Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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Effect of Trigger Finger on Pain, Grip Strength and Function of Upper Limb of Patients with Carpal Tunnel Syndrome: A Cross-sectional Study

방아쇠수지가 손목터널증후군 환자의 악력, 통증 및 상지기능에 미치는 영향: 단면적 연구

  • Kim, Myoung-Kwon (Department of Physical Therapy, College of Rehabilitation Sciences, Daegu University) ;
  • Yun, Da-Eun (Department of Rehabilitation Sciences, Graduate School, Daegu University)
  • 김명권 (대구대학교 재활과학대학 물리치료학과) ;
  • 윤다은 (대구대학교 일반대학원 재활과학과)
  • Received : 2020.09.01
  • Accepted : 2020.11.14
  • Published : 2021.02.28
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Abstract

PURPOSE: The purpose of this study was to investigate the effects of trigger finger on pain, muscle strength and function in carpal tunnel syndrome (CTS) patients. METHODS: A total of 60 subjects (30 carpal tunnel syndrome with trigger finger and 30 carpal tunnel syndrome without trigger finger) were assessment for pain, muscle strength (power grip, key pinch , tip to tip pinch, three jaw pinch) and function. The effect sizes of the two groups were compared, and the correlation between the trigger finger and each variable was analyzed. RESULTS: The results showed that there were significantly difference in the pain, muscle strength excluding three jaw pinch and function (p < .05). The results also showed correlation between trigger finger and pain (r = .552), muscle strength excluding three jaw pinch (power grip r = -.296, key pinch r = -.260, tip to tip pinch r = -.285), and function (r = .375). The function of carpal tunnel syndrome patients was related to pain (r = .550) and power grips (r = -.324) of muscle strength. CONCLUSION: In carpal tunnel syndrome patients with trigger finger compared to carpal tunnel syndrome, muscle weakness, pain increase, and function reduction were shown. In addition, trigger finger are correlated with muscle strength, pain and function, and muscle weakness and increased pain affect the daily living of carpal tunnel syndrome patients with triggers finger. Therefore, physical therapy interventions of carpal tunnel syndrome patients with trigger finger should be combined with treatment for muscle strength enhancement as well as pain reduction.

