The Prevalence and Associated Risk Factors of Carpal Tunnel Syndrome among Private Dentists in Klang Valley, Malaysia: A Cross-sectional Study

Authors

  • Sheryl Jing-Ning Teo MAHSA University
  • Wan Nurul Hana Wan Mohamad Saleh MAHSA University
  • Ratnasothy N. Subramaniam MAHSA University
  • Nur Sulwana Mohamad Hanapi MAHSA University
  • Yeannie HY Yap MAHSA University

DOI:

https://doi.org/10.22452/adum.vol29.2

Keywords:

CTS, private dental practitioner, BCTQ, Tinel's sign, Phalen's test

Abstract

Carpal Tunnel Syndrome (CTS) is a progressive entrapment neuropathy that is commonly associated with dentists. If left untreated, permanent nerve and muscle damage may occur. The purpose of this study is to determine prevalence of CTS among private dentists in Klang Valley, Malaysia and to further identify the associated risk factors for CTS symptoms. In-person interviews of 78 subjects obtained using the convenience sampling method were carried out. The Boston Carpal Tunnel Questionnaire (BCTQ) and clinical tests of Phalen and Tinel were used to examine signs and functional impact of CTS. The overall prevalence of CTS-related symptoms is 37.2%. Using BCTQ alone, 6.4% showed mild CTS symptoms through the level of functional state scoring (FSS) while 10.3% showed mild to moderate symptoms in the scale of the severity of symptoms (SSS). There is a significant correlation between the age of dentists and CTS symptoms (p = 0.007). The prevalence of CTS was more common in older dentists. Increasing age and working hours per week further enhance the risk of CTS. Findings from this study will serve as a useful baseline to establish further study in Klang Valley. Future work should examine the accounts underlying these risk factors for preventive measures.

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References

Ramos AK, Carlo G, Grant KM, Bendixsen C, Fuentes A, Gamboa R. A Preliminary Analysis of Immigrant Cattle Feedyard Worker Perspectives on Job-Related Safety Training. Safety. 2018;4(3):37.

Abichandani S, Shaikh S, Nadiger R. Carpal tunnel syndrome – an occupational hazard facing dentistry. Int Dent J. 2013;63(5):230-6.

Giersiepen K, Spallek M. Carpal tunnel syndrome as an occupational disease. Dtsch Arztebl Int. 2011;108(14):238-42.

Haghighat A, Khosrawi S, Kelishadi A, Sajadieh S, Badrian H. Prevalence of clinical findings of carpal tunnel syndrome in Isfahanian dentists. Adv Biomed Res. 2012;1:13.

Aroori S, Spence RA. Carpal tunnel syndrome. Ulster Med J. 2008;77(1):6-17.

Ma M, Ar NA, Azizah Y, Aziah D. Prevalence of Probable Carpal Tunnel Syndrome and its Associated Factors among Dentists in Kelantan. Int J Collab Res Intern Med Public Health. 2014;6.

Atroshi I, Gummesson C, Johnsson R, Ornstein E, Ranstam J, Rosén I. Prevalence of carpal tunnel syndrome in a general population. JAMA. 1999;282(2):153-8.

Ferry S, Pritchard T, Keenan J, Croft P, Silman AJ. Estimating the prevalence of delayed median nerve conduction in the general population. Br J Rheumatol. 1998;37(6):630-5.

Alhusain FA, Almohrij M, Althukeir F, Alshater A, Alghamdi B, Masuadi E, Basudan A. Prevalence of carpal tunnel syndrome symptoms among dentists working in Riyadh. Ann Saudi Med. 2019;39(2):104-11.

Hamann C, Werner RA, Franzblau A, Rodgers PA, Siew C, Gruninger S. Prevalence of carpal tunnel syndrome and median mononeuropathy among dentists. J Am Dent Assoc. 2001;132(2):163-70; quiz 223-4.

Sevy; JO, Varacallo. M. Carpal Tunnel Syndrome. StatPearls [Internet]. Treasure Island (FL)https://www.ncbi.nlm.nih.gov/books/NBK448179/: StatPearls Publishing; 2022.

Park DJ, Kang JH, Lee JW, Lee KE, Wen L, Kim TJ, Park YW, Nam TS, Kim MS, Lee SS. Cross-cultural adaptation of the Korean version of the Boston carpal tunnel questionnaire: its clinical evaluation in patients with carpal tunnel syndrome following local corticosteroid injection. J Korean Med Sci. 2013;28(7):1095-9.

Bakhsh H, Ibrahim I, Khan W, Smitham P, Goddard N. Assessment of validity, reliability, responsiveness and bias of three commonly used patient-reported outcome measures in carpal tunnel syndrome. Ortop Traumatol Rehabil. 2012;14(4):335-40.

Lue YJ, Lu YM, Lin GT, Liu YF. Validation of the Chinese version of the Boston Carpal Tunnel Questionnaire. J Occup Rehabil. 2014;24(1):139-45.

Ortiz-Corredor F, Calambas N, Mendoza-Pulido C, Galeano J, Díaz-Ruíz J, Delgado O. Factor analysis of carpal tunnel syndrome questionnaire in relation to nerve conduction studies. Clin Neurophysiol. 2011;122(10):2067-70.

Levine DW, Simmons BP, Koris MJ, Daltroy LH, Hohl GG, Fossel AH, Katz JN. A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome. J Bone Joint Surg Am. 1993;75(11):1585-92.

Martínez-Albaladejo M, Nombela-Gómez M, Pérez-Flores D. [With respect to Tinel and Phalen's signs]. Ann Med Interna. 1995;12(1):21-4.

Rasid NM, Noh NS, Adnan MM, Rahman NA, Yusoff AM, editors. Probable carpal tunnel syndrome and its coping strategies among clinical dental support staff in Hospital Universiti Sains Malaysia 2016.

Zhang D, Chruscielski CM, Blazar P, Earp BE. Accuracy of Provocative Tests for Carpal Tunnel Syndrome. Journal of Hand Surgery Global Online. 2020;2(3):121-5.

Kuschner SH, Ebramzadeh E, Johnson D, Brien WW, Sherman R. Tinel's sign and Phalen's test in carpal tunnel syndrome. Orthopedics. 1992;15(11):1297-302.

Megele R. [Diagnostic tests in carpal tunnel syndrome]. Nervenarzt. 1991;62(6):354-9.

Lakshminarayanan K, Shah R, Li Z-M. Sex-related differences in carpal arch morphology. PLoS One. 2019;14(5):e0217425.

McDiarmid M, Oliver M, Ruser J, Gucer P. Male and female rate differences in carpal tunnel syndrome injuries: personal attributes or job tasks? Environ Res. 2000;83(1):23-32.

Mansoor S, Siddiqui M, Mateen F, Saadat S, Khan ZH, Zahid M, et al. Prevalence of Obesity in Carpal Tunnel Syndrome Patients: A Cross-Sectional Survey. Cureus. 2017;9(7):e1519.

İnal EE, Demİrcİ k, Çetİntürk A, Akgönül M, Savaş S. Effects of smartphone overuse on hand function, pinch strength, and the median nerve. Muscle Nerve. 2015;52(2):183-8.

Khan A. Prevalence of carpel tunnel syndrome in the dentists working in Karachi. Pakistan Oral and Dental Journal. 2014.

Md Bohari NF, Kruger E, John J, Tennant M. Analysis of dental services distribution in Malaysia: a geographic information systems – based approach. Int Dent J. 2019;69(3):223-9.

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Published

2022-12-28

Issue

Vol. 29 (2022)

Section

Original/Research Article

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