Objectives. To investigate the correlation of the grip strength
with sonographic measurement of interosseous muscle (IOM) and intermetacarpal
space (IMS) of the hands in carpal tunnel syndrome (CTS) patients. Methods.
A total of 96 hands of 48 female patients constituted the study group. Of
those, 36 hands of 18 patients (mean age: 50.2 ± 9 years) had CTS confirmed by
electro-diagnostic tests. Sixty hands of 30 healthy volunteers (mean age: 45.2
± 9.7 years) constituted the control group. Grip strength was assessed by Jamar
hand dynamometer. IOM and IMS dimensions for all hands were measured
sonographically at three levels (2nd, 3rd and 4th
intermetacarpal; palmar side for IMS, dorsal side for IOM) by the same
radiologist. Spearman and Mann Whitney U tests were used for statistical
analysis. Results. The median hand grip strength was
determined as 11.3 kg (min-max = 7.2-18.1 kg) in the CTS group and 19.5 kg
(min-max = 7.8-30.5 kg) in the control group, with a statistical difference
between the two groups (p < 0.03).
In both groups, there was a positive correlation between the IOM-IMS dimensions
and grip strength (p < 0.05).
Sonographically, IOM-IMS measurements in CTS group were significantly lower
than control group (p < 0.01). Conclusion. To our knowledge, this is the first study evaluating the
correlation of grip strength and the sonographic IOM-IMS measurements in CTS
patients. The muscular atrophy, which
is generally a finding of advanced disease, may be revealed by sonographical
measurements earlier than the physical examination findings.
hand grip strength carpal tunnel syndrome interosseous muscle intermetacarpal space dimensions ultrasound
Birincil Dil | İngilizce |
---|---|
Konular | Sağlık Kurumları Yönetimi |
Bölüm | Original Article |
Yazarlar | |
Yayımlanma Tarihi | 4 Temmuz 2018 |
Gönderilme Tarihi | 7 Ekim 2017 |
Kabul Tarihi | 28 Kasım 2017 |
Yayımlandığı Sayı | Yıl 2018 Cilt: 4 Sayı: 3 |