The relationship between QDASH scale and clinical, electrophysiological findings in carpal tunnel syndrome

Eren, Yasemin; Yavaşoğlu, Neşe Güngör; Çomoğlu, Selçuk

doi:10.17219/acem/67947

Cited by 9 publications

(11 citation statements)

References 18 publications

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“…Main outcomes of this study were complications, symptom severity and functional status scores of the Boston Carpal Tunnel Questionnaire (BCTQ-SSS, BCTQ-FSS) [ 24 - 26 ] and the Quick form of the Disabilities of the Arm, Shoulder, and Hand (QDASH) score [ 27 - 29 ]. Outcomes were reported at two weeks, one month, three months, and 12 months postprocedure.…”

Section: Methodsmentioning

confidence: 99%

Office-Based Carpal Tunnel Release Using Ultrasound Guidance in a Community Setting: Long-Term Results

Bergum¹,

Ciota²

2022

Cureus

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Objectives: To report the safety and effectiveness of office-based carpal tunnel release (CTR) using ultrasound (US) guidance in a general community population. Methods: This was a prospective single-center study that evaluated patients treated with CTR using US guidance between March 2019 and August 2020 for whom one-year data were available. Procedures were performed in an office-based procedure room using local anesthesia. Main outcomes of this study included complications, Boston Carpal Tunnel Questionnaire scores (BCTQ-SSS, BCTQ-FSS) and Quick Disabilities of the Shoulder and Hand (QDASH) scores. Results: Among 88 patients (123 hands) aged 30 to 89 years with available one-year data, 29 patients had simultaneous bilateral procedures. No intraoperative complications were reported. Statistically significant and clinically important improvements in BCTQ-SSS, BCTQ-FSS and QDASH scores occurred within two weeks and persisted through one year of follow-up (p < 0.001). Outcomes were similar for simultaneous bilateral releases. During follow-up, one patient developed complex regional pain syndrome that was successfully treated and subsequently had CTR using US guidance on the contralateral hand. No other complications were observed during one-year follow-up. Conclusion: Office-based CTR using US guidance is safe, effective and provides sustained clinical improvements at one-year follow-up in a community population. Simultaneous bilateral procedures were well-tolerated and resulted in similar clinical improvements.

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Section: Methodsmentioning

confidence: 99%

Office-Based Carpal Tunnel Release Using Ultrasound Guidance in a Community Setting: Long-Term Results

Bergum¹,

Ciota²

2022

Cureus

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“…The third group, assigned as severe, included 19 hands that had developed weakness and/or thenar atrophy, apart from the sensory symptoms. Taking into account the inherent subjectivity of sensory symptomatology, we used the emergence of motor symptoms for the clinical categorization, modified from a previously described clinical scale [ 36 ].…”

Section: Methodsmentioning

confidence: 99%

Automatic Electrodiagnosis of Carpal Tunnel Syndrome Using Machine Learning

et al. 2021

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Recent literature has revealed a long discussion about the importance and necessity of nerve conduction studies in carpal tunnel syndrome management. The purpose of this study was to investigate the possibility of automatic detection, based on electrodiagnostic features, for the median nerve mononeuropathy and decision making about carpal tunnel syndrome. The study included 38 volunteers, examined prospectively. The purpose was to investigate the possibility of automatically detecting the median nerve mononeuropathy based on common electrodiagnostic criteria, used in everyday clinical practice, as well as new features selected based on physiology and mathematics. Machine learning techniques were used to combine the examined characteristics for a stable and accurate diagnosis. Automatic electrodiagnosis reached an accuracy of 95% compared to the standard neurophysiological diagnosis of the physicians with nerve conduction studies and 89% compared to the clinical diagnosis. The results show that the automatic detection of carpal tunnel syndrome is possible and can be employed in decision making, excluding human error. It is also shown that the novel features investigated can be used for the detection of the syndrome, complementary to the commonly used ones, increasing the accuracy of the method.

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“…The QDASH an 11-item regionspecific PRO that has been validated for CTS and provides a score from 0 (no symptoms or disability) to 100 (severe symptoms or disability). [20][21][22]…”

Section: Patient-reported Outcomesmentioning

confidence: 99%

Long-term Clinical Results of Carpal Tunnel Release Using Ultrasound Guidance

Leiby

Beckman²,

Joseph

2021

Hand (New York, N,Y.)

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Background: The purpose of this study was to determine the long-term safety and efficacy of carpal tunnel release (CTR) using ultrasound guidance in a group of patients treated by a single physician. Methods: The study group consisted of 76 consecutive CTRs performed on 47 patients between June 2017 and April 2019 for whom 1-year follow-up was available. All procedures were performed by the same operator using a single CTR technique. Outcomes included complications; Boston Carpal Tunnel Questionnaire symptom severity (BCTQ-SSS) and functional status (BCTQ-FSS) scores; Quick Disabilities of the Arm, Shoulder, and Hand (QDASH) scores; and a 5-point global satisfaction score (4 = satisfied, 5 = very satisfied). Results: The 47 patients included 27 females and 20 males (ages 31-91 years). Twenty-five patients (50 hands) had simultaneous bilateral CTRs, 4 patients (8 hands) had staged bilateral CTRs, and 18 patients had unilateral CTRs. No complications occurred. Statistically and clinically significant reductions in BCTQ-SSS, BCTQ-FSS, and QDASH scores occurred by 1 to 2 weeks post-CTR and persisted at 1-year (mean 1-year changes vs. pre-CTR -2.11, -1.70, and -44.99, respectively; P < .001 for all). The mean global satisfaction score at 1-year was 4.63. Conclusions: CTR using ultrasound (US) guidance is a safe and effective procedure that produces statistically and clinically significant improvements within 1 to 2 weeks postprocedure that persist to 1 year. Furthermore, simultaneous bilateral CTRs using US guidance are feasible and may be advantageous for patients who are candidates for bilateral CTR.

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The relationship between QDASH scale and clinical, electrophysiological findings in carpal tunnel syndrome

Cited by 9 publications

References 18 publications

Office-Based Carpal Tunnel Release Using Ultrasound Guidance in a Community Setting: Long-Term Results

Office-Based Carpal Tunnel Release Using Ultrasound Guidance in a Community Setting: Long-Term Results

Automatic Electrodiagnosis of Carpal Tunnel Syndrome Using Machine Learning

Long-term Clinical Results of Carpal Tunnel Release Using Ultrasound Guidance

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