gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

Article

Send article

Changing diagnostic concepts of carpal tunnel syndrome in powerlifting athletes with disabilities

Meeting Abstract

Search Medline for

  • presenting/speaker Lia Miyamoto Meirelles - Universidade Federal de São Paulo, São Paulo, Brazil
  • Carlos Henrique Fernandes - Universidade Federal de São Paulo, São Paulo, Brazil
  • Benno Ejnsman - Universidade Federal de São Paulo, São Paulo, Brazil
  • Moises Cohen - Universidade Federal de São Paulo, São Paulo, Brazil
  • João Baptista Gomes dos Santos - Universidade Federal de São Paulo, São Paulo, Brazil

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSHT19-1105

doi: 10.3205/19ifssh1607, urn:nbn:de:0183-19ifssh16076

Published: February 6, 2020

© 2020 Miyamoto Meirelles et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

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%).