Keywords

References

  1. Thiese MS, Gerr F, Hegmann KT, et al. Effects of varying case definition on carpal tunnel syndrome prevalence estimates in a pooled cohort. Arch Phys Med Rehabil. 2014;95:23206.
  2. Stevens JC, Sun S, Beard CM, et al. Carpal tunnel syndrome in Rochester, Minnesota, 1961 to 1980. Neurology. 1988;38:1348.
  3. Nordstrom DL, Vierkant RA, DeStefano F, et al. Risk factors for carpal tunnel syndrome in a general population. Occup Environ Med. 1997;54:73440.
  4. Solomon DH, Katz JN, Bohn R, et al. Non-occupational risk factors for carpal tunnel syndrome. J Gen Intern Med. 1999;14:3104.
  5. The korean society for surgery of the hand. Surgery of the hand. Korea. Panmuneducation. 2014.
  6. Kerrigan CL, Stanwix MG. Using evidence to minimize the cost of trigger finger care. Hand Surg. 2009;34(6):9971005,
  7. Makkouk AH, Oetgen ME, Swigart CR, et al. Trigger finger: etiology, evaluation, and treatment. Curr Rev Musculoskelet Med. 2008;1(2):926,
  8. Nimigan A, Rosenblatt Y, Gan BS, et al. Trigger fingers: a review. Phys Rehabil Med. 2006;13(4):303-16.
  9. Boutasta T, Hamiche M, Ouaret MY, et al. Carpal tunnel syndrome and trigger ?nger at the wrist caused by an anomalous ?exor digitorum super?cialis of the index: a case report and review of literature. Eur Orthop Traumatol. 2012;(3):857.
  10. Harada K, Nakashima H, Teramoto K, et al. Trigger digits-associated carpal tunnel syndrome: relationship between carpal tunnel and trigger digits. Hand Surg. 2005;10(2):2058.
  11. Rottgers SA, Lewis D, Wollstein RA, et al. Concomitant presentation of carpal tunnel syndrome and trigger ?nger. J Brachial Plex Peripher Nerve Inj. 2009;25(4):13.
  12. Hayashi M, Uchiyama S, Toriumi H, et al. Carpal tunnel syndrome and the development of trigger digit. J Clin Neurosci. 2001;12(1):3940.
  13. Kumar P, Chakrabarti I, Idiopathic carpal tunnel syndrome and trigger ?nger: is there an association? J Hand Surg Eur. 2009;34(1):589.
  14. Akimasa M, Yoshihoro T, Hitoshi H, et al. Association between stenosing tenosynovitis and carpal tunnel syndrome. J Japan Soc Surg Hand. 2001;(18):4113.
  15. Lauren EW,Duretti TF,Martin IB, et al. Epidemiology of Carpal Tunnel Syndrome in Patients With Single Versus Multiple Trigger Digits. J Hand Surg Am. 2013;38(1): 49-55. https://doi.org/10.1016/j.jhsa.2012.08.040
  16. Berlanga-de-Mingo D,Lobo-Escolar L,Lpez-Moreno I,et al. Association between multiple trigger fingers, systemic diseases and carpal tunnel syndrome: A multivariate analysis. Rev Esp Cir Ortop Traumatol. 2019;63(4):307-12.
  17. Garti A,Velan GJ,Moshe W, et al. Increased median nerve latency at the carpal tunnel of patients with trigger finger:Comparison of 62 patients and 13 controls. Acta Orthop Scand. 2001;72(3):279-81 https://doi.org/10.1080/00016470152846628
  18. Brent Graham, Glenn Regehr, Gary Naglie, et al. Development and validation of diagnostic criteria for carpal tunnel syndrome. J Hand Surg Am. 2006;31(6): 919-24.
  19. Stefano Bianchi, Salvatore Gitto, Ferdinando Draghi. Ultrasound Features of Trigger Finger: Review of the Literature. J Ultrasound Med. 2019;38(12):3141-54. https://doi.org/10.1002/jum.15025
  20. Helen CR, Hayley JD, Helen JM, et al. A review of the measurement of grip strength in clinical and epidemiological studies: towards a standardised approach. Age Ageing. 2011;40(4):423-9. https://doi.org/10.1093/ageing/afr051
  21. Danit Langer, Adina Maeir, Michael Michailevich, et al. Evaluating Hand Function in Clients with Trigger Finger. Occup Ther Int. 2017;9539206.
  22. Crosby CA, Wehbe MA, Mawr B, et al. Hand strength: normative values. J Hand Surg Am. 1994;19:66570.
  23. Bohannon RW. Grip strength: a summary of studies comparing dominant and nondominant limb measurements. Percept Mot Skills. 2003;96(1):72830. https://doi.org/10.2466/pms.2003.96.3.728
  24. Fess EE. Grip Strength(2nded). Chicago. American Society of Hand Therapists, 1992.
