Electrophysiological and Clinical Assessment of Response to Surgery in Carpal Tunnel

Yılmaz, Nebi; Akdemir, Gökhan; Gezici, Ali Rıza; Basmaci, Mehmet; Ergüngör, Mehmet Fikret; Asalanturk, Yusuf; Beşkonaklı, Etem; Ucar, Davut

doi:10.3109/00207451003615748

Cited by 4 publications

(1 citation statement)

References 7 publications

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“…Electrophysiology can be normal in 10–25%; therefore, comparison between median and ulnar, wrist to the 4 th digit sensory latency, median second lumbricals versus ulnar interossei distal motor latency (DML), median versus radial wrist to thenar, nerve conduction velocity while inching across the wrist in addition to electromyography of the thenar muscle are indicated in symptomatic patients. [9]…”

Section: Introductionmentioning

confidence: 99%

Median and common peroneal neuropathy in coir workers of Alappuzha district, Kerala

Chandra

Anand²,

Issac

2017

Ann Indian Acad Neurol

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Introduction:Coir work, in a large number of people involves mechanically rolling the coconut fibers into coir which is later subjected to various processes. The primary work is done as a cottage industry specially by women in the sitting posture for several hours. This study reports evidence of median and common peroneal neuropathy electrophysiologically in people who had been engaged in this job for several years. This study was initiated to establish the possible relationship between coir work and symptomatic neuropathies which was seen in that region with all investigations “for other causes not” contributing to the etiological diagnosis.Subjects and Methods:One hundred and forty-two upper limbs and 142 lower limbs in patients engaged in long years of coir work but having no symptoms were evaluated electrophysiologically with informed consent and financial compensation, appropriate inclusion and exclusion criteria were followed as described in the text.Results:There is electrophysiological evidence for median and common peroneal neuropathy in persons engaged in long years of coir work.Conclusions:Coir workers neuropathy appears to be a new occupational neuropathy which can be prevented by following simple preventive measures.

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Section: Introductionmentioning

confidence: 99%

Median and common peroneal neuropathy in coir workers of Alappuzha district, Kerala

Chandra

Anand²,

Issac

2017

Ann Indian Acad Neurol

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Effect of Alpha-Lipoic Acid on Clinical and Neurophysiologic Recovery of Carpal Tunnel Syndrome: A Double-Blind, Randomized Clinical Trial

Guizar

García-Benavides

Plascencia

et al. 2018

Journal of Medicinal Food

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The objective of our study was to examine the effect of alpha-lipoic acid (ALA) on clinical and neurophysiologic outcomes after surgery for idiopathic carpal tunnel syndrome (CTS). We conducted a randomized, double-blind, placebo-controlled clinical trial in 20 adults diagnosed with idiopathic CTS after clinical and neurophysiologic assessment. Eligible participants took 600 mg ALA or placebo per day for 1 month before surgery, and for 2 months afterward. Further clinical and neurophysiologic assessments were undertaken immediately before surgical decompression, and at 12 weeks postoperatively with additional clinical assessments at the 4th and 8th week after surgery. Clinical outcome measures were taken by Boston Questionnaire score, the presence or absence of Tinel's sign, and Phalen's test findings. Median nerve conduction studies were also undertaken and interpreted according to Dumitru's reference values. Nineteen patients completed the study; one member of the placebo group was lost during follow-up. There were significant improvements in clinical and neurophysiologic variables in the ALA treatment group, present even before surgery. Boston Questionnaire scores had improved significantly in both groups. In the ALA group, none of the participants had positive Phalen's or Tinel's signs at 12 weeks, and motor and sensory fiber latency and amplitude had significantly improved; in the placebo group, only the sensory distal latency had improved significantly. In conclusion, ALA administered 1 month before open decompression and for 2 months afterward improves the clinical and neurophysiologic outcomes after surgery.

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The Validity of Electromyography and Patient Evaluation Measurement in Evaluating Late-term Satisfaction Level of Patients Undergone Carpal Tunnel Syndrome Decompression Surgery

Aybar¹,

Çetin²,

Polat³

et al. 2022

btd

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Electrophysiological and Clinical Assessment of Response to Surgery in Carpal Tunnel

Cited by 4 publications

References 7 publications

Median and common peroneal neuropathy in coir workers of Alappuzha district, Kerala

Median and common peroneal neuropathy in coir workers of Alappuzha district, Kerala

Effect of Alpha-Lipoic Acid on Clinical and Neurophysiologic Recovery of Carpal Tunnel Syndrome: A Double-Blind, Randomized Clinical Trial

The Validity of Electromyography and Patient Evaluation Measurement in Evaluating Late-term Satisfaction Level of Patients Undergone Carpal Tunnel Syndrome Decompression Surgery

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