The relationship of pre- and postoperative median and ulnar nerve conduction measures to a self-administered questionnaire in carpal tunnel syndrome

The relationship of pre- and postoperative median and ulnar nerve conduction measures to a self-administered questionnaire in carpal tunnel syndrome
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DOI:
10.1016/j.neucli.2012.02.133
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发表时间:
2012-06-01
影响因子:
3
通讯作者:
Kallio, M. A.
Kallio, M. A.
中科院分区:
医学4区
文献类型:
--
作者:
Green, T. P.;Tolonen, E. U.;Kallio, M. A.

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研究目的。- 腕管松解术(CTR)后,与神经生理学指标相比,主观症状和功能指数之间仅存在非常适度的相关性。本研究的目的是通过比较自我管理的波士顿症状严重程度评分和功能严重程度评分问卷对神经传导研究(NCS)CTR之前和之后使用两种不同的电生理技术来评估这种关系。- 对51例患者(62只手)进行了腕管松解术。采用传统的神经生理学方法和一种新的手持装置对术前和术后NCS进行评估。- 术前症状严重程度和功能评分与NCS结果之间几乎没有相关性。然而,手术后,症状严重程度和功能与NCS的相关性均显示出适度但显著的改善(最高r=0.405,P
Study aims. - Following carpal tunnel release (CTR), only very modest correlations have been found between subjective symptoms and function indexes compared to neurophysiological measures. The objective of this study was to evaluate this relationship by comparing the self-administered Boston symptom severity score and function severity score questionnaire against nerve conduction studies (NCS) before and after CTR using two different electrophysiological techniques.Patients and methods. - Carpal tunnel release was performed in 51 patients (62 hands). Pre-and postoperative NCS were evaluated using both conventional neurophysiological methods and by means of a new hand-held device.Results. - Preoperatively there was almost no correlation between symptom severity and function scores and NCS results. Following surgery however, both symptom severity and function showed a modest, but significant improvement in their correlation to NCS (at highest r=0.405, P