Carpal Tunnel Syndrome: Grip Strength Recovery and Return to Work after Endoscopic Treatment in Manual Workers

This study highlights the benefits of carpal tunnel release (CTR) in four patients presenting with complex regional pain syndrome (CRPS) after hand surgery who also had carpal tunnel syndrome (CTS) diagnosed clinically and by nerve conduction studies. Three of the patients underwent pre- and postoperative volumetric, circumference, grip strength and range of motion measurements. The Disabilities of the Arm, Shoulder and Hand (DASH) functional outcome measure and pain scores were also used. There was almost complete resolution of CRPS symptoms in all four patients, with notable reductions in oedema and improvements in grip strength and range of motion. There were also improvements in DASH outcome scores and pain scores after CTR.

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The Impact of Disease Severity in Carpal Tunnel Syndrome on Grip Strength, Pinch Strength, Fine Motor Skill and Depression

Journal of Physical Therapy Science ◽

10.1589/jpts.23.115 ◽

2011 ◽

Vol 23 (1) ◽

pp. 115-118 ◽

Cited By ~ 6

Author(s):

Nilgun Simsir Atalay ◽

Ayse Sarsan ◽

Nuray Akkaya ◽

Necmettin Yildiz ◽

Oya Topuz

Keyword(s):

Carpal Tunnel Syndrome ◽

Grip Strength ◽

Disease Severity ◽

Carpal Tunnel ◽

Motor Skill ◽

Fine Motor ◽

Pinch Strength ◽

Fine Motor Skill ◽

Tunnel Syndrome ◽

The Impact

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Predictors of rate of return to work after surgery for carpal tunnel syndrome

Arthritis & Rheumatism ◽

10.1002/art.1790110411 ◽

1998 ◽

Vol 11 (4) ◽

pp. 298-305 ◽

Cited By ~ 33

Author(s):

Loreto Carmona ◽

Julia Faucett ◽

Paul D. Blanc ◽

Edward Yelin

Keyword(s):

Carpal Tunnel Syndrome ◽

Return To Work ◽

Carpal Tunnel ◽

Rate Of Return ◽

Tunnel Syndrome

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Comparison of the efficacy of a neutral wrist splint and a wrist splint incorporating a lumbrical unit for the treatment of patients with carpal tunnel syndrome

Prosthetics and Orthotics International ◽

10.1177/0309364615592695 ◽

2016 ◽

Vol 40 (5) ◽

pp. 617-623 ◽

Cited By ~ 2

Author(s):

Batol Golriz ◽

Monireh Ahmadi Bani ◽

Mokhtar Arazpour ◽

Mahmood Bahramizadeh ◽

Sarah Curran ◽

...

Keyword(s):

Carpal Tunnel Syndrome ◽

Conservative Treatment ◽

Grip Strength ◽

Carpal Tunnel ◽

T Test ◽

Pinch Strength ◽

Before And After ◽

Quasi Experimental ◽

Tunnel Syndrome ◽

Wrist Splint

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. Study design: Quasi experimental design. Methods: A total of 24 patients received conservative treatment using either the classic wrist splint or the wrist splint with the metacarpophalangeal unit for a period of 6 weeks. Primary outcome measures were pain, function, grip strength, and pinch strength. Data were collected immediately before and after using the two types of splints at baseline (0 weeks) and 6 weeks. Statistical analysis was performed using the paired t-test and an independent t-test. Results: Compared to baseline, both the classic thermoplastic wrist splint and the wrist splint with a metacarpophalangeal unit significantly decreased pain and increased function, pinch strength, and grip strength. Comparisons of the two types of splints for grip strength ( P = 0.675) and pinch strength ( P = 0.650) revealed that there were no significant differences between the two after 6 weeks of wear. However, there were significant differences in pain levels ( P = 0.022) and the Disability of the Arm, Shoulder, and Hand score ( P = 0.027) between the two types of splints from baseline to 6 weeks. Conclusion: The wrist splint with a metacarpophalangeal unit was more effective than the classic thermoplastic wrist splint in pain reduction and improvement of function. Clinical relevance A wrist splint with a metacarpophalangeal unit may be an appropriate conservative treatment in the rehabilitation of patients with mild-to-moderate carpal tunnel syndrome.

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An Aggressive Return-to-Work Program in Surgical Treatment of Carpal Tunnel Syndrome

Plastic & Reconstructive Surgery ◽

10.1097/00006534-199204000-00022 ◽

1992 ◽

Vol 89 (4) ◽

pp. 715-717 ◽

Cited By ~ 15

Author(s):

R. Cole Goodman

Keyword(s):

Surgical Treatment ◽

Carpal Tunnel Syndrome ◽

Return To Work ◽

Carpal Tunnel ◽

Work Program ◽

Tunnel Syndrome

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Factors Affecting Return to Work After Carpal Tunnel Syndrome Surgery in a Large French Cohort

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2011.06.001 ◽

2011 ◽

Vol 92 (11) ◽

pp. 1863-1869 ◽

Cited By ~ 23

Author(s):

Elsa Parot-Schinkel ◽

Yves Roquelaure ◽

Catherine Ha ◽

Annette Leclerc ◽

Jean-François Chastang ◽

...

