Functional Outcomes Post Carpal Tunnel Release: A Modified Replication of a Previous Study

Appleby, Mary Ann; Neville-Smith, Marsha; Parrott, Melissa W.

doi:10.1016/j.jht.2009.03.001

Cited by 14 publications

(8 citation statements)

References 38 publications

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“…95% CI, 95% confidence interval; AUC, area under the curve; CTS, carpal tunnel syndrome; SSS, symptom severity score value of 94% (0.88-0.98, 95% CI). Although the DASH has been used in the assessment of outcomes in CTS patients, 15,27 this study demonstrates that there is a strong correlation between DASH and CMT symptoms that degrades its utility in assessing CTS symptoms in patients with underlying hereditary neuropathy.…”

Section: Discussionmentioning

confidence: 84%

“…The DASH is a 30‐item scale that assesses symptoms and physical function . The validity of the DASH has been demonstrated through correlation with the BCTQ . The BCTQ was found to be more responsive than the DASH for CTS …”

Section: Methodsmentioning

confidence: 99%

“…11 The BCTQ has established reliability, 11 high internal consistency, 11 and convergent validity. 15,16 Responsiveness of the BCTQ after carpal tunnel surgery has been demonstrated in randomized clinical trial settings. [17][18][19] The DASH is a 30item scale that assesses symptoms and physical function.…”

Section: Standard Protocol Approvals Registrations Andmentioning

confidence: 99%

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Carpal tunnel syndrome in inherited neuropathies: A retrospective survey

et al. 2017

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Section: Discussionmentioning

confidence: 84%

Section: Methodsmentioning

confidence: 99%

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Carpal tunnel syndrome in inherited neuropathies: A retrospective survey

et al. 2017

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“…In a sample of 22 patients followed for 3 months after surgery a small change was observed (SRM = -0.30) in touch threshold assessed by monofilaments. Appleby et al [35] investigated change over 3 months after surgery in 29 patients. Although they did not report responsiveness statistics these could be calculated from the data presented.…”

Section: Discussionmentioning

confidence: 99%

The responsiveness of sensibility and strength tests in patients undergoing carpal tunnel decompression

Shepstone

Miller

Chapman

2011

BMC Musculoskelet Disord

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BackgroundSeveral clinical measures of sensory and motor function are used alongside patient-rated questionnaires to assess outcomes of carpal tunnel decompression. However there is a lack of evidence regarding which clinical tests are most responsive to clinically important change over time.MethodsIn a prospective cohort study 63 patients undergoing carpal tunnel decompression were assessed using standardised clinician-derived and patient reported outcomes before surgery, at 4 and 8 months follow up. Clinical sensory assessments included: touch threshold with monofilaments (WEST), shape-texture identification (STI™ test), static two-point discrimination (Mackinnon-Dellon Disk-Criminator) and the locognosia test. Motor assessments included: grip and tripod pinch strength using a digital grip analyser (MIE), manual muscle testing of abductor pollicis brevis and opponens pollicis using the Rotterdam Intrinsic Handheld Myometer (RIHM). The Boston Carpal Tunnel Questionnaire (BCTQ) was used as a patient rated outcome measure.ResultsRelative responsiveness at 4 months was highest for the BCTQ symptom severity scale with moderate to large effects sizes (ES = -1.43) followed by the BCTQ function scale (ES = -0.71). The WEST and STI™ were the most responsive sensory tests at 4 months showing moderate effect sizes (WEST ES = 0.55, STI ES = 0.52). Grip and pinch strength had a relatively higher responsiveness compared to thenar muscle strength but effect sizes for all motor tests were very small (ES ≤0.10) or negative indicating a decline compared to baseline in some patients.ConclusionsFor clinical assessment of sensibility touch threshold assessed by monofilaments (WEST) and tactile gnosis measured with the STI™ test are the most responsive tests and are recommended for future studies. The use of handheld myometry (RIHM) for manual muscle testing, despite more specifically targeting thenar muscles, was less responsive than grip or tripod pinch testing using the digital grip analyser (MIE). When assessing power and pinch strength the effect of other concomitant conditions such as degenerative joint disease on strength needs to be considered.

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“…The significant correlations between DASH score and improvements in grip and pinch power and severity of pain have been reported. 12 13 QuickDASH has advantages compared to DASH that it is quick and easy to perform in clinics. 14 However, sparse studies have tried to reveal the responsiveness of QuickDASH targeting diseases such as CTS in Korea.…”

Section: Introductionmentioning

confidence: 99%

Validity, Reliability and Responsiveness of the Korean Version of Quick Disabilities of the Arm, Shoulder, and Hand Questionnaire in Patients with Carpal Tunnel Syndrome

et al. 2018

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BackgroundThe Quick Disabilities of the Arm, Shoulder, and Hand questionnaire (QuickDASH) is one of the most widely used questionnaires for assessing functional ability of the patients with upper extremity diseases. Carpal tunnel syndrome (CTS) is the most common neuropathic disease in the upper extremities. The aim of this study was to verify the validity, reliability, and responsiveness of Korean version of QuickDASH questionnaire (K-QuickDASH) in the patients with CTS.MethodsIn total, 83 subjects who underwent open carpal tunnel release (CTR) operation were selected. They fulfilled Korean version of Disabilities of the Arm, Shoulder and Hand questionnaire (K-DASH) and K-QuickDASH at two different time points: before and six months after the surgery. Both criterion-related and construct validities were evaluated using Pearson's correlation coefficient and factor analysis. Internal consistency was estimated using Cronbach's alpha, and test-retest reliability was assessed to verify the reliability of K-QuickDASH using intraclass correlation coefficient (ICC). The standardized response mean and the effect size were analyzed to confirm the responsiveness of the K-QuickDASH in CTS patients.ResultsSignificant positive correlation was found between K-QuickDASH and K-DASH. All the questionnaire items were categorized into three factors. Acceptable internal consistency was confirmed in three categories of K-QuickDASH. A high test-retest reliability and responsiveness of K-QuickDASH were detected.ConclusionK-QuickDASH in Korean patients with CTS was confirmed to have high degree of validity and reliability, and responsiveness after CTR. Therefore, the K-QuickDASH would be a good evaluation tool for evaluating clinical symptoms and determination of treatment outcomes in the patients with CTS.

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Functional Outcomes Post Carpal Tunnel Release: A Modified Replication of a Previous Study

Cited by 14 publications

References 38 publications

Carpal tunnel syndrome in inherited neuropathies: A retrospective survey

Carpal tunnel syndrome in inherited neuropathies: A retrospective survey

The responsiveness of sensibility and strength tests in patients undergoing carpal tunnel decompression

Validity, Reliability and Responsiveness of the Korean Version of Quick Disabilities of the Arm, Shoulder, and Hand Questionnaire in Patients with Carpal Tunnel Syndrome

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