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 Meung Kwon (김명권); Da-Eun Yun (윤다은)

Effect of Trigger Finger on Pain, Grip Strength and Function of Upper Limb of Patients with Carpal Tunnel Syndrome: A Cross-sectional Study

Journal of the Korean Society of Physical Medicine
Abbr : J Korean Soc Phys Med
2021, 16(1), pp.63-71
Publisher : The Korean Society of Physical Medicine
Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy
Received : September 1, 2020
Accepted : November 14, 2020
Published : February 28, 2021

Kim Meung Kwon ¹, Da-Eun Yun ¹

¹대구대학교

Accredited

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

Carpal tunnel syndrome, Trigger finger, Grip strength, Pain, Function of upper limb

Citation status

* References for papers published after 2023 are currently being built.

[journal] Thiese MS / 2014 / Effects of varying case definition on carpal tunnel syndrome prevalence estimates in a pooled cohort / Arch Phys Med Rehabil 95 : 23206~

[journal] Stevens JC / 1988 / Carpal tunnel syndrome in Rochester, Minnesota, 1961 to 1980 / Neurology 38 : 1348~

[journal] Nordstrom DL / 1997 / Risk factors for carpal tunnel syndrome in a general population / Occup Environ Med 54 : 73440~

[journal] Solomon DH / 1999 / Non-occupational risk factors for carpal tunnel syndrome / J Gen Intern Med 14 : 3104~

[book] The korean society for surgery of the hand / 2014 / Surgery of the hand / Panmuneducation

[journal] Kerrigan CL / 2009 / Using evidence to minimize the cost of trigger finger care / Hand Surg 34(6) : 9971005~

[journal] Makkouk AH / 2008 / Trigger finger : etiology, evaluation, and treatment / Curr Rev Musculoskelet Med 1(2) : 926~

[journal] Nimigan A / 2006 / Trigger fingers : a review / Phys Rehabil Med 13(4) : 303~316

[journal] Boutasta T / 2012 / 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 (3) : 857~

[journal] Harada K / 2005 / Trigger digits-associated carpal tunnel syndrome : relationship between carpal tunnel and trigger digits / Hand Surg 10(2) : 2058~

[journal] Rottgers SA / 2009 / Concomitant presentation of carpal tunnel syndrome and trigger ?nger / J Brachial Plex Peripher Nerve Inj 25(4) : 13~

[journal] Hayashi M / 2001 / Carpal tunnel syndrome and the development of trigger digit / J Clin Neurosci 12(1) : 3940~

[journal] Kumar P / 2009 / Idiopathic carpal tunnel syndrome and trigger ?nger: is there an association? / J Hand Surg Eur 34(1) : 589~

[journal] Akimasa M / 2001 / Association between stenosing tenosynovitis and carpal tunnel syndrome / J Japan Soc Surg Hand (18) : 4113~

[journal] Lauren EW / 2013 / Epidemiology of Carpal Tunnel Syndrome in Patients With Single Versus Multiple Trigger Digits / J Hand Surg Am 38(1) : 49~55

[journal] Berlanga-de-Mingo D / 2019 / Association between multiple trigger fingers, systemic diseases and carpal tunnel syndrome : A multivariate analysis / Rev Esp Cir Ortop Traumatol 63(4) : 307~312

[journal] Garti A / 2001 / Increased median nerve latency at the carpal tunnel of patients with trigger finger : Comparison of 62 patients and 13 controls / Acta Orthop Scand 72(3) : 279~281

[journal] Brent Graham / 2006 / Development and validation of diagnostic criteria for carpal tunnel syndrome / J Hand Surg Am 31(6) : 919~924

[journal] Stefano Bianchi / 2019 / Ultrasound Features of Trigger Finger : Review of the Literature / J Ultrasound Med 38(12) : 3141~3154

