RESEARCHING OF RISK FACTORS FOR SEVERE CARPAL TUNNEL SYNDROME - IS HOUSEWIFERY A RISK?

balduz, bahar; METE, BURAK; AKBABA, Muhsin; Balduz, Metin; Nazlıcan, Ersin

doi:10.35232/estudamhsd.1143949

RESEARCHING OF RISK FACTORS FOR SEVERE CARPAL TUNNEL SYNDROME - IS HOUSEWIFERY A RISK?

Metin BALDUZ, (Sağlık Bilimleri Üniversitesi, Adana Eğitim ve Araştırma Hastanesi, Nöroloji Bölümü, Adana, Türkiye)

Ersin NAZLICAN, (Çukurova Üniversitesi, Tıp Fakültesi, Halk Sağlığı Anabilim Dalı, Adana, Türkiye)

Burak METE, (Çukurova Üniversitesi, Tıp Fakültesi, Halk Sağlığı Anabilim Dalı, Adana, Türkiye)

Bahar BALDUZ, (Çukurova Üniversitesi, Tıp Fakültesi, Halk Sağlığı Anabilim Dalı, Adana, Türkiye)

Muhsin AKBABA (Çukurova Üniversitesi, Tıp Fakültesi, Halk Sağlığı Anabilim Dalı, Adana, Türkiye)

Eskişehir Türk dünyası uygulama ve araştırma merkezi halk sağlığı dergisi (Online)

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Yıl: 2023 Cilt: 8 Sayı: 1 Sayfa Aralığı: 71 - 79 Metin Dili: İngilizce DOI: 10.35232/estudamhsd.1143949 İndeks Tarihi: 03-02-2023

RESEARCHING OF RISK FACTORS FOR SEVERE CARPAL TUNNEL SYNDROME - IS HOUSEWIFERY A RISK?

Öz:

Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy. In this study, risk factors of severe CTS were examined. This study was conducted on 227 patients diagnosed with CTS in EMG laboratuary. The criteria of American Academy of Electrodiagnostic Medicine was used as the diagnosis for CTS. All patients were examined for bilateral median and ulnar motor and sensory peak latency, amplitude and conduction velocities. The patients were classified into 4 groups electrophysiologically; Normal, Light, Medium, Severe. Electrophysiological classification was compared with the identified risk factors. The mean age of the patients was 51.04±13.37 (min=18-max=83). Severe CTS cases in both hands were higher in housewives. Housewifery increased the risk of severe CTS in the right and left hand by 2.74 and 2.23 times, respectively. In addition, obesity increased the risk of severe CTS in the right and left hand by 5.10-4.40, presence of lateral epicondylitis was 2.73-4.19 and medial epicondylitis was 4.39-4.93, respectively. Hand dominancy was increased the risk of severe CTS by 6.88 times for the left hand and 1.15 times for the right hand. Otherwise in multivariate analyse of left hand results, obesity increase the risk of severe CTS by 3.34, left hand dominancy 7.83 times, chronic disease 2.62 times, and for the right hand being a housewife increases the risk by 2.14, obesity 4.68 times and medial epicondylitis 6.40 times. This study put forth that being a housewife, obesity, dominant hand, presence of lateral or medial epicondylitis are the risk factors of severe CTS.

Anahtar Kelime: carpal tunnel syndrome woman risk factor

AĞIR KARPAL TÜNEL SENDROMU İÇİN RİSK FAKTÖRLERİNİN İNCELENMESİ - EV HANIMLIĞI BİR RİSK Mİ?

Öz:

Karpal tünel sendromu (KTS) en sık görülen tuzak nöropatidir. Bu çalışmada ağır KTS için risk faktörleri incelenmiştir. Bu çalışma EMG Laboratuvarına başvuran ve Karpal Tünel Sendromu tanısı alan 227 hasta üstünde yapılmıştır. KTS tanı kriterleri olarak American Academy of Electrodiagnostic Medicine baz alınmıştır. Bütün hastalar bilateral median ve ulnar duyusal pik latans, amplitud ve ileti hızları açısından değerlendirilmiştir. Motor ileti çalışmasında ise bilateral median ve ulnar sinir motor latans, amplitud ve ileti hızları değerlendirildi. Hastalar elektrofizyolojik olarak 4 grupta sınıflandırılmıştır; Normal, Hafif, Orta, Ağır. Elektrofizyolojik sınıflandırma belirlenen risk faktörleri ile karşılaştırılmıştır. Hastaların yaş ortalaması 51.04±13.37’dir (min=18-max=83). Her iki elde de ağır KTS vakaları ev hanımlarında yüksektir. Ev hanımlığı sağ ve sol el ağır KTS riskini sırasıyla 2.74 ve 2.23 kat artırmıştır. Ayrıca ağır KTS riski obez olanlarda 5.10- 4.40 kat, lateral epikondilit varlığında 2.73-4.19 kat, medial epikondilit varlığında 4.39-4.93 kat arttığı bulunmuştur. Dominant elde ağır KTS gelişme riskinin de sol el için 6.88, sağ el için 1.15 kat arttığı bulunmuştur. Çoklu değişkenli analizlerde ise sol el için ağır KTS riskini obez olmanın 3.34 kat, kronik hastalık varlığının 2.62 kat, sol elin dominant olmasının 7.83 kat artırdığı, sağ el için ise ev hanımı olmanın 2.14 kat, obez olmanın 4.68 kat, medial epikondilit varlığının 6.40 kat artırdığı bulunmuştur. Ev hanımlığı, obezite, dominat elde KTS, medial ve lateral epikondilit varlığı ağır KTS için risk faktörü olarak bulunmuştur. KTS tanısı alan kişilerde belirtilen risk faktörlerine sahip olmaları durumunda ağır KTS açısından koruyucu yaklaşım önerilmektedir.

