• Clinical Pain
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• v.18 no.2
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• pp.70-75
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• 2019

Objective: The purpose of this study is to evaluate the usefulness of infrared thermography in patients with carpal tunnel syndrome by comparing with electrodiagnostic and ultrasonographic findings. Method: From January 2014 to October 2017, electrodiagnosis, ultrasound, and digital infrared thermal image (DITI) of unilateral carpal tunnel syndrome diagnosed in a single hospital were retrospectively analyzed. The subjects with bilateral symptoms of carpal tunnel syndrome, peripheral vascular disease, diabetes, thyroid disease, fibromyalgia, rheumatic disease, systemic infection, inflammation, malignant tumor, and other musculoskeletal disorders such as finger osteoarthritis, peripheral neuropathy, cervical radiculopathy, and the previous history of surgery were excluded. Results: Of 53 patients diagnosed with carpal tunnel syndrome, 11 were male and 42 were female. The visual analogue scale was 4.9 ± 1.9, and the duration of symptom was 11.8 ± 12.5 months. There was no statistically significant difference in the body surface temperature between the unaffected and affected sides. The severity of symptoms, electrodiagnostic findings, and cross-sectional area of the median nerve significantly correlates to each other. The temperature difference between the second fingers of the affected and unaffected sides showed a weak correlation with the amplitude of sensory nerve action potential and onset latency of compound muscle action potential, when there was no significant correlation with the other parameters. Conclusion: The difference in temperature on the surface of the body, which can be confirmed by DITI, is little diagnostic value when DITI is performed in unilateral carpal tunnel syndrome patients, especially when compared with ultrasonography.

• Journal of Pharmacopuncture
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• v.4 no.3
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• pp.39-45
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• 2001

Objective: The purpose of the study was to evaluate the effectiveness of treating the carpal tunnel syndrome by using both the Herbal Acupuncture and herbal medicine therapy on five cases. Methods: For the Herbal Acupuncture, Jungseonguhhyul No. 1 and Hwanglyunhaedoktang were used. For the herbal medicine, Dangguihwalhyul-tang was used. The patients were treated once in every two days; the result was evaluated after ten treatments. Patients' conditions were monitored through their testimony, phalen's test, nerve conduction study and electromyography. Results: In all five cases, the patients showed improvement; in four cases, the patients no longer had most of the clinical symptoms. Based on the result of the nerve conduction study, for the four cases in which the patients no longer displayed most of the clinical symptoms, their nerve conduction rate improved; for the remaining one case, the patient's nerve conduction rate deteriorated. Conclusions: The results of this study demonstrate that combining the Herbal Acupuncture and herbal medicine therapy can have noticeable effects in treating the carpal tunnel syndrome; developing more variety of the herbal acupuncture would lead to even better treatment results.

• Journal of Korean Neurosurgical Society
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• v.63 no.5
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• pp.664-670
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• 2020

Lipofibromatous hamartoma (LFH) is a rare tumor of the peripheral nerves, which usually involves the median nerve. The authors reported on two rare cases of carpal tunnel syndrome due to LFH of the median nerve. A 49-year-old female patient complained of the mass and symptoms consistent with LFH. Magnetic resonance imaging (MRI) showed typical LFH findings. The symptoms were successfully ameliorated with carpal tunnel release and external neurolysis. A 37-year-old female patient complained of weakening thumb abduction and the mass where the MRI showed atypical findings. Opponensplasty and debulking operations were performed after which thumb abduction was improved; however, neurological sequelae remained. LFH of the median nerve is managed on a case-by-case basis as treatment guidelines are not very clearly defined yet. However, the less invasive treatment such as carpal tunnel release and external neurolysis than more aggressive surgical treatment should be recommended as a treatment option.

