<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0864-215X</journal-id>
<journal-title><![CDATA[Revista Cubana de Ortopedia y Traumatología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Ortop Traumatol]]></abbrev-journal-title>
<issn>0864-215X</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-215X2022000400005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores de riesgo del síndrome de túnel del carpo en usuarios de sillas de ruedas]]></article-title>
<article-title xml:lang="en"><![CDATA[Risk factors and adaptations of carpal tunnel syndrome and wheelchairs]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arce Gálvez]]></surname>
<given-names><![CDATA[Leonado]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Benavides Ramírez]]></surname>
<given-names><![CDATA[Alexander]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mancera Álzate]]></surname>
<given-names><![CDATA[Juan Martin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Velásquez Girón]]></surname>
<given-names><![CDATA[Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad del Valle Departamento de Medicina Física y Rehabilitación ]]></institution>
<addr-line><![CDATA[ Cali]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad del Valle  ]]></institution>
<addr-line><![CDATA[ Cali]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>36</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-215X2022000400005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-215X2022000400005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-215X2022000400005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: El síndrome de túnel de carpo es una neuropatía del nervio mediano muy frecuente en la población. Para los usuarios de sillas de ruedas hay mayor riesgo biomecánico por utilizar reiteradamente la muñeca en la propulsión de este vehículo.  Objetivo:  Analizar los factores biomecánicos de la silla de ruedas que inciden en el desarrollo del síndrome de túnel del carpo.  Métodos: Se realizó una revisión sistemática con términos Mesh en bases de datos como Embase, Pubmed, Google Acedemics, Scielo desde 1988 hasta 2021. Se revisaron más de 200 artículos y por su impacto clínico, se seleccionaron 52 para la revisión.  Resultados:  El 43 % de los usuarios de silla de ruedas presentan dolor en la muñeca y prevalece como diagnóstico el síndrome de túnel del carpo. La posición de la muñeca en la propulsión genera un aumento de presión en el túnel carpiano lo que condiciona la lesión del nervio mediano. Existen factores de riesgo como el género femenino, las pendientes, el terreno irregular, la vibración, la altura del asiento y el peso del paciente. Entender correctamente las fases de la autopropulsión con sus cuatro patrones, más una prescripción adecuada y los aditamentos necesarios para la silla de ruedas pueden disminuir el riesgo de padecer el síndrome de túnel del carpo.  Conclusión:  Es importante involucrar de manera activa a los profesionales de la salud en la implementación de estrategias para el entrenamiento, prescripción y uso correcto de la silla de ruedas y con ello prevenir el padecimiento de el síndrome de túnel carpiano.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Carpal tunnel syndrome is a very common neuropathy of the median nerve in the population. For wheelchair users, there is a greater biomechanical risk for repeatedly using the wrist to propel this vehicle. Objective: To analyze the biomechanical factors of the wheelchair affecting the development of carpal tunnel syndrome.  Methods: A systematic review with Mesh terms was carried out in databases such as Embase, Pubmed, Google Acedemics, Scielo from 1988 to 2021. More than 200 articles were reviewed and due to their clinical impact, 52 were selected for the review.  Results: 43% of wheelchair users have wrist pain and carpal tunnel syndrome prevails as a diagnosis. The position of the wrist in the propulsion generates an increase in pressure in the carpal tunnel conditioning the injury of the median nerve. There are risk factors such as female gender, angles, uneven terrain, vibration, seat height and patient weight. Proper understanding the phases of self-propulsion with its four patterns, plus correct prescription and necessary wheelchair attachments can decrease the risk of carpal tunnel syndrome. Conclusion: It is important to actively involve health professionals in the implementation of strategies for training, prescription and correct use of the wheelchair and thereby prevent carpal tunnel syndrome.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[silla de ruedas]]></kwd>
<kwd lng="es"><![CDATA[túnel del carpo]]></kwd>
<kwd lng="es"><![CDATA[dispositivo]]></kwd>
<kwd lng="es"><![CDATA[prevención]]></kwd>
<kwd lng="es"><![CDATA[propulsión]]></kwd>
<kwd lng="en"><![CDATA[wheelchair]]></kwd>
<kwd lng="en"><![CDATA[carpal tunnel]]></kwd>
<kwd lng="en"><![CDATA[device]]></kwd>
<kwd lng="en"><![CDATA[prevention]]></kwd>
<kwd lng="en"><![CDATA[propulsion]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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