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Prevalence and Related Characteristics of Carpal Tunnel Syndrome Among Orchardists in the Gyeongsangnam-do Region

공민식|이승훈|이창한|윤철호|오민균|이은신|신희석|정호연
대한재활의학회 (Korean Academy Of Rehabilitation Medicine)|2016.10|Annals of Rehabilitation Medicine|제40권 제5호|pp. 902-914

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키워드

PrevalencePhysical examinationCarpal tunnel syndromeElectrodiagnosis
주제분류재활의학

초록

Objective To determine the prevalence and related characteristics of carpal tunnel syndrome (CTS) in orchardists and to investigate the association between electrodiagnostic severity and physical examinations.Methods Between July 2013 and September 2014, 377 subjects (174 men and 203 women) visited the Gyeongsang National University Hospital’s Center for Farmer’s Safety and Health. All the subjects underwent electrodiagnostic tests and physical examination, including Phalen’s test, Tinel’s sign, and Durkan’s carpal compression test (CCT). The subjects were classified into 2 groups, the normal group and the CTS group, according to electrodiagnostic test results. To determine the related characteristics of CTS, potential variables, including age, sex, drinking, smoking, body mass index, waist circumference, and total work time, were compared between the 2 groups. The association between electrodiagnostic severity and physical examinations was analyzed.Results CTS was diagnosed in 194 subjects based only on electrodiagnostic test results, corresponding to a prevalence of 51.5%. Among the variables, mean age (p=0.001) and total work time (p=0.007) were significantly correlated with CTS. With respect to the physical examinations, low specificities were observed for Tinel’s sign, Phalen’s test, and Durkan’s CCT (38.4%, 36.1%, and 40.9%, respectively) in the subjects aged ≥65 years. In addition, Phalen’s test (p=0.003) and Tinel’s sign (p=0.032) in men and Durkan’s CCT (p=0.047) in women showed statistically significant differences with increasing CTS severity. The odds ratio was 2.066 for Durkan’s CCT in women according to the multivariate logistic regression analysis.Conclusion CTS prevalence among orchardists was high, and Durkan’s CCT result was significantly quantitatively correlated with the electrodiagnostic test results. Therefore, Durkan’s CCT is another reliable examination method for CTS.

Abstract

Objective To determine the prevalence and related characteristics of carpal tunnel syndrome (CTS) in orchardists and to investigate the association between electrodiagnostic severity and physical examinations.Methods Between July 2013 and September 2014, 377 subjects (174 men and 203 women) visited the Gyeongsang National University Hospital’s Center for Farmer’s Safety and Health. All the subjects underwent electrodiagnostic tests and physical examination, including Phalen’s test, Tinel’s sign, and Durkan’s carpal compression test (CCT). The subjects were classified into 2 groups, the normal group and the CTS group, according to electrodiagnostic test results. To determine the related characteristics of CTS, potential variables, including age, sex, drinking, smoking, body mass index, waist circumference, and total work time, were compared between the 2 groups. The association between electrodiagnostic severity and physical examinations was analyzed.Results CTS was diagnosed in 194 subjects based only on electrodiagnostic test results, corresponding to a prevalence of 51.5%. Among the variables, mean age (p=0.001) and total work time (p=0.007) were significantly correlated with CTS. With respect to the physical examinations, low specificities were observed for Tinel’s sign, Phalen’s test, and Durkan’s CCT (38.4%, 36.1%, and 40.9%, respectively) in the subjects aged ≥65 years. In addition, Phalen’s test (p=0.003) and Tinel’s sign (p=0.032) in men and Durkan’s CCT (p=0.047) in women showed statistically significant differences with increasing CTS severity. The odds ratio was 2.066 for Durkan’s CCT in women according to the multivariate logistic regression analysis.Conclusion CTS prevalence among orchardists was high, and Durkan’s CCT result was significantly quantitatively correlated with the electrodiagnostic test results. Therefore, Durkan’s CCT is another reliable examination method for CTS.

참고문헌 (34)

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관련 논문AI추천

Involvement of Motor and Sensory Fibers of the Ulnar Nerve according to the Severity of Work-Related Carpal Tunnel Syndrome among Orchardists신희석, 윤철호, 이은신, 이창한, 조홍식, 천세웅대한근전도전기진단의학회 · 대한근전도 전기진단의학회지2018 · 제20권 제1호Prevalence of Upper Extremity Musculoskeletal Diseases and Disability among Fruit Tree Farmers in Korea: Cross-Sectional Study김미지, 김민주, 나재범, 박기수, 유준일, 이상일연세대학교의과대학 · Yonsei Medical Journal2019 · 제60권 제9호수근관 증후군에서 손 올리기 검사의 유용성과 전기 진단검사와의 상관성임선, 고영진, 김혜원, 오주선, 이종인대한근전도전기진단의학회 · 대한근전도 전기진단의학회지2009 · 제11권 제1호The Quantitative Relationship Between Physical Examinations and the Nerve Conduction of the Carpal Tunnel Syndrome in Patients With and Without a Diabetic Polyneuropathy김창환, 정대호대한재활의학회 · Annals of Rehabilitation Medicine2014 · 제38권 제1호손 저림증 환자에서 Tinel 징후와 Phalen 검사의 진단적 가치: 전기생리학적 분석권희규, 문현임, 이혜진대한근전도전기진단의학회 · 대한근전도 전기진단의학회지2011 · 제13권 제1호The Correlation Between Electrodiagnostic Results and Ultrasonographic Findings in the Severity of Carpal Tunnel Syndrome in Females김종문, 김형섭, 이군희, 하다솔대한재활의학회 · Annals of Rehabilitation Medicine2017 · 제41권 제4호

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