Carpal Tunnel Syndrome Involving Unaffected Limbs of Stroke Patients
Background and Purpose —Stroke-induced hemiparesis involving the arm and hand results in regular, repeated overuse of the opposite hand and wrist. Because repetitive hand and wrist movement is a common cause of carpal tunnel syndrome (CTS), we examined the nonparetic upper limb in stroke patients fo...
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Ovid Technologies (Wolters Kluwer Health)
1999
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crovidcr:10.1161/01.str.30.2.414 2023-11-12T04:16:27+01:00 Carpal Tunnel Syndrome Involving Unaffected Limbs of Stroke Patients Sato, Yoshihiro Kaji, Masahide Tsuru, Toshiomi Oizumi, Kotaro 1999 http://dx.doi.org/10.1161/01.str.30.2.414 https://www.ahajournals.org/doi/pdf/10.1161/01.STR.30.2.414 en eng Ovid Technologies (Wolters Kluwer Health) Stroke volume 30, issue 2, page 414-418 ISSN 0039-2499 1524-4628 Advanced and Specialized Nursing Cardiology and Cardiovascular Medicine Neurology (clinical) journal-article 1999 crovidcr https://doi.org/10.1161/01.str.30.2.414 2023-10-13T10:58:37Z Background and Purpose —Stroke-induced hemiparesis involving the arm and hand results in regular, repeated overuse of the opposite hand and wrist. Because repetitive hand and wrist movement is a common cause of carpal tunnel syndrome (CTS), we examined the nonparetic upper limb in stroke patients for evidence of CTS. Methods —We measured bilaterally sensory nerve conduction velocity (SNCV), motor nerve conduction velocity (MNCV), sensory nerve action potentials (SNAP) at the wrist, palm-to-wrist distal sensory latency (DSL), palm-to-wrist SNAP, compound motor action potentials (CMAP), and distal motor latency (DML) in stroke patients and control subjects. Controls were right-handed, ≥65 years old, lucid, independent in their activities of daily living, and had no disease known to cause CTS. Stroke patients were divided into a functioning hand group (n=61) and a disused hand group (n=71). All patients had hemiplegia. Results —Tinel’s sign was observed on the nonparetic side in 57.7% of patients with a disused hand and in 31.1% of those with a functioning hand. All electrophysiological indices were significantly more abnormal on the nonparetic side than on the hemiparetic side or in controls. Patients with a disused hand showed greater abnormality on the nonparetic side in SNCV, SNAP, palm-to-wrist DSL, DML, and CMAP than patients with a functioning hand. Conclusions —Overuse of the nonparetic hand and wrist of the nonparetic side may result in CTS in stroke patients, especially when the paretic hand is not functional. Wrist splinting or other prophylactic treatments beginning soon after stroke might help to prevent CTS. Article in Journal/Newspaper DML Ovid (via Crossref) Stroke 30 2 414 418 |
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Ovid (via Crossref) |
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English |
topic |
Advanced and Specialized Nursing Cardiology and Cardiovascular Medicine Neurology (clinical) |
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Advanced and Specialized Nursing Cardiology and Cardiovascular Medicine Neurology (clinical) Sato, Yoshihiro Kaji, Masahide Tsuru, Toshiomi Oizumi, Kotaro Carpal Tunnel Syndrome Involving Unaffected Limbs of Stroke Patients |
topic_facet |
Advanced and Specialized Nursing Cardiology and Cardiovascular Medicine Neurology (clinical) |
description |
Background and Purpose —Stroke-induced hemiparesis involving the arm and hand results in regular, repeated overuse of the opposite hand and wrist. Because repetitive hand and wrist movement is a common cause of carpal tunnel syndrome (CTS), we examined the nonparetic upper limb in stroke patients for evidence of CTS. Methods —We measured bilaterally sensory nerve conduction velocity (SNCV), motor nerve conduction velocity (MNCV), sensory nerve action potentials (SNAP) at the wrist, palm-to-wrist distal sensory latency (DSL), palm-to-wrist SNAP, compound motor action potentials (CMAP), and distal motor latency (DML) in stroke patients and control subjects. Controls were right-handed, ≥65 years old, lucid, independent in their activities of daily living, and had no disease known to cause CTS. Stroke patients were divided into a functioning hand group (n=61) and a disused hand group (n=71). All patients had hemiplegia. Results —Tinel’s sign was observed on the nonparetic side in 57.7% of patients with a disused hand and in 31.1% of those with a functioning hand. All electrophysiological indices were significantly more abnormal on the nonparetic side than on the hemiparetic side or in controls. Patients with a disused hand showed greater abnormality on the nonparetic side in SNCV, SNAP, palm-to-wrist DSL, DML, and CMAP than patients with a functioning hand. Conclusions —Overuse of the nonparetic hand and wrist of the nonparetic side may result in CTS in stroke patients, especially when the paretic hand is not functional. Wrist splinting or other prophylactic treatments beginning soon after stroke might help to prevent CTS. |
format |
Article in Journal/Newspaper |
author |
Sato, Yoshihiro Kaji, Masahide Tsuru, Toshiomi Oizumi, Kotaro |
author_facet |
Sato, Yoshihiro Kaji, Masahide Tsuru, Toshiomi Oizumi, Kotaro |
author_sort |
Sato, Yoshihiro |
title |
Carpal Tunnel Syndrome Involving Unaffected Limbs of Stroke Patients |
title_short |
Carpal Tunnel Syndrome Involving Unaffected Limbs of Stroke Patients |
title_full |
Carpal Tunnel Syndrome Involving Unaffected Limbs of Stroke Patients |
title_fullStr |
Carpal Tunnel Syndrome Involving Unaffected Limbs of Stroke Patients |
title_full_unstemmed |
Carpal Tunnel Syndrome Involving Unaffected Limbs of Stroke Patients |
title_sort |
carpal tunnel syndrome involving unaffected limbs of stroke patients |
publisher |
Ovid Technologies (Wolters Kluwer Health) |
publishDate |
1999 |
url |
http://dx.doi.org/10.1161/01.str.30.2.414 https://www.ahajournals.org/doi/pdf/10.1161/01.STR.30.2.414 |
genre |
DML |
genre_facet |
DML |
op_source |
Stroke volume 30, issue 2, page 414-418 ISSN 0039-2499 1524-4628 |
op_doi |
https://doi.org/10.1161/01.str.30.2.414 |
container_title |
Stroke |
container_volume |
30 |
container_issue |
2 |
container_start_page |
414 |
op_container_end_page |
418 |
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1782333532006252544 |