• Journal of Acupuncture Research
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• v.25 no.4
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• pp.163-170
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• 2008

Purpose : In order to estimate clinical effects of Oriental Medicine Treatment with acupotomy therapy of Carpal tunnel Syndrome. Methods : From 7th May, 2008 to 10th May, 2008, 1 female patient diagnosed as carpal tunnel syndrome(clinical diagnosed) was treated with general oriental medicine therapy(acupuncture, moxibustion, cupping, physical therapy, herbal medication) and acupotomy. Results : The patient's both hand numbness, both wrist pain & puffiness were remarkably improved. Conclusions : This study demonstrates that oriental medical treatment with acuputomy therapy has notable effect in improving symptoms of carpal tunnel syndrome. as though we had not wide experience in this treatment, more research is needed.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2016.10a
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• pp.827-829
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• 2016

장시간 컴퓨터나 스마트폰을 사용하는 사람들에게서 손목터널증후군(Carpal Tunnel Syndrome)의 발생 가능성이 높아지며, 이를 방지하기 위해서는 꾸준한 손목 스트레칭과 위험성의 모니터링을 통한 사용자 피드백이 중요하다. 본 연구에서는 사용자 스스로가 손목 터널 증후군의 위험성을 인지하고, 손목 스트레칭 할 수 있도록 손목 터널 증후군 예방 시스템(Carpal Tunnel Syndrome Prevention System, CTSPS)을 구현하였다. 전체 시스템은 하드웨어와 소프트웨어로 구성되며, 소프트웨어는 사용자가 설정한 사용 시간과 잠금 시간을 바탕으로 알림 및 잠금을 수행한다. 이때 사용자는 아두이노와 가속도 센서를 이용하여 손목 스트레칭 할 수 있으며, 사용 패턴을 분석하여 사용자에게 맞는 생활 가이드를 제공할 수 있다. 구현된 시스템을 평가하기 위해 피실험자 5명을 대상으로 3일간 스마트폰 사용 시간 및 터치 횟수를 측정하였고, 설문조사를 수행한 결과 스마트폰의 사용 빈도가 줄었으며, 통증 완화 등 긍정적인 효과를 확인할 수 있었다.

• Archives of Plastic Surgery
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• v.44 no.3
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• pp.223-227
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• 2017

Background Carpal tunnel release is one of the most common surgical procedures performed by hand surgeons. The authors created a surgical simulation of open carpal tunnel release utilizing a mobile and rehearsal platform app. This study was performed in order to validate the simulator as an effective training platform for carpal tunnel release. Methods The simulator was evaluated using a number of metrics: construct validity (the ability to identify variability in skill levels), face validity (the perceived ability of the simulator to teach the intended material), content validity (that the simulator was an accurate representation of the intended operation), and acceptability validity (willingness of the desired user group to adopt this method of training). Novices and experts were recruited. Each group was tested, and all participants were assigned an objective score, which served as construct validation. A Likert-scale questionnaire was administered to gauge face, content, and acceptability validity. Results Twenty novices and 10 experts were recruited for this study. The objective performance scores from the expert group were significantly higher than those of the novice group, with surgeons scoring a median of 74% and medical students scoring a median of 45%. The questionnaire responses indicated face, content, and acceptability validation. Conclusions This mobile-based surgical simulation platform provides step-by-step instruction for a variety of surgical procedures. The findings of this study help to demonstrate its utility as a learning tool, as we confirmed construct, face, content, and acceptability validity for carpal tunnel release. This easy-to-use educational tool may help bring surgical education to a new- and highly mobile-level.

• Journal of Korean society of Dental Hygiene
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• v.4 no.2
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• pp.225-236
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• 2004

It has been suggested in research results thai dental hygienists have high risk of carpal tunnel syndrome, mainly caused by the repeated motion of extensor and flexor or the use of vibration tools, compared to other occupations. To find out the situation of the carpal tunnel syndrome of dental hygienists, who are exposed to work-related musculoskeletal disorders, this study used 132 questionnaires given on May 22, 2004, the period of continuing education of the first half year in the Gwangju Jeonnam area, and obtained the following results. 1. Subjects worked at a dental ciinic(32.6%), a hospital(31.8%), and a public health center(35.6%). Age by work was under 24 in a clinic(17.4%) and a hospital(15.9%), and over 30 in a public health center(35.6%). 2. In practice conducted over one time a day, a scaling accounted for 90.7% in a doctor's office; 595% in a hospital; and 3.0% in a public health center, suggesting significant difference(p<0.01). Pit and fissure sealant accounted for 53.5% in a clinic; 53.2% in a hospital; and 95% in a public health center, also suggesting significant difference(p0.01). 3. Symptoms of carpal tunnel syndrome appeared in a wrist(12.1%), a right hand(14.4%), and a left hand(5.3%). 4. In case of temporary crown practice, symptoms appeared in a wrist(22.0%), a right hand(14.0%), and a left hand(4.0%), suggesting significant difference(p<0.01). The above results showed that 12.1% of dental hygienists was exposed to carpal tunnel syndrome. Thus, it is considered very important that dental hygienists should be given education of the danger of continuous work in certain motions and prevention education of improving repeated position, and make efforts to reinforce self-control ability.

