Issues & Opinions: Practice parameter for electrodiagnostic studies in carpal tunnel syndrome: Summary statemem: American association of electrodiagnostic medicine, american academy of neurology, american academy of physical medicine and rehabilitation

1993 ◽  
Vol 16 (12) ◽  
pp. 1390-1391 ◽  
Author(s):  
Charles K. Jablecki
Keyword(s):  
Carpal Tunnel Syndrome ◽  
American Academy ◽  
Carpal Tunnel ◽  
American Association ◽  
Practice Parameter ◽  
Physical Medicine ◽  
Physical Medicine And Rehabilitation ◽  
Tunnel Syndrome ◽  
American Academy Of Neurology

scholarly journals Electrodiagnostic Testing and Treatment for Carpal Tunnel Syndrome in Canada

2015 ◽  
Vol 43 (1) ◽  
pp. 178-182 ◽  
Author(s):  
Rodney Li Pi Shan ◽  
Michael Nicolle ◽  
Ming Chan ◽  
Nigel Ashworth ◽  
Chris White ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
American Academy ◽  
Carpal Tunnel ◽  
Nerve Conduction Study ◽  
Nerve Conduction ◽  
Sensory Nerve ◽  
Practice Parameter ◽  
Physical Medicine ◽  
Physical Medicine And Rehabilitation ◽  
Tunnel Syndrome

AbstractObjectives: 1) Assess which electrodiagnostic studies Canadian clinicians use to aid in the diagnosis of carpal tunnel syndrome (CTS). 2) Assess whether Canadian clinicians follow the American Association of Neuromuscular & Electrodiagnostic Medicine/American Academy of Neurology/American Academy of Physical Medicine and Rehabilitation Practice Parameter for Electrodiagnostic Studies in CTS. 3) Assess how Canadian clinicians manage CTS once a diagnosis has been established. Methods: In this prospective observational study, an electronic survey was sent to all members of the Canadian Neuromuscular Group (CNMG) and the Canadian Association of Physical Medicine and Rehabilitation (CAPM&R) Neuromuscular Special Interest Group. Questions addressed which electrodiagnostic tests were being routinely used for the diagnosis of carpal tunnel syndrome. Management recommendations for CTS was also explored. Results: Of the 70 individuals who completed the survey, fourteen different nerve conduction study techniques were reported. Overall, 36/70 (51%) of participants followed the AANEM/AAN/AAPM&R Practice Parameter. The standard followed by the fewest of our respondents with 64% compliance (45/70) was the use of a standard distance of 13 to 14 cm with respect to the median sensory nerve conduction study. Regarding management, 99% would recommend splinting in the case of mild CTS. In moderate CTS, splinting was recommended by 91% of clinicians and 68% would also consider referral for surgery. In severe CTS, most recommended surgery (93%). Conclusions: There is considerable variability in terms of which electrodiagnostic tests Canadian clinicians perform for CTS. Canadian clinicians are encouraged to adhere to the AANEM/AAN/AAPM&R Practice Parameter for Electrodiagnostic Studies in CTS.

scholarly journals Role of Splint in Patients with Symptoms of Carpal Tunnel Syndrome

2018 ◽  
Vol 15 (2) ◽  
pp. 48-51
Author(s):  
Ehsanul Haque Khan ◽  
Khurshid Mahmood ◽  
Taslima Hoq Moonmoon ◽  
Bidoura Tanim
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Management Tool ◽  
Physical Medicine ◽  
Duration Of Symptoms ◽  
Medical College ◽  
Physical Medicine And Rehabilitation ◽  
Tunnel Syndrome

Background: Carpal tunnel syndrome is a common condition Encountered in the department of physical medicine and rehabilitation. Splinting wrist in patients with carpal Tunnel syndrome is good conservative management tool in patients specially who wake up at night.Objective: This study was conducted to assess the role of splint in patients with symptoms of carpal syndrome.Methodology: This was a quasi-experimental study. This study was conducted in the department of physical medicine and rehabilitation department at Dhaka medical college hospital during July 2006 t0 January 2007 time period. Patients were selected randomly from the outpatient department physical medicine and Rehabilitation of Dhaka Medical College, Dhaka, Bangladesh. Patients who had symptoms consistent with carpal tunnel syndrome that was numbness, tingling and burning sensation in the hand, duration of symptoms more than two weeks or more than three times in last six months, who were residents of Dhaka city and who were able to follow up regularly were included as study population. Patients were enrolled randomly into splinted and non-splinted group by odd and even number. Splinted group were treated by splint, drugs, ergomic training and exercise. Non-splinted group were treated by same drugs, ergonomic training and exercise only. The splint was a tailor made volar static wrist splint prepared by same orthoptist for every patient with splint. Outcomes were measured by Visual Analogue scale (VAS) and Levine Symptom Severity Scale (LSSS) at second fourth and six weeks follow up visits. The data were collected into splinted and non-splinted groups.Result: There were 51 hands in 34 patients enrolled for the study. Among them 26 were in the splinted group and 23 were in the non-splinted group.Conclusion: In this study splinted group showed significant improvement.Journal of Science Foundation, July 2017;15(2):48-51

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