Assessment of Outcome of Carpal Tunnel Syndrome: A Comparison of Electrophysiological Findings and a Self-Administered Boston Questionnaire

Heybeli, Nurettin; Kutluhan, Süleyman; Demirci, Serpil; Kerman, Memduh; Mumcu, Ethem Faruk

doi:10.1054/jhsb.2002.0762

Cited by 71 publications

(60 citation statements)

References 24 publications

(26 reference statements)

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“…Clinical diagnosis of CTS was done by Boston carpal tunnel questionnaire (BCTQ) which has been validated in other studies (Heybeli et al 2002). The BCTQ has two subscales evaluating the symptom severity scale (SSS) and functional status scale (FSS).…”

Section: Materials-methodsmentioning

confidence: 99%

Effect of Gabapentin on nerve conduction studies in carpal tunnel syndrome

et al. 2018

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Background: The most common type of neuropathy in adults is carpal tunnel syndrome (CTS) which is caused by compression of the median nerve at the wrist. Methods: This quasi-experimental study was conducted to determine the efficacy of gabapentin on nerve conduction studies in patients with mild CTS. The patients with mild CTS were randomly allocated into two groups. Group A received naproxen alone (500 mg/day, orally) while group B received both gabapentin (100-300 mg) and naproxen (500 mg/day, orally) for two months. Sensory nerve conduction velocity (SNCV) and distal motor latency (DML) were performed at baseline and two months after treatment. Results: There were no significant differences between the two groups with regards to the outcome parameters before initiation of intervention. The SNCV and DML showed no significant improvements in group A (p>0.05), whereas for group B the SNCV and DML of the median nerve were significantly improved at two months after treatment (p<0.001). Conclusion: Gabapentin was found to be effective for SNCV and DML in patients with mild CTS over a two-month period.

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Section: Materials-methodsmentioning

confidence: 99%

Effect of Gabapentin on nerve conduction studies in carpal tunnel syndrome

et al. 2018

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“…Pain intensity in the day and night were evaluated by a numerical rating scale (0-10 cm) (15). The Boston Carpal Tunnel Questionnaire (BCTQ) was used for symptomatic and functional evaluation (16,17). Electroneuromyographic (ENMG) evaluation was performed at the Physical Therapy and Rehabilitation Department by the same physician for every patient at baseline and at the end of the study.…”

Section: Outcome Measuresmentioning

confidence: 99%

The Effectiveness of Carpal Bone Mobilization Accompanied by Night Splinting in Idiopathic Carpal Tunnel Syndrome

Gunay¹,

Alp²

2015

Turk J Phys Med Rehab

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Objective: The aim of this study was to investigate the effectiveness of carpal bone mobilization (CBM) and night splinting and to compare it with night splinting as a control group in the treatment of Carpal Tunnel Syndrome (CTS). Methods: In the single-blind (assessor) prospective randomised controlled trial, a total of 40 patients with mild to moderate CTS were diagnosed by electroneuromyography (ENMG). In Group 1 (n=20), patients received CBM three times a week, total of 10 times, and used neutral volar wrist splint at night for 3 weeks. Patients in Group 2 (n=20) used only neutral volar wrist splint at night for 3 weeks. All of the patients were assessed at baseline and at the 3 rd month with respect to pain intensity using a numerical rating scale (0-10), handgrip and pinchgrip strength, functional status and symptom severity using the Boston Carpal Tunnel Questionnarie (BCTQ), and ENMG measurements. Results: There were improvements in all of the clinical variables, distal sensory latancy, and sensory nerve action potentials of the median nerve in Group 1. In Group 2, there was improvement in only BCTQ symptom severity and night/day pain intensity at the 3 rd month. Improvement in pinchgrip strength and BCTQ functional status were superior in Group 1 when compared to Group 2 at the 3 rd month. Conclusion: Both of the treatment modalities may be recommended for symptomatic relief. However, CBM combined with splinting may be a better choice for functional and strength amelioration as a non-invasive alternative treatment modality in CTS.

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“…These authors assert that although the benefits of using one instrument with all upper-extremity conditions may be appealing, disease-specific scales are more responsive. For example, much evidence suggests that the Boston questionnaire (Levine et al, 1993) is more responsive to changes in carpal tunnel syndrome than are global assessments Atroshi, Gummesson, Andersson, Dahlgren, & Johansson, 2000;Heybeli, Kutluhan, Demirci, Kerman, & Mumcu, 2002;Mondelli, Reale, Sicurelli, & Padua, 2000). Global assessments may be compounded by various factors and, hence, may fail to measure a single underlying trait.…”

mentioning

confidence: 99%

Examination of the Factor Structure of the Disabilities of the Arm, Shoulder, and Hand Questionnaire

Lehman

Woodbury

Velozo

2011

The American Journal of Occupational Therapy

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OBJECTIVE. The Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire is a global scale evaluating the impact of upper-extremity disorders. We sought to validate or challenge the unidimensional factor structure of the DASH. METHOD. Secondary analysis was performed on data collected from outpatient clinics. Factor analysis was performed in two steps, exploratory factor analysis (EFA) followed by confirmatory factor analysis (CFA). To provide further support for unidimensionality, fit statistics were calculated using the Andrich Rasch rating-scale model. RESULTS. EFA revealed three potential factors (eigenvalues = 18.40, 1.56, and 1.54). CFA was performed fitting a three-factor model. Tucker-Lewis Index (.99) and standardized root mean square residual (.05) values indicated good fit. Comparative fit index (.89) and root mean square error of approximation (.13) did not. When divided into three constructs, only one item misfit. CONCLUSION. More research is needed to determine situations in which division of the DASH may enhance interpretability.

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Assessment of Outcome of Carpal Tunnel Syndrome: A Comparison of Electrophysiological Findings and a Self-Administered Boston Questionnaire

Cited by 71 publications

References 24 publications

Effect of Gabapentin on nerve conduction studies in carpal tunnel syndrome

Effect of Gabapentin on nerve conduction studies in carpal tunnel syndrome

The Effectiveness of Carpal Bone Mobilization Accompanied by Night Splinting in Idiopathic Carpal Tunnel Syndrome

Examination of the Factor Structure of the Disabilities of the Arm, Shoulder, and Hand Questionnaire

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