Carpal Tunnel Syndrome
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Date
2022
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Journal Title
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Viena no visbiežāk sastopamajām perifērajām neiropātijām ir karpālā kanāla sindroms. Augšējo ekstremitāšu kumulatīvās traumas traucējumi, jo īpaši karpālā kanāla sindroms (CTS), joprojām veido lielāko daļu ziņoto arodslimību, kuru ikgadējais saslimstības līmenis pakāpeniski pieaug ar aptuveno ikgadējo sastopamību 0,5–5,1 uz 1000. Mūsdienās ir vairāki pētījumi. kas liecina par pieaugošu ar profesijām saistīto CTS sastopamību. Šī pētījuma mērķis ir izpētīt saistību starp profesijām un faktoriem, kas palielina saslimstību šādās profesiju grupās.
CTS biežāk rodas profesijās, kurās ir nepieciešams liels roku spiediena, spēks, atkārtotas kustības un piespiedu poza. Pirms CTS attiecināšanas uz nodarbošanos ir svarīgi izslēgt jebkādas citas iespējas, īpaši noteiktus raksturīgus faktorus, piemēram, aptaukošanos, paaugstinātu vecumu vai rokas tendinītu anamnēzē. Visbiežāk sastopamās pazīmes, kas norāda uz CTS, ir nakts diskomforts, tirpšana un nejutīgums plaukstas vidējā nerva sadalījumā. Smagos gadījumos CTS var nopietni pasliktināt roku motorisko darbību un vājināt satvērienu.
Šī pētījuma galvenais mērķis bija noskaidrot CTS sastopamību profesiju grupās, kurās iesaistīti automašīnu montāžas darbinieki, mājputnu apstrādes strādnieki un militārpersonas, salīdzinot ar CTS sastopamību vispārējā populācijā. Šis pētījums tika veikts, pārbaudot vairākas pētnieciskās publikācijas, lai noskaidrotu patieso augsto saslimstības cēloni profesiju grupās.
Secinājums, Saskaņā ar šī pētījuma rezultātiem, tādas profesijas kā automašīnu montāža, mājputnu apstrāde un militārais personāls bieži ir pakļautas plaukstas saliekšanai un atliekšanai, lielam plaukstas locītavas sasprindzinājumam, neitrāla elkoņa pozīcijai un intensīvām, atkārtotām plaukstas kustībām ar nelielu vai bez tās. atpūtas ciklu darba dienā. Minētais izraisa augstāku saslimstības līmeni.Vairāki riska faktori, piemēram, aptaukošanās, sieviešu dzimums, lielāks vecums un samazināts līdzstrādnieku atbalsts,izraisīja lielāku CTS sastopamību šo profesiju pārstāvjiem. Tādējādi tiek pierādīta hipotēze, ka CTS biežums ir augstāks automašīnu montētāju, mājputnu apstrādes strādnieku un militārpersonu vidū, salīdzinot ar saslimstības biežumu kopumā.
One of the most common peripheral neuropathies is carpal tunnel syndrome. The upper extremity cumulative trauma disorders, specifically carpal tunnel syndrome (CTS), continue to account for the majority of reported occupational disorders with an annual incidence rate increasing progressively with an estimated annual incidence of 0.5-5.1 per 1000. Nowadays there are several research studies that suggests increasing incidence of CTS associated with occupations. This study aims to investigate the association between the occupations and factors leading to increased incidence in such occupational groups. CTS is more likely to occur in occupations that include high pressure, high force, repetitive activity, and a non-neutral stance. Before attributing CTS to occupation it is important to rule out any other possibilities, especially certain intrinsic factors like obesity, advanced age, or history of hand tendonitis. Most common features pointing out CTS include nocturnal discomfort, tingling, and numbness in the distribution of the median nerve in the hand. In severe cases CTS can severely impair motor function and diminish pinch grasp. The main aim of this study was to find out the incidence of CTS in occupational groups involving automobile assembly workers, poultry processing workers and in military population in comparison with the incidence of CTS in general population. This study was carried out by examining a number of research publications in order to determine the actual reason for the high incidence rate in the occupational groups. As a conclusion according to the findings of this study, occupations such as automobile assembly, poultry processing, and military personnel are frequently exposed to wrist flexion and extension, high wrist tension, non-neutral elbow position and strenuous repetitive wrist movements with little or no rest-work cycle. Thus causing higher incidence rate. There were several risk factors like obesity, female gender, higher age and decreased co-workers support that lead to cause a higher incidence amongst these occupations. Hence, the hypothesis is proved stating that the incidence of CTS is higher in automobile assembly, poultry workers and military personnel’s in comparison to the incident rate in general population.
One of the most common peripheral neuropathies is carpal tunnel syndrome. The upper extremity cumulative trauma disorders, specifically carpal tunnel syndrome (CTS), continue to account for the majority of reported occupational disorders with an annual incidence rate increasing progressively with an estimated annual incidence of 0.5-5.1 per 1000. Nowadays there are several research studies that suggests increasing incidence of CTS associated with occupations. This study aims to investigate the association between the occupations and factors leading to increased incidence in such occupational groups. CTS is more likely to occur in occupations that include high pressure, high force, repetitive activity, and a non-neutral stance. Before attributing CTS to occupation it is important to rule out any other possibilities, especially certain intrinsic factors like obesity, advanced age, or history of hand tendonitis. Most common features pointing out CTS include nocturnal discomfort, tingling, and numbness in the distribution of the median nerve in the hand. In severe cases CTS can severely impair motor function and diminish pinch grasp. The main aim of this study was to find out the incidence of CTS in occupational groups involving automobile assembly workers, poultry processing workers and in military population in comparison with the incidence of CTS in general population. This study was carried out by examining a number of research publications in order to determine the actual reason for the high incidence rate in the occupational groups. As a conclusion according to the findings of this study, occupations such as automobile assembly, poultry processing, and military personnel are frequently exposed to wrist flexion and extension, high wrist tension, non-neutral elbow position and strenuous repetitive wrist movements with little or no rest-work cycle. Thus causing higher incidence rate. There were several risk factors like obesity, female gender, higher age and decreased co-workers support that lead to cause a higher incidence amongst these occupations. Hence, the hypothesis is proved stating that the incidence of CTS is higher in automobile assembly, poultry workers and military personnel’s in comparison to the incident rate in general population.
Description
Medicīna
Medicine
Veselības aprūpe
Health Care
Medicine
Veselības aprūpe
Health Care
Keywords
Karpālā kanāla sindroms, arodslimības, automašīnu montāža, mājputnu apstrāde, militārpersonas., Carpal tunnel syndrome, occupational incidence, automobile assembly, poultry processing, military personnel.