Ağırman Mehmet, Kara Adnan, Durmuş Oğuz, Saral İlknur, Çakar Engin
Department of Physical Medicine and Rehabilitation, Medical Faculty of İstanbul Medipol University, 34214 Bağcılar, İstanbul, Turkey.
Eklem Hastalik Cerrahisi. 2017 Apr;28(1):41-5. doi: 10.5606/ehc.2017.52142.
This study aims to investigate the isokinetic characteristics of wrist strength in flexion, extension, supination, pronation, radial, and ulnar deviation in patients with moderate or severe carpal tunnel syndrome (CTS).
Thirteen patients (23 hands) (2 males, 11 females; mean age 45 years; range 29 to 60 years) with moderate or severe CTS were compared to six healthy control subjects (12 hands) (2 males, 4 females; mean age 41 years; range 27 to 63 years) in this study, which was conducted between January 2016 and April 2016. Wrist flexion, extension, supination, pronation, radial, and ulnar deviation muscle strengths were measured at 30°/second (5 sets) angular velocity with isokinetic dynamometer. Grip strength was measured with hand dynamometer (kilograms). Boston Questionnaire was used for clinical assessment.
Grip strength (p=0.003); wrist flexion 30°/second (p=0.014); extension 30°/second (p=0.016); and ulnar deviation 30°/second (p=0.017) muscle strengths were lower in CTS patients compared with the control group. An evaluation according to symptom duration did not reveal any significant relationship in any of the isokinetic tests with the exception of pronation 30°/second (p=0.039, r= -0.432) and ulnar deviation 30°/second (p=0.034, r=0.443) in CTS patients. No significant relationship was found between Boston Questionnaire, grip strength, and isokinetic test results.
Quantitative wrist strength measurements with isokinetic dynamometers are beneficial in conservative exercise treatments and motor assessments of CTS patients.
本研究旨在调查中度或重度腕管综合征（CTS）患者在腕关节屈曲、伸展、旋后、旋前、桡偏和尺偏时的等速力量特征。
本研究于2016年1月至2016年4月进行，将13例（23只手）中度或重度CTS患者（2例男性，11例女性；平均年龄45岁；范围29至60岁）与6例健康对照者（12只手）（2例男性，4例女性；平均年龄41岁；范围27至63岁）进行比较。使用等速测力计以30°/秒（5组）的角速度测量腕关节屈曲、伸展、旋后、旋前、桡偏和尺偏的肌肉力量。使用握力计（千克）测量握力。采用波士顿问卷进行临床评估。
与对照组相比，CTS患者的握力（p = 0.003）；腕关节屈曲30°/秒（p = 0.014）；伸展30°/秒（p = 0.016）；以及尺偏30°/秒（p = 0.017）的肌肉力量较低。根据症状持续时间进行的评估显示，除了CTS患者旋前30°/秒（p = 0.039，r = -0.432）和尺偏30°/秒（p = 0.034, r = 0.443）外，在任何等速测试中均未发现任何显著关系。在波士顿问卷、握力和等速测试结果之间未发现显著关系。
使用等速测力计进行定量腕部力量测量有助于CTS患者的保守运动治疗和运动评估。
