Prevalence of isolated hand problems in physiotherapy and rehabilştation centres

Abstract

Purpose: This study examined prevalence of isolated hand problems in physiotherapy and rehabilitation patients. Methods: Patient files of 21.450 patients (51.14±15.85 years, 14.973 females, 6.477 males) admitted to physiotherapy and rehabilitation program in Istanbul Balat Jewish Hospital, Duygu Hospital and Burcu Physiotherapy Centre between January 2006 and February 2010 were examined. The reason for admission and primary pathology were recorded. Results: Treatment was required due to hand or wrist problems in 665 (3.1%) patients, and due to other pathologies in 20.785 (96.9%) patients. Causes of hand and wrist problems (n=665) were hemiplegic hand in 150 (22.6%), carpal contracture in 124 (18.7%), bilateral carpal tunnel syndrome in 116 (17.4%), hand contracture in 81 (12.2%), De-Quervain in 40 (6.0%), synovitis and tenosynovitis 37 (5.56%), unilateral carpal tunnel syndrome in 17 (2.6%), rheumatoid arthritis of the hand in 17 (2.6%), and Dupuytren’s contracture in 10 (1.5%) patients. De Quervain, bilateral carpal tunnel syndrome, synovitis and tenosynovitis and carpal contracture were found to be more frequent in females, while hemiplegic hand and carpal contracture were found to be more frequent in males (p<0.05). Conclusion: Hand and wrist problems were seen in very low rates of among our patients as compared to other neuromusculoskeletal problems. The most frequent problems were hemiplegic hand, carpal contracture, carpal tunnel syndrome, and hand contracture. There are differences in the frequency between female and male genders

Keywords

• Hand, Physiotherapy, Prevalence, Turkey

İstanbula€™da fizyoterapi ve rehabilitasyon merkezlerinde izole el problemleri görülme sıklığı

Abstract

Amaç: Çalışma, fizyoterapi ve rehabilitasyon programına alınan hastalarda izole el problemleri sıklığını araştırmak amacıyla gerçekleştirildi. Yöntem: İstanbul Balat Musevi Hastanesi, Duygu Hastanesi ve Burcu Fizik Tedavi Merkezi’nde Ocak 2006 ile Şubat 2010 yılları arasında fizyoterapi ve rehabilitasyon programına alınan, 21450 hastanın (51.14±15.85 yıl, 14973 kadın, 6477 erkek) hasta dosyası değerlendirildi. Tedaviye alınma nedeni ve primer patoloji kaydedildi. Sonuçlar: Hastalardan 665’inin (% 3.1) el veya el bileği; 20785’inin (% 96.9) ise diğer patolojiler nedeniyle tedaviye alındığı saptandı. El veya el bileği problemleri nedeniyle tedaviye giren hastaların, 150’si (% 22.6) hemiplejik el, 124’ü (% 18.7) karpal kontraktür, 116’sı (% 17.4) bilateral karpal tünel sendromu, 81’i (% 12.2) el kontraktürü, 40’ı (% 6.0) De-Quervain, 37’si (% 5.56) sinovit ve tenosinovit, 17’si (% 2.6) unilateral karpal tünel sendromu, 17’si (% 2.6) romatoid artrit ve 10’u (% 1.5) Dupuytren kontraktürüydü. De Quervain, bilateral karpal tünel sendromu, sinovit, tenosinovit ve karpal kontraktür görülme sıklığı kadınlarda erkeklerden daha fazlaydı (p<0.05). Hemiplejik el ve karpal kontraktür erkeklerde daha sıktı (p<0.05). Tartışma: Hastalarımızda el ve el bileği problemleri, diğer nöromuskuloskeletal problemlere göre oldukça düşük oranda görülmektedir. En sık görülen problemler, hemiplejik el, karpal kontraktür, karpal tünel sendromu ve el kontraktürüdür. Kadın ve erkeklerde görülme sıklığı farklılık göstermektedir

Keywords

• El, Fizyoterapi, Prevalans, Türkiye

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