[journal] Helen CR / 2011 / A review of the measurement of grip strength in clinical and epidemiological studies : towards a standardised approach / Age Ageing 40(4) : 423~429

[journal] Danit Langer / 2017 / Evaluating Hand Function in Clients with Trigger Finger / Occup Ther Int : 9539206~

[journal] Crosby CA / 1994 / Hand strength : normative values / J Hand Surg Am 19 : 66570~

[journal] Bohannon RW / 2003 / Grip strength : a summary of studies comparing dominant and nondominant limb measurements / Percept Mot Skills 96(1) : 72830~

[book] Fess EE / 1992 / Grip Strength / American Society of Hand Therapists

[journal] Allen D / 2011 / Reliability and validity of an electronic dynamometer for measuring grip strength / Int J Ther Rehabil 18 : 25864~

[journal] Breivik EK / 2000 / A comparison of pain rating scales by sampling from clinical trial data / Clin J Pain 16 : 228~

[journal] Rodriguez CS / 2001 / Pain measurement in the elderly : a review / Pain Manag Nurs 2(2) : 38~46

[journal] Breivik H / 2008 / Assessment of pain / Br J Anaesth 101(1) : 17~24

[journal] Ferraz MB / 1990 / Reliability of pain scales in the assessment of literate and illiterate patients with rheumatoid arthritis / J Rheumatol 17(8) : 1022~1024

[journal] Hudak PL / 1996 / 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 29(6) : 602~608

[journal] Joo-Yup Lee / 2008 / 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 17(4) : 570~574

[journal] Dokyung Kim / 2018 / The effects of pain on quadriceps strength, joint proprioception and dynamic balance among women aged 65 to 75 years with knee osteoarthritis / BMC Geriatr 18(1) : 245~

[journal] Nordenskiold UM / 1993 / Grip force in patients with rheumatoid arthritis and fibromyalgia and in healthy subjects. A study with the Grippit instrument / Scand J Rheumatol 22 : 1419~

[journal] Oskouei A / 2014 / Effects of neuromobilization maneuver on clinical and electrophysiological measures of patients with carpal tunnel syndrome / J Phys Ther Sci 26 : 1017~1022

[journal] Pratelli E / 2015 / Conservative treatment of carpal tunnel syndrome : Comparison between laser therapy and fascial manipulation / J Bodyw Mov Ther 19 : 113~118

[journal] Julie Colbourn / 2008 / Effectiveness of splinting for the treatment of trigger finger / J Hand Ther 21(4) : 336~343

[journal] Kristin Valdes / 2012 / A retrospective review to determine the long-term efficacy of orthotic devices for trigger finger / J Hand Ther 25(1) : 89~95

[journal] Toshihiko Imaeda / 2005 / Validation of the Japanese Society for Surgery of the Hand version of the Disability of the Arm, Shoulder, and Hand questionnaire / J Orthop Sci 10(4) : 353~359

[journal] Langer D / 2015 / Stenosing flexor tenosynovitis: validity of standard assessment tools of daily functioning and quality of life / J Hand Ther 28(4) : 3848~

[journal] Sohail Akhtar / 2005 / Management and referral for trigger finger/thumb / BMJ 331(7507) : 303~

[journal] Langer D / 2016 / Using the international classification of functioning to examine the impact of trigger finger / Disabil Rehabil 38(26) : 2530~2537

[journal] Swart E / 2012 / The effects of pain, supination, and grip strength on patient-rated disability after operatively treated distal radius fractures / J Hand Surg 37(5) : 95762~

[journal] Syddall HE / 2009 / The SF-36:a simple, effective measure of mobility-disability for epidemiological studies / J Nutr Health Aging 13 : 5762~

[journal] Dianna Lunsford / 2019 / Conservative management of trigger finger : A systematic review / J Hand Ther 32(2) : 212~221

KJCKorea
Journal Central

Journal of the Korean Society of Physical Medicine 2023 KCI Impact Factor : 0.45