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Indian Journal of Physiotherapy and Occupational Therapy - An International Journal
Year : 2019, Volume : 13, Issue : 4
First page : ( 68) Last page : ( 72)
Print ISSN : 0973-5666. Online ISSN : 0973-5674.
Article DOI : 10.5958/0973-5674.2019.00134.5

A Study on Prevalence of Carpal Tunnel Syndrome in Obese Individuals and Electrophysiological Assessment in Symptomatic and Asymptomatic Cases

Hemaxi Kosada1, Murugan Saravanan2, Limbasiya Rajiv D3

1Physiotherapist MPT (Neurological Science), Sarvajanik College of Physiotherapy, Rampura, Surat

2Associate Professor & Principal In-charge, Sarvajanik College of Physiotherapy, Rampura, Surat

3Lecturer, Sarvajanik College of Physiotherapy, Rampura, Surat

Online published on 21 November, 2019.

Abstract

Carpal tunnel syndrome is most common injury affects upper limb and it has so many risk factors like diabetes, hypothyroidism, rheumatoid arthritis, pregnancy, obesity, family history, and trauma. There were few studies that the correlation between obesity and CTS. So this study will add a review for correlation between BMI and CTS. Many studies say that NCS can be used as a diagnostic tool for CTS. But less literature found for its application in asymptomatic patient and in much literature it is define as mild to moderate reliable as a diagnostic tool in CTS. As there is controversies for NCS as a diagnostic tool in CTS this study will give the answer that NCS is appropriate diagnostic tool for asymptomatic CTS. Objective of this study is to find prevalence of carpal tunnel syndrome in obese individuals and electrophysiological assessment in symptomatic and asymptomatic cases.

Method

A total 105 adult obese individual with Body Mass Index more than 25 was selected and they were given a questionnaire. Whoever was showing symptoms of CTS based on questionnaire was stated as symptomatic and who were not having any kind of symptoms were stated as asymptomatic. Further two groups were formed 1. Symptomatic and 2. Asymptomatic and their electrophysiological assessment of median nerve was done by means of motor and sensory nerve latency-1, latency-2, and velocities. And mean of all nerve conduction parameters in both groups was compared. Mann Whitney U test was done and only 15% out of 105 individuals were having CTS. And there is no difference found in any parameter in both group.

Conclusions

There is no relation found between CTS and obesity and electrophysiological study of symptomatic and asymptomatic suggests that nerve conduction studies can give controversial results.

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Keywords

Carpal tunnel syndrome, body mass index, obesity, nerve conduction study.

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