Functional deficits in carpal tunnel syndrome.
Functional deficits in carpal tunnel syndrome.
复制标题
腕管综合症的功能缺陷。
DOI：
10.1002/ajim.10241
复制
发表时间：
2003
影响因子：
3.5
通讯作者：
Salvi,FrankJ
中科院分区：
文献类型：
--
作者：
Sesto,MaryE;Radwin,RobertG;Salvi,FrankJ
背景腕管综合症（CTS）是美国的一种主要职业病。威斯康星测试是一种由计算机控制的定量测试电池，旨在测量感觉和精神运动功能。受试者是从 CTS 高风险的工业工作中招募的，以确定在工作人群中是否可以观察到微妙的感觉和运动缺陷。研究结果作为伤害监测工具的潜在用途。方法共有 208 名受试者参与（72 名男性和 136 名女性）。参与者完成了症状调查，进行了体格检查，进行了神经传导测试，并使用威斯康星测试电池进行了测试。结果当神经传导结果呈阳性并且伴有阳性症状调查结果或阳性体检结果时，观察到最大的功能缺陷。单独症状的存在与运动缺陷没有显着相关性，并且在使用任何单一标准（即神经传导、症状报告或检查）分类的受试者中没有观察到显着的感觉阈值差异。结论在工业工人中观察到可测量和可量化的感觉和精神运动缺陷，并且当阳性症状或体格检查伴随阳性神经传导测试结果时最严重。这些数据表明，用于诊断 CTS 的临床标准与这些测试中测量的功能性精神运动和感觉障碍相对应。是。 J.工业医学。 44:133–140, 2003。© 2003 Wiley‐Liss, Inc.
BackgroundCarpal tunnel syndrome (CTS) is a major occupational illness in the US. The Wisconsin Test is a quantitative computer‐controlled test battery designed for measuring sensory and psychomotor function. Subjects were recruited from industrial jobs at high‐risk for CTS to determine if subtle sensory and motor deficits were observable in a working population. Outcomes were studied for potential use as an injury surveillance instrument.MethodsA total of 208 subjects participated (72 males and 136 females). Participants completed a symptom survey, were given a physical examination, administered nerve conduction tests, and were tested using the Wisconsin Test battery.ResultsThe greatest functional deficits were observed when nerve conduction findings were positive and were accompanied by either positive symptom survey outcomes or positive physical exam findings. The presence of symptoms alone were not significantly associated with motor deficits and no significant sensory threshold differences were observed among subjects categorized using any single criterion (i.e., nerve conduction, symptom reports, or examination).ConclusionsMeasurable and quantifiable sensory and psychomotor deficits were observed in a working industrial population, and were greatest when positive symptoms or physical exam was accompanied by positive nerve conduction test findings. These data show that clinical criteria used in the diagnosis of CTS corresponds with functional psychomotor and sensory impairments measured in these tests. Am. J. Ind. Med. 44:133–140, 2003. © 2003 Wiley‐Liss, Inc.