Anahtar Kelime: Karpal tünel sendromu kadın risk faktörü

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Balduz M, Nazlıcan E, METE B, balduz b, AKBABA M (2023). RESEARCHING OF RISK FACTORS FOR SEVERE CARPAL TUNNEL SYNDROME - IS HOUSEWIFERY A RISK?. , 71 - 79. 10.35232/estudamhsd.1143949
Chicago	Balduz Metin,Nazlıcan Ersin,METE BURAK,balduz bahar,AKBABA Muhsin RESEARCHING OF RISK FACTORS FOR SEVERE CARPAL TUNNEL SYNDROME - IS HOUSEWIFERY A RISK?. (2023): 71 - 79. 10.35232/estudamhsd.1143949
MLA	Balduz Metin,Nazlıcan Ersin,METE BURAK,balduz bahar,AKBABA Muhsin RESEARCHING OF RISK FACTORS FOR SEVERE CARPAL TUNNEL SYNDROME - IS HOUSEWIFERY A RISK?. , 2023, ss.71 - 79. 10.35232/estudamhsd.1143949
AMA	Balduz M,Nazlıcan E,METE B,balduz b,AKBABA M RESEARCHING OF RISK FACTORS FOR SEVERE CARPAL TUNNEL SYNDROME - IS HOUSEWIFERY A RISK?. . 2023; 71 - 79. 10.35232/estudamhsd.1143949
Vancouver	Balduz M,Nazlıcan E,METE B,balduz b,AKBABA M RESEARCHING OF RISK FACTORS FOR SEVERE CARPAL TUNNEL SYNDROME - IS HOUSEWIFERY A RISK?. . 2023; 71 - 79. 10.35232/estudamhsd.1143949
IEEE	Balduz M,Nazlıcan E,METE B,balduz b,AKBABA M "RESEARCHING OF RISK FACTORS FOR SEVERE CARPAL TUNNEL SYNDROME - IS HOUSEWIFERY A RISK?." , ss.71 - 79, 2023. 10.35232/estudamhsd.1143949
ISNAD	Balduz, Metin vd. "RESEARCHING OF RISK FACTORS FOR SEVERE CARPAL TUNNEL SYNDROME - IS HOUSEWIFERY A RISK?". (2023), 71-79. https://doi.org/10.35232/estudamhsd.1143949

APA	Balduz M, Nazlıcan E, METE B, balduz b, AKBABA M (2023). RESEARCHING OF RISK FACTORS FOR SEVERE CARPAL TUNNEL SYNDROME - IS HOUSEWIFERY A RISK?. Eskişehir Türk dünyası uygulama ve araştırma merkezi halk sağlığı dergisi (Online), 8(1), 71 - 79. 10.35232/estudamhsd.1143949
Chicago	Balduz Metin,Nazlıcan Ersin,METE BURAK,balduz bahar,AKBABA Muhsin RESEARCHING OF RISK FACTORS FOR SEVERE CARPAL TUNNEL SYNDROME - IS HOUSEWIFERY A RISK?. Eskişehir Türk dünyası uygulama ve araştırma merkezi halk sağlığı dergisi (Online) 8, no.1 (2023): 71 - 79. 10.35232/estudamhsd.1143949
MLA	Balduz Metin,Nazlıcan Ersin,METE BURAK,balduz bahar,AKBABA Muhsin RESEARCHING OF RISK FACTORS FOR SEVERE CARPAL TUNNEL SYNDROME - IS HOUSEWIFERY A RISK?. Eskişehir Türk dünyası uygulama ve araştırma merkezi halk sağlığı dergisi (Online), vol.8, no.1, 2023, ss.71 - 79. 10.35232/estudamhsd.1143949
AMA	Balduz M,Nazlıcan E,METE B,balduz b,AKBABA M RESEARCHING OF RISK FACTORS FOR SEVERE CARPAL TUNNEL SYNDROME - IS HOUSEWIFERY A RISK?. Eskişehir Türk dünyası uygulama ve araştırma merkezi halk sağlığı dergisi (Online). 2023; 8(1): 71 - 79. 10.35232/estudamhsd.1143949
Vancouver	Balduz M,Nazlıcan E,METE B,balduz b,AKBABA M RESEARCHING OF RISK FACTORS FOR SEVERE CARPAL TUNNEL SYNDROME - IS HOUSEWIFERY A RISK?. Eskişehir Türk dünyası uygulama ve araştırma merkezi halk sağlığı dergisi (Online). 2023; 8(1): 71 - 79. 10.35232/estudamhsd.1143949
IEEE	Balduz M,Nazlıcan E,METE B,balduz b,AKBABA M "RESEARCHING OF RISK FACTORS FOR SEVERE CARPAL TUNNEL SYNDROME - IS HOUSEWIFERY A RISK?." Eskişehir Türk dünyası uygulama ve araştırma merkezi halk sağlığı dergisi (Online), 8, ss.71 - 79, 2023. 10.35232/estudamhsd.1143949
ISNAD	Balduz, Metin vd. "RESEARCHING OF RISK FACTORS FOR SEVERE CARPAL TUNNEL SYNDROME - IS HOUSEWIFERY A RISK?". Eskişehir Türk dünyası uygulama ve araştırma merkezi halk sağlığı dergisi (Online) 8/1 (2023), 71-79. https://doi.org/10.35232/estudamhsd.1143949