Artikel
Changing diagnostic concepts of carpal tunnel syndrome in powerlifting athletes with disabilities
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Veröffentlicht: | 6. Februar 2020 |
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Objective: To examine the prevalence of carpal tunnel syndrome in powerlifting athletes with disabilities.
Materials and Methods: The present cross-sectional observational study was approved by the Medical Ethics Committee of the University Hospital (No: 2.397.090). The written permission has been obtained from all individuals named in the acknowledgement.
The authors assessed powerlifting athletes with disabilities at local training centers; both wheelchair and non-wheelchair using subjects were included. Athletes with intellectual disabilities that precluded clinical evaluations used in the present study were excluded. Parameters measured were the presence and intensity of pain using a numerical pain rating scale, median nerve compression/injury symptoms by Tinel's sign, nocturnal paresthesia by self-report, and test of Phalen. Paresthesia during Phalen and Tinel tests was also evaluated according to self-report. Clinical diagnosis of CTS was confirmed by the presence of two or more signs/symptoms.
Results: A total of 29 powerlifting athletes with disabilities were evaluated in the present study. The mean age ± standard deviation was 31 ± 12.3 years (range: 14-50 years), and their were 17 (59%) males and 12 (41%) females. Fifteen (52%) athletes were not wheelchair users and 14 (48%) were. None of the athletes reported the presence of pain (intensity score = 0) or nocturnal paresthesia. Tinel's sign was found in 1 (3,45%) wheelchair athlete. A positive Phalen test was found in 3 (10,35%) athletes (1 wheelchair and 2 non-wheelchair). A steady Tinel sign and positive Phalen test were found in 2 (6,89%) athletes (1 wheelchair and 1 non-wheelchair). No relationship was found between the presence of symptoms/signs and wheelchair use.
Conclusions: The prevalence of CTS in powerlifting athletes with disabilities is 2 in 29 (7%).