Marriott Catherine, Montgomery Kate, Whelan Alexander
From the Division of Physical Medicine and Rehabilitation, Dalhousie University, Halifax, Canada.
Am J Phys Med Rehabil. 2023 Dec 1;102(12):1116-1121. doi: 10.1097/PHM.0000000000002167. Epub 2022 Dec 13.
The purpose of this review was to understand the research on carpal tunnel syndrome in athletes who compete in wheelchair sport. Eight articles were identified using the search strategy. The most common sport evaluated was wheelchair basketball ( N = 4). Most athletes were male and were diagnosed with a spinal cord injury. Different clinical and electrodiagnostic criteria have been used to diagnose carpal tunnel syndrome. Two studies incorporated ultrasound into the clinical evaluation of median nerve pathology. The duration of disability and wheelchair use were associated with increased risk of carpal tunnel syndrome in four studies. There was no association between training load and the prevalence of carpal tunnel syndrome. No study has explored the functional implications of carpal tunnel syndrome on sports participation and performance. No study has assessed the prevention and treatment of carpal tunnel syndrome in individuals who compete in wheelchair sport. This review provides an understanding of the important diagnostic tools, and demographic and training risk factors to consider when evaluating para-athletes for carpal tunnel syndrome and highlights areas for future research.
本综述的目的是了解参加轮椅运动的运动员腕管综合征的研究情况。采用检索策略共识别出8篇文章。评估的最常见运动项目是轮椅篮球（N = 4）。大多数运动员为男性，且被诊断为脊髓损伤。已采用不同的临床和电诊断标准来诊断腕管综合征。两项研究将超声纳入正中神经病变的临床评估。四项研究表明，残疾持续时间和轮椅使用时间与腕管综合征风险增加相关。训练负荷与腕管综合征患病率之间无关联。尚无研究探讨腕管综合征对运动参与和表现的功能影响。也没有研究评估参加轮椅运动的个体中腕管综合征的预防和治疗情况。本综述有助于了解在评估残疾运动员的腕管综合征时需要考虑的重要诊断工具、人口统计学和训练风险因素，并突出了未来的研究方向。
