Prevalence of Carpel Tunnel Syndrome among Pregnant Women in Lahore City

Main Article Content

Zaib un Nisa
Hafiz Muhammad Asim
Rehan Ramzan
Mariam Faraz
Sidra Nazeer
Rabia Tahir

Abstract

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 1st, 2nd and 3rd trimester, respectively. The questionnaire data indicated that CTS was present in 11.2, 37.0 and 49.5% in 1st, 2nd and 3rd trimester, respectively. Swelling of the joint was observed in 31.6, 51.9 and 77.8% in 1st, 2nd and 3rd 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.

Keywords:
Carpal tunnel syndrome, neuropathies, pregnancy, trimester, phalens.

Article Details

How to Cite
Nisa, Z. un, Asim, H. M., Ramzan, R., Faraz, M., Nazeer, S., & Tahir, R. (2020). Prevalence of Carpel Tunnel Syndrome among Pregnant Women in Lahore City. Asian Journal of Advanced Research and Reports, 9(3), 21-28. https://doi.org/10.9734/ajarr/2020/v9i330221
Section
Original Research Article

References

Hui A, Wong S, Leung C, Tong P, Mok V, Poon D, Li-Tsang C, Wong L, Boet R. A randomized controlled trial of surgery vs steroid injection for carpal tunnel syndrome. Neurol. 2005;64:2074-2078.

Macdermid JC, Wessel J. Clinical diagnosis of carpal tunnel syndrome: A systematic review. J Hand Therapy. 2004;17:309-319.

Brown JM, Shah MN, Mackinnon SE. Distal nerve transfers: A biology-based rationale. Neurosurgical Focus. 2009;26:e12.

Finch E, Brooks D, Stratford PW, Statford PW, Mayo NE. Physical rehabilitation outcome measures: A guide to enhanced clinical decision making. BC Decker Ontario, Canada; 2002.

Luckhaupt SE, Dahlhamer JM, Ward BW, Sweeney MH, Sestito JP, Calvert GM. Prevalence and work‐relatedness of carpal tunnel syndrome in the working population, United States, 2010 national health interview survey. Am J Indust Med. 2013;56:615-624.

Burt S, Crombie K, Jin Y, Wurzelbacher S, Ramsey J, Deddens J. Workplace and individual risk factors for carpal tunnel syndrome. Occup Environ Med. 2011;68:928-933.

Jurjevic A, Bralic M, Antoncic I, Dunatov S, Legac M. Early onset of carpal tunnel syndrome during pregnancy: Case report. Acta Clin Croat. 2010;49:77-80.

Padua L, Pasquale AD, Pazzaglia C, Liotta GA, Librante A, Mondelli M. Systematic review of pregnancy‐related carpal tunnel syndrome. Muscle Nerve. 2010;42:697-702.

Cheung DK. Properties and applications of sensory outcome measures in carpal tunnel syndrome. The University of Western Ontario, Canada; 2012.

Wallace WA. Injection with methylprednisolone for carpal tunnel syndrome: Local steroid injections only reduce inflammation temporarily. BMJ: British Med J. 2000;320:645.

Dyer G, Lozano-Calderon S, Gannon C, Baratz M, Ring D. Predictors of acute carpal tunnel syndrome associated with fracture of the distal radius. J Hand Surg. 2008;33:1309-1313.

Mackinnon SE. Pathophysiology of nerve compression. Hand Clin. 2002;18:231-241.

Shi Q, Macdermid JC. Is surgical intervention more effective than non-surgical treatment for carpal tunnel syndrome? A systematic review. J Orthopaed Surg. Res. 2011;6:17.

Slutsky DJ. Use of nerve conduction studies and the pressure-specified sensory device in the diagnosis of carpal tunnel syndrome. J Hand Surg. 2009;34:60- 65.

Hanif I, Bashir MS, Ahmad M. Incidence of carpel tunnel syndrome in pregnancy. Interdisciplinary J Contemp Res Business. 2012;4:303.

Mondelli C, Ferria D, Jan-Dierk G, Frank K, Stefan M, Rinaldo P, Alfons B. Combined liquid-phase ATR-IR and XAS study of the Bi-promotion in the aerobic oxidation of benzyl alcohol over Pd/Al2O3. J Catalysis. 2007;252:77-87.

Mackinnon S, Dvali L. Basic pathology of the hand, wrist and forearm: Nerve. Hand surgery. Philadelphia: Lipincott Williams and Wilkins. 2004;37-49.

Soejima O, Iida H, Naito M. Measurement of median nerve blood flow during carpal tunnel release with laser Doppler flowmetry. Min-Minim Invas Neurosurg. 2001;44:202-204.

Bekheirnia MR, Schrier RW. Pathophysiology of water and sodium retention: Edematous states with normal kidney function. Curr Opin Pharmacol. 2006;6:202-207.

Levine DW, Simmons BP, Koris MJ, Daltroy LH, Hohl GG, Fossel AH, Katz JN. A self-administered questionnaire for the assessment of 50 severity of symptoms and functional status in carpal tunnel syndrome. J Bone Joint Surg Am. 1993;75: 1585-1592.