P349 Assessment of prevalence and risk factors for carpal tunnel syndrome in polio survivors. Issue 9 (September 2017)

• Record Type: Journal Article
• Authors: Mercan, Metin; Bajrami, Arsida; Acır, Ibrahim; Yayla, Vildan
• Is Part Of: Clinical neurophysiology. Volume 128:Issue 9(2017:Sep.)
• Page Start: e291
• Publication Date: 2017-09
• Subjects: Carpal tunnel syndrome -- Polio survivor; Neurophysiology -- Periodicals; Electroencephalography -- Periodicals; Electromyography -- Periodicals; Neurology -- Periodicals; 612.8
• DOI: 10.1016/j.clinph.2017.07.357
• Languages: English
• ISSNs: 1388-2457

Abstract

Abstract : Objective: Carpal tunnel syndrome (CTS) is a commonly reported nerve entrapment syndrome in patients with chronic physical disabilities. It causes disability independent of underlying disease. In this study, we aimed to identify prevalence and risk factors for CTS in polio survivors. Methods: Based on clinical and electrophysiological findings, 46 patients with prior paralytic poliomyelitis were selected from patients referred to clinical neurophysiology laboratory. The CTS was classified according to the severity of nerve conduction (NC) changes. Demographic factors, medical history, crutch or cane use, post-polio syndrome, body mass index (BMI), wrist index and Barthel index were compared between the polio survivors with CTS (CTS group) and without CTS (non-CTS group). A logistic regression analysis was conducted to evaluate odds ratio of different risk factors. Results: Prevalence of CTS confirmed by NC studies in polio survivors was 43.4% (20 patient). Eighteen (45%), 12 (30%) and 2 (%5) hands had mild, moderate and severe CTS, respectively. The age, BMI and wrist index were higher in the CTS group than in the non-CTS group ( p < 0.05). Barthel index were less in the CTS group than in the non-CTS group ( p < 0.05). However, in the final logistic regression analysis, only BMI was associated with CTS in polio survivors [OR = 0.8 (95% CI 0.7-1), p = 0.02]. Discussion: Our study confirms a high occurrence of CTS in polio survivors. Conclusions: Body mass index may be associated with prevalent CTS in polio survivors. Significance: Prevention of weight gain in polio survivors may reduce the risk of CTS.