CARPAL TUNNEL SYNDROME PREVALENCE AND ITS ASSOCIATED FACTORS IN DENTISTS FROM THE CITY BUCARAMANGA AND IT´S METROPOLITAN AREA
DOI:
https://doi.org/10.15332/us.v4i2.1825Keywords:
Carpal tunnel syndrome, Pain, Dentists, Professional risksAbstract
Objective: To determine the prevalence of Carpal Tunnel Syndrome (CTS) and its associated factors in dentists of Bucaramanga and its metropolitan area.
Materials and methods: An analytical cross section observational study was made. The universe were 250 dentists and the sample 156 dentists that were chosen by a simple random sampling. The relationship between the presence of CTS with each variable was analyzed by means of test of chi2 and Fisher´s exact test. The multivaried analysis included binomial regression model that considered as an exit variable the presence of CTS and like explicatory variables those related risk factors.
Results: The prevalence of CTS in dentists who work in Bucaramanga was 15.8%. After analyzing the results according to each specialty, 40% of the endodontists had CTS, 30% of the dentists who had systemic compromise had CTS and 25% of the dentists who used manual instruments during time periods less than 240 min/day had CTS. There was an association six times greater of having CTS in people with systemic compromise and 0.13 of not having CTS in persons who work with manual instruments during time periods greater than 240 min/day.
Conclusion: It was established that systemic compromise is determining factor in the appearance of CTS, the use of rotatory instruments for long time periods was a factor related to the professional exercise, associated to the phenomena.
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Gutierrez GC. Gargollo OC, Jiménez MY. Manejo del síndrome del túnel del carpo en el hospital general «Dr. Manuel Gea González». Cir Plast 2002; 12: 25 - 30. URL disponible en: http://www.medigraph.com/español/e-cp2002/e-cp02-1/er-cp021e.htm
Horstman SW, Horstman BC, Horstman FS. Ergonomic risk factors associated with the practice of dental hygiene: A preliminary study. Am Soc Safety Eng 1997; 49 - 53.
Alexopoulos E, Stathi IC, Charizani F. Prevalence of musculoskeletal disorders in dentist. BMC musculoskeletal disorders 2004; 5: 1 – 8 [fecha de acceso: febrero de 2005]. URL disponible en: http://www.Biomedcentral.com/content/pdf/1471-2474-5-16.pdf
Szymanska J. Disorders of the musculoskeletal system among dentist from the aspect of ergonomics and prophylaxis. Ann Agric Environ Med 2002; 9: 169 - 173.
Fish DR, Morris-Allen D. Musculoskeletal disorders in dentist. NY State Dent J 1998; 64: 44 -48.
Prigane VW, Henry SM. The Relationship among Five Common Carpal Tunnel Syndrome Test and the Severity of Carpal Tunnel Syndrome. J. Hand Ther 2003; 16: 225 - 236.
D’arcy CA, McGee S. The rational clinical examination. Does this patient have carpal tunnel syndrome? JAMA 2000; 283: 3110 - 3117.
Ligh, RQ. Preventing cumulative trauma injury carpal tunnel syndrome. J Calif Dent Assoc. 2002; 30: 671, 674 - 678.
Bland JDP, Rudolfer SM. Clinical surveillance of carpal tunnel syndrome in two areas of the United Kingdom, 1991-2001. J Neurol Neurosurg Psychiatry 2003; 74: 1674 - 1679.
Gerritsen AA, Korhals-de Bos IB, Laboryie PM, de Vet HC, Scholten RJ, Bouter LM. Splinting for carpal tunnel syndrome: prognostic indicators of success. J Neurol Neurosurg Psychiatry 2003; 74: 1342 - 1344.
Ramírez EA, Cuenca-Pardo J, Martínez M, Chávez J, Corral MA. Manejo del túnel del carpo a través de incisiones mínimas y cuchillo luminoso, en el Hospital de Ortopedia «Dr. Victorio de la Fuente Narváez» de IMSS. Cir Plast 2002; 12: 100 - 103. URL disponible en: http://www.medigraphic.com/pdfs/cplast/cp-2002/cp023c.pdf
Atroshi I, Gummesson C, Johnsson R, McCabe SJ Ornstein E. Severe carpal syndrome potentially needing surgical treatment in a general population. J Hand Surg; 2003: 28: 639 - 644.
Burke FD, Ellis J, McKenna, Bradley MJ. Primary care management of carpal tunnel syndrome. Postgrad Med J 2003; 79: 433 - 437.
CDC-OMS. Epi-Inf 6 Versión 6.04a Nov 1996.
Microsoft Excel 5.0, Microsoft Corporation 1997.
Stata corp 2003. Stata statistical software. Release 8.0 College station, T.X: Stata Corporation.
Pagano M, Gauvreau K, Principles of Biostatistics. Duxbury Press. Belmont p. 35 - 44, 257- 263.
Norman GR, Streiner DL. Bioestadística. Mosby/Doyma Libros. Madrid. 1996 p 129 - 147.
Wacholder S. Binomial Regression in GLIM: estimating risk and risk differences. Am J Epidemiol 1986; 123: 174 - 184.
Zochetti C, Consonni D, Vertáis PA. Relationship between prevalence rate ratios and odds ratios in cross-sectional studies. Int J Epidemiol 1997; 26: 220 - 223.
Bautista L. Métodos avanzados de análisis. Bucaramanga 2002.
República de Colombia. Ministerio de Salud. Resolución No. 008430 del 4 de octubre de 1993.
Kelsey, JL. Douglas TH. Methods in observational epidemiology. N.Y. Oxford University Press, 1986 Cap. 10 (Cross-Sectional another types of studies) p. 244- 257.
Feinstein, AR. Clinical biostatistics. The architecture of cross-sectional research (part I). Clin Pharmacol Ther 1978; 23: 81 - 96.
Feinstein, AR. Clinical biostatistics. The architecture of cross-sectional research (Conclusion). Clin Pharmacol Ther 1978: 481 - 493.
Andersen JH, Thomsen JF, Overgaard E, Lassen CF, Brandt LPA, Vilstrup I, Kryger AI, Mikkelsen S. Computer use and carpal tunnel syndrome: a 1-year follow up study. JAMA 2003; 289: 2963 - 2969.
