Correlation of Cranio-vertebral Angle and Cervical Range of Motion with Pain, Severity of Symptoms and Functional Status in Patients with Carpal Tunnel Syndrome in Indian Population
Subscribe/Renew Journal
Study Objective: To determine correlation of cranio-vertebral angle and cervical range of motion with pain, severity of symptoms and functional status in patients with CTS.
Study Design: Correlation study design.
Methods: A total number of 60 patients were included in the study. Pain intensity was assessed by VAS&Boston questionnaire was used for the assessment of severity of symptoms and functional status. FHP was assessed in standing position, a side-view picture were taken and cranio-vertebral angle was measured using a digitizing software. CROM was measured using a full circle goniometer.
Results: Karl Pearson correlation was used to study the correlation of CV angle&CROM with parameters of CTS. The results indicated that patients with CTS have a forward head posture and restricted cervical range of motion. But no significant correlation was found of FHP and CROM with parameters of pain, severity and functional status of CTS.
Conclusions: A cause and effect relationship cannot be concluded from this study. Since, no significant correlation was found between any of the variables, so our null hypothesis is accepted.
Keywords
- Isam Atroshi. Prevalence of Carpal tunnel syndrome in a general population. JAMA, July 14,1999-vol 281(2).
- George S.Phalen. The Carpal-Tunnel Syndrome,17yrs experience in diagnosis & treatment of six hundred fifty-four hands.The Journal of Bone & Joint surgery.1966;vol 48-A(2).
- Frans J M Bongers. Carpal tunnel syndrome in general practice (1987 and 2001); incidence & the role of occupational factors. British journal of general practice, Jan 2007;57;36-39.
- Brent S. Russell. Carpal tunnel syndrome and the “double crush” hypothesis : a review and implications for chiropractic. Chiropractic & Osteopathy.2008,16:2.
- Ana I. De-La-Llave-Rincon. Increased Forward head posture & restricted Cervical range of motion in patients with Carpal tunnel syndrome. JOSPT, Sep 2009,39(9).
- C.C.Donaldson.Potential contributions of neck muscle dysfunctions to initiation and maintenance of carpal tunnel syndrome. Applied Psychophysiology and Biofeedback, Vol.23, No.1, 1998.2009, 39(9).
- Norkins, C.White.A guide to goniometry.
- Frank L.Tinel’s sign and Phalen’s maneuver : Physical signs of carpal tunnel syndrome.
- Lawrence C.Hurst. The relationship of the double crush to carpal tunnel syndrome (An analysis of 1000 cases of CTS). The Jr of Hand Surgery.1984.
- Roy P.Walmsley.The effect of initial head position on active cervical axial rotation range of motion in two age populations. Spine.Vol 21,No.21, 2435-2442.
- Jennifer M. Medina McKeon. Neural gliding techniques for the treatment of carpal tunnel syndrome: a systemic review. Jr of Sports Rehab,2008,17,324-341.
- Kurt A.Mariano.Double crush syndrome: Chiropractic care of an entrapment neuropathy.Jr manipulative physiol ther 1991;14:262-265.
- Hee-Kyu Kwon. Frequency and severity of carpal tunnel syndrome according to level of cervical radiculopathy: Double crush syndrome? Clinical Neurophysiology 117 (2006) 1256-1259.
- Joseph S. Ferezy. Carpal Tunnel Syndrome: a case report. Chiropractic technique. Jan: 1989.
- Richard Valente. Chiropractic Manipulation in Carpal Tunnel Syndrome. Jr. of Manipulative and Phsiological therapeutics Vol.17 (4): May 1994.
- Bednarik J: Median nerve mononeuropathy in spondylotic cervical myelopathy: double crush syndrome? J Neurol 1999. 246: 544-551.
- Isabel Reading: Anatomic Distribution of Sensory Symtoms in the Hand and Their Relaation to Neck Pain, Psychosocial Variables, and Occupational Activties. Am J Epidemiol 2003;157:524-530.
- Claude Pierre-Jerome: Magnetic Resonance Assessment of the Double- Crush phenomenon in patients with carpal tunnel syndrome: A bilateral Quantitative study. Scand J Plast Reconstr Surg Hand surg 2003; 37: 46-53.
- Andrian R. M. Upton: The Double Crush in Nerve-Entrapment Syndromes.The Lancet Aug, 1973.
- Nathaniel R. Cervical flexion, extension, protrusion and retraction. Spine. Vol 24,No.3; 240-247.
Abstract Views: 432
PDF Views: 0