Karpal tünel sendromlu hastalarda kas kuvvet ve enduransı üst ekstremite fonksiyonlarını etkiler mi?
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Tarih
2020
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info:eu-repo/semantics/openAccess
Özet
Amaç: Karpal Tünel Sendromu (KTS) elde duyusal ve motor kayıplar ile ortaya çıkan bir tuzaknöropatisidir. KTS ile hastaların azalan kas kuvvetleri ve enduransları fonksiyonel aktivitelerdeyetersizliklere neden olabilir. Bu çalışma KTS’li hastalarda kas kuvvet ve enduransının üst ekstremite fonksiyonelliği üzerine olan etkisini araştırmak amacı ile planlandı.Yöntem: Çalışmaya KTS tanısı alan 45 kadın hasta (yaş=49,44±9,04 yıl) dahil edildi. KTS olanhastaların biateral üst ekstremite kas enduransı desteksiz kol testi (birinci ve ikinci diagonal paternde) ile, bilateral üst ekstremite kas kuvveti ve bilateral kavrama kuvveti el dinamometresi ile, bilateral parmak kavrama kuvveti digital pinçmetre ile ölçüldü. Üst ekstremite fonksiyonelliğini değerlendirmek için ise Kol, Omuz ve El Yaralanmaları Anketi (DASH) kullanıldı.Sonuçlar: KTS olan kadın hastaların etkilenen taraf omuz internal rotasyon kuvveti, el bileği fleksor kas kuvveti ve endurans testi birinci diagonal tekrar sayısında etkilenmeyen tarafa göre istatistiksel olarak anlamlı azalma olduğu bulundu (p<0,05). Hastaların DASH skorları ile üst ekstremite omuz fleksor, ekstansor, abduktor, eksternal rotator, dirsek fleksor-ekstansor ve tüm parmakların pinç kuvvetleri arasında negatif yönde anlamlı ilişki olduğu belirlendi (p<0,05). Hastaların DASH skorları ile üst ekstremite desteksiz kol testi (birinci ve ikinci diagonal paternde) sonuçları arasında negatif yönde anlamlı ilişki olduğu bulundu (p<0,05).Tartışma: KTS olan hastalarda kas enduransı ve kas kuvveti azaldıkça üst ekstremite fonksiyonları azalmaktadır. Buna bağlı olarak, üst ekstremite fonksiyonelliği olumsuz etkilenmektedir. KTS olan hastalarda üst ekstremite fonksiyonelliğinin artırılması için, kas kuvvetinin yanında özellikle kas enduransının değerlendirilmesi ve bu parametrelere yönelik fizyoterapi programı uygulanması etkili olabilir.
Purpose: Carpal Tunnel Syndrome (CTS) is a trap neuropathy with sensory and motor loss. Decreased muscle strength and endurance of patients with CTS may cause insufficiency in functional activities. This study was planned to investigate the effect of muscle strength and endurance on upper extremity functionality in patients with CTS. Methods: Forty-five females (age=49.44±9.04 years) with CTS were included in the study. Bilateral upper extremity muscle endurance of the patients was measured using unsupported arm test (1st and 2nd diagonal patern). Bilateral upper extremity muscle strength and hand grip strength was assessed using handheld dynamometer, and bilateral finger gripping force was assessed using digital pinchmeter. Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH) was used to evaluate upper extremity functionality in patients with CTS. Results: In the affected side, there was a statistically significant decrease in shoulder internal rotation force, wrist flexor muscle strength and endurance test 1st diagonal repeat number compared to the unaffected side in individuals with CTS (p<0.05). There was a negative correlation between DASH scores of the individuals and upper extremity shoulder flexor, extensor, abductor, external rotator, elbow flexor-extansor and all pinch forces (p<0.05). It was found that there was a negative correlation between DASH scores of the individuals and the results of upper limb unsupported arm test (1st and 2nd diagonal pattern) (p<0.05). Conclusion: In individuals with CTS, decreasing muscle endurance and muscle strength cause a decrease in the upper extremity function. Accordingly, upper extremity functionality is adversely affected. To increase upper extremity functionality in individuals with CTS, it may be effective to evaluate muscle endurance as well as muscle strength, and to implement a physiotherapy program for these parameters.
Purpose: Carpal Tunnel Syndrome (CTS) is a trap neuropathy with sensory and motor loss. Decreased muscle strength and endurance of patients with CTS may cause insufficiency in functional activities. This study was planned to investigate the effect of muscle strength and endurance on upper extremity functionality in patients with CTS. Methods: Forty-five females (age=49.44±9.04 years) with CTS were included in the study. Bilateral upper extremity muscle endurance of the patients was measured using unsupported arm test (1st and 2nd diagonal patern). Bilateral upper extremity muscle strength and hand grip strength was assessed using handheld dynamometer, and bilateral finger gripping force was assessed using digital pinchmeter. Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH) was used to evaluate upper extremity functionality in patients with CTS. Results: In the affected side, there was a statistically significant decrease in shoulder internal rotation force, wrist flexor muscle strength and endurance test 1st diagonal repeat number compared to the unaffected side in individuals with CTS (p<0.05). There was a negative correlation between DASH scores of the individuals and upper extremity shoulder flexor, extensor, abductor, external rotator, elbow flexor-extansor and all pinch forces (p<0.05). It was found that there was a negative correlation between DASH scores of the individuals and the results of upper limb unsupported arm test (1st and 2nd diagonal pattern) (p<0.05). Conclusion: In individuals with CTS, decreasing muscle endurance and muscle strength cause a decrease in the upper extremity function. Accordingly, upper extremity functionality is adversely affected. To increase upper extremity functionality in individuals with CTS, it may be effective to evaluate muscle endurance as well as muscle strength, and to implement a physiotherapy program for these parameters.
Açıklama
Anahtar Kelimeler
Carpal Tunnel Syndrome, Upper Extremity, Muscle Strength, Endurance, Pinch Strength, Grip Force, Reliability, Fatigue, Dash, Age
