Computer mouse, keyboard and carpal tunnel syndrome.

V I Berezutsky

doi:10.26641/2307-0404.2018.3(part1).142330

Abstract

The article aims to analyze scientific publications of recent years on the problem of carpal tunnel syndrome in computer users. To achieve the aim, the search was carried out in the science-based databases Scopus, WebOfScience and PubMed for 2015-2018. The results suggest that repeated movements of the wrist lead to overstrain of the ligaments of the wrist and neuropathy of the median nerve in almost 15% of professional users of computers and gamers. Early diagnosis is possible with ultrasound examination of the carpal tunnel and electrophysiological examination of the median nerve in occupational risk groups. In severe carpal tunnel syndrome, only surgical treatment is effective, and physiotherapy methods for moderate and light forms. The most effective prevention strategy is to improve the ergonomics of the workplace for professional computer users, short breaks in work to relax the muscles of the hand, and various physical exercises to improve the circulation of blood and lymph in the carpal tunnel. The popularization of the latest advances in the diagnosis, treatment and prevention of carpal tunnel syndrome among practitioners will help to increase the effectiveness of medical care in this disease.

Highlights

Синдромы перенапряжения – одни из самых распространенных патологических состояний, связанных с профессиональной деятельностью
The results suggest that repeated movements of the wrist lead to overstrain of the ligaments of the wrist and neuropathy of the median nerve in almost 15% of professional users of computers and gamers
Ural F.G. Acupuncture Effect on Median Nerve Morphology in Patients with Carpal Tunnel Syndrome: An Ultrasonographic Study / F.G. Ural, G.T. Оzturk // EvidenceBased Complementary Alternative Medicine

Summary

Introduction

Синдромы перенапряжения (overuse syndromes) – одни из самых распространенных патологических состояний, связанных с профессиональной деятельностью. Неврологи из клиники университета медицинских наук в Мешхеде (Иран) провели кросс-секционное исследование с участием 253 больных с СЗК, в котором сравнивали возможности электронейромиографического тестирования и ультрасонографического исследования высокого разрешения (определение площади поперечника срединного нерва при входе в запястный канал). Специалисты из клиники медицинского института в Бангалоре (Индия) провели РКИ, в котором изучали возможности профилактики СЗК у профессиональных пользователей ПК при помощи занятий йогой.

Results

Conclusion