  25. Allen D, Barnett F. Reliability and validity of an electronic dynamometer for measuring grip strength. Int J Ther Rehabil. 2011;18:25864.
  26. Breivik EK, Bjornsson GA, Skovlund E, et al. A comparison of pain rating scales by sampling from clinical trial data. Clin J Pain. 2000;16:228
  27. Rodriguez CS. Pain measurement in the elderly: a review. Pain Manag Nurs. 2001;2(2):38-46. https://doi.org/10.1053/jpmn.2001.23746
  28. Breivik H, Borchgrevink PC, Allen SM, et al. Assessment of pain. Br J Anaesth. 2008;101(1):17-24. https://doi.org/10.1093/bja/aen103
  29. Ferraz MB, Quaresma MR, Aquino LR, et al. Reliability of pain scales in the assessment of literate and illiterate patients with rheumatoid arthritis. J Rheumatol. 1990;17(8):1022-4.
  30. Hudak PL, Amadio PC, Bombardier C, et al. Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand). The Upper Extremity Collaborative Group(UECG). Am J Ind Med. 1996;29(6):602-8. https://doi.org/10.1002/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>3.0.CO;2-L
  31. Joo-Yup Lee, Jae-Young Lim, Joo Han Oh, et al. Cross-cultural adaptation and clinical evaluation of a Korean version of the disabilities of arm, shoulder, and hand outcome questionnaire(K-DASH). J Shoulder Elbow Surg. 2008;17(4):570-4. https://doi.org/10.1016/j.jse.2007.12.005
  32. Dokyung Kim, Geon Park, Liang-Tseng Kuo, et al. The effects of pain on quadriceps strength, joint proprioception and dynamic balance among women aged 65 to 75 years with knee osteoarthritis. BMC Geriatr. 2018;18(1):245. https://doi.org/10.1186/s12877-018-0932-y
  33. Nordenskiold UM, Grimby G. Grip force in patients with rheumatoid arthritis and fibromyalgia and in healthy subjects. A study with the Grippit instrument. Scand J Rheumatol 1993;22:1419.
  34. Oskouei A, Talebi G, Shakouri S, et al. Effects of neuromobilization maneuver on clinical and electrophysiological measures of patients with carpal tunnel syndrome. J Phys Ther Sci. 2014;26:1017-22. https://doi.org/10.1589/jpts.26.1017
  35. Pratelli E, Pintucci M, Cultrera P, et al. Conservative treatment of carpal tunnel syndrome: Comparison between laser therapy and fascial manipulation. J Bodyw Mov Ther 2015;19:113-8. https://doi.org/10.1016/j.jbmt.2014.08.002
  36. Julie Colbourn, Noel Heath, Sherry Manary, et al. Effectiveness of splinting for the treatment of trigger finger. J Hand Ther. 2008;21(4):336-43. https://doi.org/10.1197/j.jht.2008.05.001
  37. Kristin Valdes. A retrospective review to determine the long-term efficacy of orthotic devices for trigger finger. J Hand Ther. 2012;25(1):89-95 https://doi.org/10.1016/j.jht.2011.09.005
  38. Toshihiko Imaeda, Satoshi Toh, Yasushi Nakao, et al. Validation of the Japanese Society for Surgery of the Hand version of the Disability of the Arm, Shoulder, and Hand questionnaire. J Orthop Sci. 2005;10(4):353-9. https://doi.org/10.1007/s00776-005-0917-5
  39. Langer D, Luria S, Bar-Haim Erez A, et al. Stenosing flexor tenosynovitis: validity of standard assessment tools of daily functioning and quality of life. J Hand Ther, 2015;.28(4):3848.
  40. Sohail Akhtar, Mary J Bradley, David N Quinton, et al. Management and referral for trigger finger/thumb. BMJ. 2005;2;331(7507):303.
  41. Langer D, Maeir A, Michailevich M, et al. Using the international classification of functioning to examine the impact of trigger finger. Disabil Rehabil. 2016;38(26): 2530-7 https://doi.org/10.3109/09638288.2015.1137980
  42. Swart E, Nellans K, Rosenwasser M, et al. The effects of pain, supination, and grip strength on patient-rated disability after operatively treated distal radius fractures. J Hand Surg. 2012;37(5):95762.
  43. Syddall HE, Martin HJ, Harwood RH, et al. The SF-36: a simple, effective measure of mobility-disability for epidemiological studies. J Nutr Health Aging 2009;13: 5762.
  44. Dianna Lunsford, Kristin Valdes, Selena Hengy, et al. Conservative management of trigger finger: A systematic review. J Hand Ther. 2019;32(2):212-21. https://doi.org/10.1016/j.jht.2017.10.016