional capacity scores before and after exercise therapy in groups.

Key takeaways

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  1. Pregnant women experience a 63% prevalence of carpal tunnel syndrome (CTS) in the third trimester.
  2. The study evaluated the effectiveness of home exercise for CTS in 33 pregnant women.
  3. Significant improvements were observed in both Boston Symptom Severity Scale (BSSS) and Boston Functional Capacity Scale (BFCS) scores.
  4. Nerve and tendon-slip exercises significantly reduced symptoms in mild to moderate CTS cases.
  5. The average age of participants was 28.4 years, with 84% in their third trimester.

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