A proposal for the application of the Carpal Tunnel Syndrome evaluation method using surface electromyography: A pilot study
Journal Title: Rehabilitacja Medyczna - Year 2009, Vol 13, Issue 4
Abstract
Background: Carpal Tunnel Syndrome (CTS), frequently considered to be an occupational disease, is difficult to diagnose because of the many additional factors which may mask its real symptoms. A significant part of differential diagnosis is to find a method that is adequately sensitive and noninvasive.Aim: Evaluation of selected muscles’ bioelectrical activity in order to attain preliminary guidelines in a differential diagnosis of CTS.Material and method: 30 patients with CTS after surgical carpal tunnel release and 15 healthy controls were examined. Thebioelectrical activity of the cervical paraspinal muscles, sternocleidomastoideus, flexores carpi radialis and extensors carpi radialis longus were measured during cervical functional tests, and during a fatigue test for flexores carpi radialis and extensors carpi radialis longus.Results: In the cervical sequence test the correct asymmetrical activity pattern was observed in the control group during cervical rotation and cervical flexion both in the sternocleidomastoideus and cervical paraspinal muscles. In CTS patients no significant difference (p>0,05) between the right and left sternocleidomastoideus was observed in cervical rotation and cervical flexion. In cervical paraspinal there was no significant difference during rotation, but during the flexion activity of the right and left side muscles there was noted significant difference, though less than in the control group. After the fatigue test there was observed a significant increase in the CTS group and a significant decrease in the control group in extensors carpi radialis activity.Conclusion: Even if we are unable to unambiguously diagnose CTS symptoms using sEMG, the increased resting extensors carpi radialis bioelectrical activity observed after fatigue test in CTS patients, yet decreased in the control group, allow us to suggest that the evaluation of muscles fatigue using sEMG is an appropriate method in the evaluation of muscles’ bioelectrical activity disorders.
Authors and Affiliations
Łukasz Oleksy, Anna Mika, Marek Pieniążek, Anna Marchewka
Keywords
Related Articles
- EP ID EP82014
- DOI -
- Views 61
- Downloads 0
Restitution of sensation and possibilities of daily living activities in patients after surgical treatment of carpal tunnel syndrome
Objectives: The aim of the study was to evaluate the effectiveness of applied rehabilitation program and compare sensation levels with functional possibilities of the operated hand in a group of patients after surgery du...
Porównanie wpływu prądów Kotza oraz ćwiczeń oporowych na sprawność fizyczną, intensywność bólu i siłę mięśnia czworogłowego uda u pacjentów cierpiących na osteoartrozę pierwotną stawu kolanowego
Cel pracy: Pozytywny wpływ ćwiczeń oporowych (ang. Resisted Exercise, RE) w przypadkach rehabilitacji osteoartrozy stawu kolanowego (ang. Knee Osteoarthritis, OA) bywa często ograniczany przez choroby współistniejące, kt...
Wpływ terapii z zastosowaniem okładów borowinowych na dolegliwości związane z chorobą zwyrodnieniową stawu kolanowego
Cel: Celem niniejszej pracy było ustalenie czy zastosowanie okładów borowinowych jako elementu uzupełniającego kinezyterapię i fizykoterapię pozwoli uzyskać lepszy efekt terapeutyczny u pacjentów z chorobą zwyrodnieniową...
Changes in the somatagnosis of children with developmental disharmony who have undergone psychomotor therapy by means of the Procus and Block method
Introduction: For many years somatagnosis has been a subject of interest for researchers as well as the topic of numerous academic reports. Somatagnostic disturbances have their permanent consequences in a child’s devel...
Wpływ wybranych czynników na efekty rehabilitacji u chorych po udarze mózgu
Cel pracy: Celem pracy była ocena wpływu płci, wieku, rodzaju udaru mózgu, strony niedowładu, na efekty rehabilitacji w oddziale rehabilitacji szpitala wojewódzkiego.Materiał i metody: W okresie od stycznia 2002 roku do...