Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Comparison of Efficacies of CMR, CMU, CPW & WIF in Diagnosis of Mild Carpal Tunnel Syndrome


Affiliations
1 College of Physiotherapy, Pravara Institute of Medical Sciences, Loni, India
2 3Director Sports Physical Education, University of Pune, India
3 Preventive & Social Medicine, Rural Medical College, Pravara Institute of Medical Sciences, Loni, India
     

   Subscribe/Renew Journal


The purpose of this study was to compare three sensory and mixed NCS technique in mild CTS hands and evaluate the percentage of abnormality when at least one of them was abnormal. This study is a simple randomized comparative experimental study. This study was carried out in the Electromyography laboratory (E.M.G Lab), Department of Neurosciences, College of Physiotherapy, PIMS, Loni. Carpal tunnel syndrome is the most commonest entrapment neuropathy. The carpal tunnel is bounded by carpal bones and transverse ligaments, which are attached to Scaphoid, Trapezoid and Hamate bones. The diameter of carpel tunnel is 2-2.5 cm and the median nerve passes through it along with 9 digital flexor tendons. Some degree of compression of median nerve and focal nerve conduction slowing is common at this level, which is more pronounced 2-3 cm distal to the origin of the ligament. Autopsy study has also confirmed focal abnormality in the median nerve in 5 out of 12 asymptomatic subjects.

Keywords

CMR, CMU, CPW, WIF & Carpal Tunnel
Subscription Login to verify subscription
User
Notifications
Font Size


  • Eichler W.Uber die Ableitung der Aktionspotential vom menschlichen Nerven in Situ.Zeit Biol 1937;98:182.

  • Munnich F.Uber die Leitangsgeschwividigkeit im motorischen nerven bei warmblutern.Z Biol 1916;66:1.

  • Piper H.Electrophysiologie menschlicher muskeln. julius springer, Berlin. 1912. Piper H.Weitere mitteilungen uber die geschwindigkeit der erregungsleitung un makhaltigen menschlichen nerven.Pjlugers arch ges physiol 1909;127:474

  • Andary MT, Werner RA. Electrodiagnosis in clinical decision making: carpal tunnel syndrome. 1997 AAEM Course B: Using electrodiagnosis in clinical decision making. San Diego: AAEM 20th Annual Continuing Education Courses 1997.

  • Jablecki CK, Andary MT, So YT, Wilkins DE, Willians FH. Literature review of the usefulness of nerve conduction studies and electromyography for the evaluation of patients with carpal tunnel syndrome. Muscle Nerve 1993; 16:1392-1414.

  • Jackson D, Clifford JC. Electrodiagnosis of mild carpal tunnel syndrome. Arch Phys Med Rehabil 1989; 70:199-204.

  • White JC, Hansen SR, Johnson RK. A comparison of EMG procedures in the carpal tunnel syndrome with clinical-EMG correlations. Muscle Nerve 1988; 11:1177-1182.

  • Carrol G. Comparison of the median and radial sensory latencies in the electrophysiological diagnosis of carpal tunnel syndrome. Electroencephalogr Clin Neurophysiol 1987; 68:101-106.

  • Clinical Neurophysiology. Nerve conduction, Electromyography and Evoked potentials. By U K Misra & J Kalita.

  • Buchthal F et al. Electrophysiological findings in entrapment of the median nerve at wrist and elbow. Journal of neurology, neurosurgery, and psychiatry, 1974, 3:340-60.

  • Chassin SL et al. Compound nerve action potentials from the median and ulnar nerves. Archives of physical medicine and rehabilitation, 1987, 68:31-

  • Gilliant RW,sensory conduction studies in early recognition of nerve disprders.Muscle nerve 1978;1:352


Abstract Views: 332

PDF Views: 0




  • Comparison of Efficacies of CMR, CMU, CPW & WIF in Diagnosis of Mild Carpal Tunnel Syndrome

Abstract Views: 332  |  PDF Views: 0

Authors

Mahendra Shende
College of Physiotherapy, Pravara Institute of Medical Sciences, Loni, India
Deepak Anap
College of Physiotherapy, Pravara Institute of Medical Sciences, Loni, India
Deepak Mane
3Director Sports Physical Education, University of Pune, India
Panchsheel Sharma
Preventive & Social Medicine, Rural Medical College, Pravara Institute of Medical Sciences, Loni, India

Abstract


The purpose of this study was to compare three sensory and mixed NCS technique in mild CTS hands and evaluate the percentage of abnormality when at least one of them was abnormal. This study is a simple randomized comparative experimental study. This study was carried out in the Electromyography laboratory (E.M.G Lab), Department of Neurosciences, College of Physiotherapy, PIMS, Loni. Carpal tunnel syndrome is the most commonest entrapment neuropathy. The carpal tunnel is bounded by carpal bones and transverse ligaments, which are attached to Scaphoid, Trapezoid and Hamate bones. The diameter of carpel tunnel is 2-2.5 cm and the median nerve passes through it along with 9 digital flexor tendons. Some degree of compression of median nerve and focal nerve conduction slowing is common at this level, which is more pronounced 2-3 cm distal to the origin of the ligament. Autopsy study has also confirmed focal abnormality in the median nerve in 5 out of 12 asymptomatic subjects.

Keywords


CMR, CMU, CPW, WIF & Carpal Tunnel

References