A prevalência da síndrome do túnel do carpo em atletas de esportes adaptados

• Ano de defesa: 2018
• Autor(a) principal: Meirelles, Lia Miyamoto [UNIFESP]
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: Prevalence; Syndrome; Tunnel carpal; Athetes; Adapted sports; Prevalência; Síndrome; Túnel do carpo; Atletas; Esportes adaptados
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=7304945; https://repositorio.unifesp.br/handle/11600/52459

Objective: The objective of this study was to verify the prevalence of carpal tunnel syndrome in people with disabilities who practice adapted sports, in which they use palmar grip or palmar support during their sports activities. METHODS: A crosssectional study was carried out with adapted athletes, who practiced weightlifting, wheelchair basketball, fencing in a wheelchair, sitting volleyball, table tennis in wheelchairs and capoeira, which were evaluated in the following outcomes: presence of pain, presence of nocturnal paresthesia, Tinel signal, Phalen test, intensity of signs and symptoms, and functional status of the hand. To evaluate the intensity of pain, the numerical scale of pain was applied. For the evaluation of nocturnal paresthesia the athletes were asked about the presence of this symptom. The presence of Tinel signal and Phalen test were evaluated. Regardless of the complaints, two selfassessment tools were applied to assess the intensity of signs and symptoms and functional status of the hand: the Boston Questionnaire and the Sixitem Carpal Tunnel Syndrome Scale (CTS6). It was defined for this study that the presence of two signs and/or symptoms would characterize carpal tunnel syndrome. Results: We considered the clinical exams of 72 adapted athletes, totaling 144 hands. No assessed athlete reported pain or nocturnal paresthesia. Fifteen athletes had at least one sign or symptom in a total of 20 hands. The presence of only one clinical symptom occurred in 8 (11%) right hands and 6 (8%) left hands. The presence of two concomitant clinical symptoms occurred in 4 (6%) right hands and 3 (4%) left hands. The presence of three concomitant clinical symptoms did not occur in any hand. In the Boston questionnaire, for the right hand, the mean score was 11.76 and for the left hand it was 11.38. In the CTS6 questionnaire, for the right hand, the mean score was 1.07 and for the left hand it was 1.05. We did not find a relation bet ween the presence of signs and / or symptoms, the type of adapted sport, whether the wheelchair, the dominant side and the time of sports practice. Conclusion: The prevalence of carpal tunnel syndrome in the 72 disabled athletes who practice adapted sport was 6 in 72 (8%).