• The Journal of Korean Obstetrics and Gynecology
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• v.28 no.4
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• pp.65-76
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• 2015

Objectives : This study is to report the effect of Korean medical treatment on a patient suffered from carpal tunnel syndrome (CTS) occurred in pregnancy and worsened after birth. Methods : We treated the patient diagnosed as carpal tunnel syndrome by Korean medical treatment such as acupuncture, pharmacopuncture and herbal medicine at ⃝⃝Hospital of Korean Medicine from July 31th 2015 to August 6th 2015. And we evaluated changes of symptoms by Visual Analog Scale (VAS), Tinel sign, Phalen’s test, and Digital Infrared Thermographic Imaging (DITI). Results : 1. Through Korean medical treatment, postpartum carpal tunnel syndrome was significantly improved. VAS was decreased from 4 to 2, Phalen’s test was manifested from 10 seconds to 26 seconds and Tinel sign was changed from positive to negative. 2. We compared the gap of temperature between palm and forearm before and after Korean medical treatment through DITI. The temperature on the right side was changed from 0.74℃ to 1.01℃ and the left one from 0.63℃ to 1.01℃. Conclusions : This case report shows that Korean medical treatment is useful to treat pregnancy-related carpal tunnel syndrome worsened after birth.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2016.05a
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• pp.531-532
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• 2016

Carpal tunnel syndrome, carpal tunnel becomes part of a narrower median nerve pain occurs pressed. How a stable wrist stretch for the prevention of carpal tunnel syndrome is required, it should life guides to fit the user is provided. In this research, users themselves recognize the risk of carpal tunnel syndrome, to be able to stretch, it implements the application. Application, based on the usage time set by the user, executes the alarm and lock. At this time, the user may utilize arduino and inertia sensor, it is possible to wrist stretch, to analyze usage patterns, it is possible to provide a medical information and life guides to suit the user. Data using Bluetooth 4.0 communication has been to meet the runaway. In order to evaluate the mounted system, targeting four subjects, the time and the touch frequency of usage of the 3-day smartphone measured, as a result of the questionnaire, it reduces the frequency of use of smartphones, a positive it was possible to prove the effect.

• Proceedings of the ESK Conference
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• 1993.04a
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• pp.100-109
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• 1993

To investigate the work-relatedness of carpal tunnel syndrome of some workers at packing department in a rayon manufacturing company, reseracher studied the symptoms and physical sign related to carpal tunnel syndrome of the workers at packing, ysrning, and washing department. The results are as follows: 1. By the results of ergonomic study, the packing work had the considerable probability to develop the carpal tunnel syndrome. 2. The prevalences of symptoms, physical sign and case by definition were higher in woman workers than in man workers. 3. In female workers, the age-agjusted prevalence rates of symptoms were 11.6/1, 000 in workers at washing department, 111.6/1, 000 in workers at packing department, and 70.1/1, 000 in workers at yarning department. In male workers, the age- adjusted rates of symptoms were 92.1/1, 000 in workers at washing department, 210.1/1, 000 in workers at packing and delivery department, and 0.0/1, 000 in workers at yarning department. 4. In female workers, the age-adjusted prevalence rates of physical signs were 119.5/1, 000 in workers at washing department, 104.4/1, 000 in workers at packing department, and 84.5 in workers at yarning department. In male workers, the age-adjusted rates of physical signs were 65.7/1, 000 in workers at washing department, 59.0/1, 000 in workers at packing and delivery department, and 176.9/1, 000 in workers at yarning department. 5. In female workers, the age- adjusted prevelence rates of carpal tunnel cases by case definition were 123.1/1, 000 in workers at washing department, 1117.2/1, 000 in workers at packing department, and 60.2/1, 000 in workers at yarning department. In male workers, the age-adjusted of cases were 355.9/1, 000 in workers at packing and delivery department, and 0.0/1, 000 in workers at other two departments. 6. The most of female workdrs at washing departmentn had the work history at packing department. 7. We concluded the carpal tunnel syndrome of female workers at packing department were work related.