Carpal tunnel syndrome during the third trimester ... - BV FAPESP
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Carpal tunnel syndrome during the third trimester of pregnancy: prevalence and risk factors

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Autor(es):
Dias de Oliveira, Gladys Alexandra [1] ; Bernardes, Joao Marcos [2] ; Santos, Elisiane de Souza [2] ; Dias, Adriano [2]
Número total de Autores: 4
Afiliação do(s) autor(es):
[1] Univ Estadual Paulista, UNESP, Fac Med Botucatu, Programa Posgrad Ginecol Obstetricia & Mastol, Av Prof Mario Rubens Guimaraes Montenegro S-N, Botucatu, SP - Brazil
[2] Univ Estadual Paulista UNESP, Dept Publ Hlth, Fac Med Botucatu, Programa Posgrad Sande Colet, Av Prof Mario Rubens Guimaraes Montenegro S-N, BR-8618687 Botucatu, SP - Brazil
Número total de Afiliações: 2
Tipo de documento: Artigo Científico
Fonte: ARCHIVES OF GYNECOLOGY AND OBSTETRICS; v. 300, n. 3, p. 623-631, SEP 2019.
Citações Web of Science: 0
Resumo

Purpose To estimate the prevalence of indicative signs and symptoms of carpal tunnel syndrome (CTS) during the third trimester of pregnancy; assess the severity of symptoms and functional impairment; evaluate associated factors; and to evaluate the complaint of CTS in pregnant women through ultrasonography (USG). Methods A cross-sectional study, in which participants were classified into two groups: presence and absence of indicative signs and symptoms of CTS. Severity of symptoms and functional status was assessed by the Boston Carpal Tunnel Questionnaire. USG was performed by multiplanar technique of static and dynamic evaluation. Association between USG and indicative signs and symptoms of CTS was estimated using Fischer's exact test and Poisson regression models were used to estimate the association of exploratory variables and indicative signs and symptoms of CTS. Results Altogether, 482 women were recruited and 111 presented indicative signs and symptoms of CTS, resulting in a prevalence of 23.03%. USG was not able to distinguish indicative signs and symptoms of CTS groups. Both the severity of the symptoms and the impairment of the manual function were mild. Being left-handed, gestational diabetes mellitus and maternal age were associated with indicative signs and symptoms of CTS. Conclusions The high prevalence of indicative signs and symptoms of CTS and the difficulties that they can cause reinforce the importance of adequate diagnosis and treatment. Further studies are needed to assess the value of USG as a diagnostic method for CTS during pregnancy. (AU)

Processo FAPESP: 11/23570-1 - Prevalência da Síndrome do Túnel do Carpo na gravidez
Beneficiário:Adriano Dias
Modalidade de apoio: Auxílio à Pesquisa - Regular