Gülfem Ezgi ÖZALTIN, Havva ADLI, Burcu TALU

TEK TARAFLI KARPAL TÜNEL SENDROMUNDA EKLEM POZİSYON HİSSİ, İKİ NOKTA AYRIMI, İNCE MOTOR KONTROL, KAVRAMA KUVVETİ, HAFİF DOKUNMA DUYUSU, AĞRI VE İŞLEVSELLİK BİLATERAL OLARAK ETKİLENİR Mİ?

Amaç: Bu çalışmanın amacı, tek taraflı karpal tünel sendromlu hastalarda eklem pozisyon hissi, iki nokta ayırt etme, ince motor kontrol, kavrama kuvveti, hafif dokunma hissi, ağrı ve fonksiyonelliği değerlendirmek ve hastaların etkilenmeyen ellerinde de bu değişkenlerin değişip değişmediğini belirlemektir. Gereç ve Yöntem: Çalışma tek kör, kesitsel vaka-kontrol çalışması olarak planlandı. 20-65 yaş aralığında karpal tünel sendromu tanısı alan (n=22) ve sağlıklı (n=22) bireyler dahil edildi. Ölçümler çalışma için tasarlanan cihaz; diskriminatör; 9 delikli peg test, dinamometre ve pinchmetre, semmens weinstein monoflament test; visuel analog scale, Boston anketi ile bilateral değerlendirildi. Bulgular: Karpal tünel sendromu grubu ile kontrol grubu arasında etkilenen ve etkilenmeyen ellerinde tüm ölçümler arasında anlamlı farklılık vardı (p<0.05). KTS grubunda etkilenen el ve etkilenmeyen el arasında eklem pozisyon hissi, iki nokta diskriminasyonu, ince motor kontrol, kavrama kuvveti, hafif dokunma duyusu, fonksiyonellik arasında anlamlı fark bulunmadı (p>0.05). Sonuç: Bu çalışma tek taraflı KTS sendromunda el bileği, metakarpofalangeal eklemler ve interfalangeal eklemlerde eklem pozisyon hissini değerlendiren bildiğimiz kadarıyla ilk çalışmadır. Tek taraflı karpal tünel sendromlu hastaların eklem pozisyon hissi, ince motor kontrol, iki nokta diskriminasyonu, hafif dokunma duyusu ve kavrama kuvveti sağlıklı kontrol grubuna göre eksik bulunmasının yanı sıra etkilenmeyen taraflarında da eksikliklikler olması dikkat çekici bulundu.

Anahtar Kelimeler:

Karpal tünel sendromu, propriosepsion, motor beceri, kavrama kuvveti

ARE JOINT POSITION SENSE, TWO-POINT DISCRIMINATION, FINE MOTOR CONTROL, GRIP STRENGTH, LIGHT TOUCH SENSATION, PAIN, AND FUNCTIONALITY AFFECTED BILATERALLY IN UNILATERAL CARPAL TUNNEL SYNDROME?

Objective: This study aimed to evaluate joint position sense, two-point discrimination, fine motor control, grip strength, light touch sensation, pain, and functionality in patients with unilateral carpal tunnel syndrome and to determine whether these variables change in the unaffected hands of patients with unilateral carpal tunnel syndrome. Materials and Methods: The study was planned as a single-blind, cross-sectional case-control study. Individuals between the ages of 20-65 who were diagnosed with carpal tunnel syndrome (n=22) and healthy (n=22) were included. The device was designed for the study of measurements; discriminator; 9-hole peg test, dynamometer, and pinch meter, Semmens Weinstein monofilament test; The visual analog scale was evaluated bilaterally with the Boston questionnaire. Results: There was a significant difference between all measurements in the affected and unaffected hands between the CTS group and the control group (p<0.05). There was no significant difference between the joint position sense, two-point discrimination, fine motor control, grip strength, light touch sense, and functionality between the affected and unaffected hand in the CTS group (p>0.05). Conclusion: This is the first study evaluating joint position sense in the wrist, metacarpophalangeal joints, and interphalangeal joints in unilateral CTS syndrome. It was noteworthy that patients with unilateral carpal tunnel syndrome had deficiencies in joint position sense, fine motor control, two-point discrimination, light touch sense, and grip strength compared to the healthy control group, as well as deficiencies in the unaffected sides.

Keywords:

Carpal tunnel syndrome, proprioception, motor skills, grip strength,

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