Phalen Test Positivation Time and Its Correlation With Electroneuromyography

Cunha, Thúlio Adley Lima; Oliveira, Osvaldo Mendes De; Ribeiro, Marcelo Barbosa

doi:10.1590/1413-785220202803225744

Cited by 5 publications

(2 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This is due to potential false negatives in a ratio ranging from 16 to 34% [ 1 ]; and (3) the visual analogue Scale, which is highly recommended for measuring pain [ 49 ]. The reason why these tests are more frequently observed may be due to the poor diagnostic utility of other evaluation tools as described by Li Pi Shan R et al [ 50 ], despite the fact that the rest of the diagnostic instruments used in the studies have been to a lower or greater extent credited in other research activities [ 51 , 52 , 53 , 54 , 55 , 56 , 57 ].…”

Section: Discussionmentioning

confidence: 99%

Use of Sonophoresis with Corticosteroids in Carpal Tunnel Syndrome: Systematic Review and Meta-Analysis

Martín-Vega

Vinolo-Gil

Pérez-Cabezas

et al. 2022

JPM

View full text Add to dashboard Cite

Carpal tunnel syndrome is a neuropathic disease. It is one of the most frequent musculoskeletal pathologies affecting the upper limbs. One of most frequently used non-surgical treatments is corticosteorids. There are several alternatives for corticosteroids administration. One of them is phonophoresis, this being an effective and painless method of treatment. A systematic review and meta-analysis have been conducted over the use of phonophoresis with corticosteroids for the treatment of carpal tunnel syndrome compared to other non-surgical treatment methods. Keywords from Medical Subjects Headings (MeSH) were used in the following databases: Wos, Scopus, CINHAL, SciELO and PeDro. A total of 222 potentially relevant articles were retrieved. Eleven articles analysing the efficacy of phonophoresis with corticosteroids in reducing pain symptoms in individuals with carpal tunnel syndrome were included, 10 of which were used to conduct the meta-analysis. A conclusion could not be reached as to the application of phonophoresis with corticosteroids being better than other treatment methods, except for the perception of pain and an improved motor and sensory nerve conduction in cases of mild to moderate carpal tunnel syndrome.

show abstract

Section: Discussionmentioning

confidence: 99%

Use of Sonophoresis with Corticosteroids in Carpal Tunnel Syndrome: Systematic Review and Meta-Analysis

Martín-Vega

Vinolo-Gil

Pérez-Cabezas

et al. 2022

JPM

View full text Add to dashboard Cite

show abstract

“…Etiological factors include diabetes mellitus, obesity, hyperlipidemia, rheumatoid arthritis, hypothyroidism, recurrent twisting movements, and pregnancy; however, it is usually idiopathic [1,2,9]. The diagnosis of CTS is dependent on clinical presentations plus clinical tests, such as Phalen's test or Tinel's test [10,11]. The diagnostic modality of choice for CTS is electromyography/nerve conduction study (EMG/ NCS), which can be used to assess the severity of CTS [10].…”

Section: Introductionmentioning

confidence: 99%

Association of vitamin D deficiency with carpal tunnel syndrome

2021

RBGJ

View full text Add to dashboard Cite

Vitamin D deficiency is defined when serum (25 (OH) D) is less than or equal to 20 ng/ml and it is associated with many painful syndromes like carpal tunnel syndrome (CTS). CTS is one of the common entrapment neuropathy that is caused by compression of the median nerve at the wrist joint. To describes the relationship between Carpal tunnel syndrome and Vitamin D deficiency in addition to the effect of vitamin D therapy in decreasing the severity of pain in CTS. We select 32 out of 44 patients present with CTS. We assess it is severity clinically by using visual analogue score and electromyography/nerve conduction study (EMG/NCS). We send all patients for serum vitamin D before and after three months of vitamin D therapy. CTS is common in female patients of right dominant hand with age 40-49 years old in about 43.75%. there is a significant relationship between vitamin D deficiency and pain score before and after treatment with vitamin D. The increased level of vitamin D, the less pain score. There is an obvious link between vitamin D and clinical symptoms improvement of patients with CTS.

show abstract

Utility of Provocative Test Positivation Time in Carpal Tunnel Syndrome Severity Assessment

Daliri,

Sahebalam,

Olia

et al. 2023

J. Musculoskelet. Res.

View full text Add to dashboard Cite

Background: Carpal Tunnel Syndrome (CTS) provocative tests, such as Phalen, reverse Phalen, Tinel and compression, are solely used to help diagnosis. However, there are limited data about the application of these clinical tests for severities determination. Methods: A total of 64 patients with confirmed CTS were included. Three groups of mild, moderate, and severe were then defined based on the electrodiagnostic (EDx) test. The time to turning positive for Phalen, reverse Phalen, and compression tests were recorded. Initially, the percentage of positive results were compared among three groups of disease severity. Then, test positivation time was categorized into two groups of below and above 30 s, and comparison was made among groups with regard to this threshold. Finally, correlational analysis between mean positivation time and EDx quantitative parameters was conducted. Results: We found no difference between the three groups of disease severity, and there was no correlation between the time duration for three tests to become positive and EDx severity parameters. Conclusions: CTS clinical provocative tests are not of use in evaluation of disease severity.

show abstract

Phalen Test Positivation Time and Its Correlation With Electroneuromyography

Cited by 5 publications

References 8 publications

Use of Sonophoresis with Corticosteroids in Carpal Tunnel Syndrome: Systematic Review and Meta-Analysis

Use of Sonophoresis with Corticosteroids in Carpal Tunnel Syndrome: Systematic Review and Meta-Analysis

Association of vitamin D deficiency with carpal tunnel syndrome

Utility of Provocative Test Positivation Time in Carpal Tunnel Syndrome Severity Assessment

Contact Info

Product

Resources

About