Avaliação da sensibilidade cutânea na mão de pacientes com síndrome do túnel do carpo associada à hemodiálise, antes e após tratamento cirúrgico / Cutaneous sensibility testing in patients in chronic hemodialysis associated to carpal tunnel syndrome before and after surgical decompression

AUTOR(ES)
FONTE

IBICT - Instituto Brasileiro de Informação em Ciência e Tecnologia

DATA DE PUBLICAÇÃO

18/09/2012

RESUMO

Carpal Tunnel Syndrome is the most common compressive neuropathy on the upper limb. About 5% of the patients with chronic renal insufficiency who are treated with hemodialysis present carpal tunnel syndrome. Clinical history and physical examination remain the most adequate tools for the diagnosis. Evaluation of sensory thresholds can be used to complement those parameters. The PSSD (Pressurespecified sensory device) is a tool that incorporates a pressure transducer linked to a computer capable of measuring the cutaneous pressure thresholds referred by the patient. The aim of this study was to determine the values of pressure thresholds with the PSSD before and after treatment of carpal tunnel syndrome. The patients were divided in two groups: Group 1: patients with carpal tunnel syndrome associated to chronic hemodialysis. Group 2: patients with carpal tunnel syndrome without renal insufficiency. The following measurements were performed: static one point, moving one point, static two points and moving two points. The results showed better results in the post operative measurements in all parameters assessed in group 1, and improvements in all parameters with exception of the moving one point test in group 2

ASSUNTO(S)

renal dialysis carpal tunnel syndrome cirurgia diálise renal limiar sensorial pressão pressure sensory thresholds síndrome do túnel carpal surgery

ACESSO AO ARTIGO

Documentos Relacionados