The Reliability of the CTS-6 for Examiners With Varying Levels of Clinical Experience

Grandizio, Louis C.; Boualam, Benchaa; Shea, Parker; Hoehn, Matthew; Cove, Charlene; Udoeyo, Idorenyin F.; Dwyer, C. Liam; Klena, Joel C.

doi:10.1016/j.jhsa.2022.01.024

Cited by 11 publications

(6 citation statements)

References 20 publications

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“…Grandizio y cols. 14 obtuvieron resultados similares y plantean que la CTS-6 también puede emplearse, de manera confiable, como herramienta de detección y diagnóstico del STC por médicos sin capacitación específica en cirugía de la extremidad superior. 15 Cuando se utilizó la CTS-6 para los síntomas del STC, los más leves, como el adormecimiento de los dedos, los síntomas nocturnos y las pruebas de Tinel y Phalen positivas, los síntomas fueron positivos en todos los casos.…”

Section: Resultsunclassified

Efectividad de la Six-Item Carpal Tunnel Symptoms Scale para el diagnóstico del síndrome del túnel carpiano

Ferraguti,

Morano,

Rincón Restrepo

et al. 2024

Rev. Asoc. Arg. Ort. y Traumatol

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Introducción: A partir del Boston Carpal Tunnel Questionnaire, se desarrolló una escala corta de 6 ítems llamada Six-Item Carpal Tunnel Symptoms Scale (CTS-6). Objetivo: Evaluar la CTS-6 para detectar pacientes con neuropatía periférica del nervio mediano con criterio quirúrgico. Materiales y Métodos: Se realizó un estudio descriptivo prospectivo observacional en un grupo de pacientes con diagnóstico clínico de síndrome del túnel carpiano. Se utilizó la CTS-6, y se corroboró el diagnóstico mediante electromiografía. Posteriormente, los pacientes fueron operados. Se analizaron las diferencias en el puntaje de la CTS-6 entre los distintos niveles de gravedad determinados por electromiografía. Resultados: Se analizaron 106 pacientes. El 20,75% tenía síndrome del túnel carpiano bilateral. Se evaluaron 126 manos. La mediana del puntaje de la CTS-6 fue de 21 (mín. 16,5; máx. 26). Según los resultados de la electromiografía, el 24,22% de los casos de síndrome del túnel carpiano eran graves. Al comparar el puntaje de la CTS-6 según la gravedad del síndrome del túnel carpiano evaluada por electromiografía, la mediana del puntaje de la CTS-6 fue de 16,5 en los casos leves, de 21 en los casos moderados y de 26 en los casos graves. Conclusiones: El puntaje de la CTS-6 fue mayor en los pacientes con síndrome del túnel carpiano grave según la electromiografía. Esto plantea la hipótesis de que podría ser útil como herramienta diagnóstica no invasiva en el síndrome del túnel carpiano para definir pacientes que se beneficien con el tratamiento quirúrgico.

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Section: Resultsunclassified

Efectividad de la Six-Item Carpal Tunnel Symptoms Scale para el diagnóstico del síndrome del túnel carpiano

Ferraguti,

Morano,

Rincón Restrepo

et al. 2024

Rev. Asoc. Arg. Ort. y Traumatol

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“…The 6-item CTS Symptom Scale (CTS-6), developed by Atroshi and referred to as CTS-6, is a subjective measure of carpal tunnel syndrome symptoms that assesses symptom severity and functional disability. 58,59 The questionnaire was adapted from the BQ and developed as a low-cost, easy-to-use alternative to objective nerve conduction studies following surgical intervention for carpal tunnel disease. Although initially intended for postsurgical assessments, the CTS-6 has also been validated as a measure of poststeroid injection symptoms.…”

Section: Aims/advantagesmentioning

confidence: 99%

Patient-Reported Outcomes and Provocative Testing in Peripheral Nerve Injury and Recovery

John

Rossettie

Rafael

et al. 2023

J Brachial Plex Peripher Nerve Inj

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Background Peripheral nerve function is often difficult to assess given the highly variable presentation and subjective patient experience of nerve injury. If nerve assessment is incomplete or inaccurate, inappropriate diagnosis and subsequent treatment may result in permanent dysfunction. Objective As our understanding of nerve repair and generation evolves, so have tools for evaluating peripheral nerve function, recovery, and nerve-related impact on the quality of life. Provocative testing is often used in the clinic to identify peripheral nerve dysfunction. Patient-reported outcome forms provide insights regarding the effect of nerve dysfunction on daily activities and quality of life. Methods We performed a review of the literature using a comprehensive combination of keywords and search algorithms to determine the clinical utility of different provocative tests and patient-reported outcomes measures in a variety of contexts, both pre- and postoperatively. Results This review may serve as a valuable resource for surgeons determining the appropriate provocative testing tools and patient-reported outcomes forms to monitor nerve function both pre- and postoperatively. Conclusion As treatments for peripheral nerve injury and dysfunction continue to improve, identifying the most appropriate measures of success may ultimately lead to improved patient outcomes.

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“…The Carpal Tunnel Syndrome-6 (CTS-6) is a validated 26-point scale that incorporates 6 aspects of the history and clinical examination to predict the probability of the presence of CTS 1 . Recent studies have shown that CTS-6 scores are similar whether they are applied by experienced or inexperienced individuals and when assessment is made via a telemedicine visit, indicating that the CTS-6 is easy to administer and reliable 2,3 . These findings suggest that the CTS-6 could be used to screen patients prior to a visit with the surgeon.…”

Section: Carpal Tunnel Syndromementioning

confidence: 99%

What’s New in Hand and Wrist Surgery

Bohn

2023

Journal of Bone and Joint Surgery

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The Reliability of the CTS-6 for Examiners With Varying Levels of Clinical Experience

Cited by 11 publications

References 20 publications

Efectividad de la Six-Item Carpal Tunnel Symptoms Scale para el diagnóstico del síndrome del túnel carpiano

Efectividad de la Six-Item Carpal Tunnel Symptoms Scale para el diagnóstico del síndrome del túnel carpiano

Patient-Reported Outcomes and Provocative Testing in Peripheral Nerve Injury and Recovery

What’s New in Hand and Wrist Surgery

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