Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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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
     

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

Abstract Views: 250  |  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