Keyword(s):

Carpal Tunnel Syndrome ◽

Return To Work ◽

Carpal Tunnel ◽

Factors Affecting ◽

Tunnel Syndrome ◽

French Cohort

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Return-to-Work Interval and Surgery for Carpal Tunnel Syndrome. Results of a Prospective Series of 233 Patients

Journal of Hand Surgery (European Volume) ◽

10.1016/j.jhsb.2004.05.005 ◽

2004 ◽

Vol 29 (6) ◽

pp. 568-570 ◽

Cited By ~ 17

Author(s):

F. CHAISE ◽

P. BELLEMÈRE ◽

J. P. FRIL ◽

E. GAISNE ◽

P. POIRIER ◽

...

Keyword(s):

Carpal Tunnel Syndrome ◽

Social Security ◽

Private Sector ◽

Return To Work ◽

Carpal Tunnel ◽

Civil Servants ◽

Workers Compensation ◽

Full Time ◽

Significant Difference ◽

Tunnel Syndrome

Aim of the study To evaluate the connection between the type of patient insurance and the time taken to return to work after carpal tunnel surgery. Patients and methods Two hundred and thirty-three patients in full-time work were operated on for carpal tunnel syndrome between 1 January and 30 June 1998. They were divided into three groups: independent workers ( n=87), wage earners in the private sector ( n=90) and civil servants ( n=56). Four categories were defined: manual workers, non-manual workers, patients with social security insurance and patients with workers compensation. The average return-to-work interval after surgery for each of the groups was evaluated and compared group by group. Results For independent workers the average time off work is 17 days, for those in the private sector it is 35 days, and for civil servants it is 56 days. Patients with social security insurance were off work for 32 days and those with workers compensation for 49 days. Discussion The comparison shows significant differences with regard to social security insurance: the return-to-work interval in civil servants is larger than for private sector workers, and this is higher than in independent workers. The difference between patients with workers compensation and those with social security insurance is 17 days and significant. There is a significant difference between manual and non-manual workers in independent and private sector workers. There is no significant difference between the sub-groups in the civil servants. These cross references enable us to work out the influence that social security status has on the return-to-work time following surgery.

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Effect of Kinesiology Taping in addition to Splint Therapy on Pain, Functional Condition, and Hand Grip Strength in Patients with Carpal Tunnel Syndrome

Turkish Journal of Sports Medicine ◽

10.5152/tjsm.2020.183 ◽

2020 ◽

Author(s):

Nadide Sen ◽

◽

Banu Ordahan ◽

Hatice Ugurlu ◽

◽

...

Keyword(s):

Carpal Tunnel Syndrome ◽

Grip Strength ◽

Carpal Tunnel ◽

Functional Condition ◽

Hand Grip Strength ◽

Splint Therapy ◽

Hand Grip ◽

Tunnel Syndrome

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Relationship between clinical outcomes and nerve conduction studies before and after surgery in patients with carpal tunnel syndrome

10.21203/rs.3.rs-445381/v1 ◽

2021 ◽

Author(s):

Masato Ise ◽

Taichi Saito ◽

Yoshimi Katayama ◽

Ryuichi Nakahara ◽

Yasunori Shimamura ◽

...

Keyword(s):

Carpal Tunnel Syndrome ◽

Grip Strength ◽

Clinical Outcomes ◽

Carpal Tunnel ◽

Nerve Conduction ◽

Carpal Tunnel Release ◽

Characteristic Curve ◽

Objective Assessment ◽

Cutoff Score ◽

Tunnel Syndrome

Abstract Background:Nerve conduction study (NCS) is the only useful test for objective assessment of carpal tunnel syndrome (CTS). However, the relationship between pre- and postoperative NCS and clinical outcomes was unclear. This study aimed to determine whether pre- and postoperative (6 months) NCS could predict patient-oriented and motor outcomes (6 and 12 months postoperatively) in patients with CTS.Methods:Of the 85 patients with CTS, 107 hands were analyzed from March 2011 to March 2020. All patients underwent open carpal tunnel release and were examined using the disabilities of the arm, shoulder and hand (DASH) questionnaire and grip strength (GS) preoperatively and 6 and 12 months. Moreover, NCS was examined preoperatively and 6 months postoperatively. Distal motor latency (DML) and sensory conduction velocity (SCV) were the parameters used for NCS. The correlation coefficient between NCS and DASH or GS was calculated. A receiver operating characteristic curve was utilized to determine the NCS threshold value to predict DASH and GS improvement.Results:The average scores of GS preoperatively and 6 and 12 months postoperatively were 21.3, 22.3, and 22.8, respectively. On the other hand, the average scores of DASH preoperatively and 6 and 12 months postoperatively were 28.8, 18.3, and 12.2, respectively. The average NCS scores (DML and SCV) preoperatively/6 months postoperatively were 7.3/5.4 and 27.8/36.7, respectively. Preoperative NCS did not correlate with DASH and GS. Postoperative SCV correlated with the change in grip strength (6–12 months, r = 0.67; 0–12 months, r = 0.60) and DASH (0–12 months, r = 0.77). Moreover, postoperative DML correlated with the change in DASH (6–12 months, r = -0.33; 0–12 months, r = -0.59). The prediction for the improvement of GS/DASH achieved a sensitivity of 50.0%/66.7% and a specificity of 100%/100%, at an SCV cutoff score of 38.5/45.0 or above. The prediction for improvement of GS/DASH achieved a sensitivity of 83.3%/66.7% and a specificity of 100%/66.7% at a DML cutoff score of 4.4/4.4 or below.Conclusions:NCS at 6 months postoperatively can be used to predict the improvement of clinical outcome after 6 months postoperatively in patients with CTS.

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