scholarly journals The Relationship between Nerve Conduction Study and Clinical Grading of Carpal Tunnel Syndrome

2016 ◽  
Author(s):  
Praveen Kumar Srikanteswara
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Nerve Conduction Study ◽  
Nerve Conduction ◽  
Tunnel Syndrome ◽  
The Relationship ◽  
Clinical Grading

Correlation of clinical grading, physical tests and nerve conduction study in carpal tunnel syndrome

2018 ◽  
Vol 18 (3) ◽  
pp. 345-350 ◽  
Author(s):  
Sadegh Izadi ◽  
Bahareh Kardeh ◽  
Seied Saeed Hosini Hooshiar ◽  
Mojtaba Neydavoodi ◽  
Afshin Borhani-Haghighi
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Nerve Conduction Study ◽  
Nerve Conduction ◽  
Rating Scale ◽  
Screening Method ◽  
Cross Sectional ◽  
Physical Tests ◽  
Tunnel Syndrome ◽  
Clinical Grading

AbstractBackground and aimsCarpal tunnel syndrome (CTS) is a common debilitating condition. As the reliability of CTS-specific physical tests and its clinical grading remain a matter of debate, we determined the correlations between these assessments with nerve conduction study (NCS).MethodsIn this cross-sectional study, patients with uni or bilateral CTS, which was confirmed in electrodiagnosis, were enrolled. Clinical grading was based on the modified criteria of the Italian CTS Study Group. Numeric Pain Rating Scale (NPRS) and Boston Questionnaire (BQ) were used. Physical tests [Phalen’s, reverse Phalen’s, Tinel’s and manual carpal compression test (mCCT)] were performed by a single blinded neurologist. Ap-value<0.05 was considered statistically significant.ResultsA total of 100 patients (age=47.48±11.44 years; 85% female) with 181 involved hands were studied. The majority of hands (59.7%) were classified as grade 2 of clinical grading. On NCS, hands with mild (64%), moderate (27%) and severe (9%) CTS were identified. Sensory (velocity, latency and amplitude) and motor parameters (latency and amplitude) were significantly correlated with clinical grades (p-value<0.001). The correlation of NPRS (p-value=0.009) and BQ (p-value<0.001) scores with NCS was significant. None of the physical tests were significantly correlated with NCS in terms of result or duration (p-value>0.05).ConclusionsWe found that physical tests are not a reliable screening method for evaluation of CTS severity. However, the BQ and clinical grading can be more valuable due to their significant correlation with NCS.ImplicationsPhysicians might benefit from employing clinical grading and BQ in practice for better assessment of CTS severity.

Carpal tunnel decompression in patients with normal nerve conduction studies

2019 ◽  
Vol 45 (3) ◽  
pp. 260-264 ◽  
Author(s):  
Samuel P. Mackenzie ◽  
Oliver D. Stone ◽  
Paul J. Jenkins ◽  
Nicholas D. Clement ◽  
Iain R. Murray ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Clinical Features ◽  
Carpal Tunnel ◽  
Nerve Conduction Study ◽  
Nerve Conduction ◽  
Study Groups ◽  
Nerve Conduction Studies ◽  
Level Of Evidence ◽  
Tunnel Syndrome ◽  
Normal Nerve Conduction

Some patients present with typical clinical features of carpal tunnel syndrome despite normal nerve conduction studies. This study compared the preoperative and 1-year postoperative QuickDASH scores in patients with normal and abnormal nerve conduction studies, who underwent carpal tunnel decompression. Of the 637 patients included in the study, 19 had clinical features of carpal tunnel syndrome but normal nerve conduction studies, and underwent decompression after failure of conservative management. Preoperative QuickDASH scores were comparable in both groups (58 vs 54.8). However, there were significant differences between the normal and abnormal nerve conduction study groups in the QuickDASH at 1 year (34.9 vs 21.5) and change in QuickDASH postoperatively (23.1 vs 33.4). Patients with normal nerve conduction studies had comparable preoperative disability scores compared with those with abnormal studies. Although they had a significant improvement in QuickDASH at 1 year, this was significantly less than those with abnormal nerve conduction studies. Level of evidence: III

scholarly journals Pattern of Peripheral Neuropathy and B12 Assay among Type 2 Diabetic Saudi Patients

2020 ◽  
Vol 5 (11) ◽  
pp. 529-532
Author(s):  
Ahmed Abdulrahaman Ghalib ◽  
Jamil Ramadan ◽  
Bothaina Omar Marae
Keyword(s):  
Peripheral Neuropathy ◽  
Carpal Tunnel Syndrome ◽  
Glycemic Control ◽  
Vitamin B12 ◽  
Carpal Tunnel ◽  
Nerve Conduction Study ◽  
Nerve Conduction ◽  
Axonal Neuropathy ◽  
Hypoglycemic Agents ◽  
Tunnel Syndrome

Objectives: to determine whether the pattern of peripheral neuropathy among Saudi types 2 diabetics has association with B12 status and glycemic control. Method: A cross section hospital based study. The pattern of diabetic neuropathy was determined by nerve conductive velocity (NCV) test, level of vitamin b12 was assayed among the study population and the glycemic control was determined according to Hba1c level. Results: A total of thirty three patients were enrolled in these study twenty one females and twelve males. The age ranged between 79 and 34 with the mean (SD) of 57 of these 17 (51.5%) used oral hypoglycemic agents and 16 (48.5%) were using insulin. HbAc1 more than 7 was found in 28 (84.8%) of the patients reflecting poor control. The nerve conduction study testing revealed that sensory axonal demyelination 6(18.2%), bilateral neuropathy 8 (24.2%), Right Carpal tunnel syndrome 5(15.2%), Left Carpal tunnel syndrome 0 (00%), mild axonal neuropathy 4 (12.1%) and 10 (30.3%) were found to have normal nerve conduction study test. The level of vitamin B12 was found 2(6%) was deficiency <180 pg/ml, 12(36.3%) possible deficiency 212 pg/ml-350 pg/ml and 19(57.5%) was >400 pg/ml. Conclusion: It could be concluded from this study that there is no association between pattern of peripheral neuropathy and B12 level in type II diabetics. Similarly no relation exists between Hb Ac1 level and pattern of peripheral neuropathy.

scholarly journals Clinical Predictors of the Surgical Outcome of Severe Carpal Tunnel Syndrome : The Utility of Palmar Stimulation in a Nerve Conduction Study

2020 ◽  
Vol 34 (1) ◽  
pp. 54-58
Author(s):  
Yuichi Sasaki ◽  
Tohru Terao ◽  
Emiko Saito ◽  
Yosuke Nakayama ◽  
Michiyasu Fuga ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Nerve Conduction Study ◽  
Nerve Conduction ◽  
Surgical Outcome ◽  
Clinical Predictors ◽  
Tunnel Syndrome

Assessment of Outcome of Carpal Tunnel Syndrome: A Comparison of Electrophysiological Findings and a Self-Administered Boston Questionnaire

2002 ◽  
Vol 27 (3) ◽  
pp. 259-264 ◽  
Author(s):  
N. HEYBELI ◽  
S. KUTLUHAN ◽  
S. DEMIRCI ◽  
M. KERMAN ◽  
E. F. MUMCU
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Nerve Conduction ◽  
Nerve Conduction Studies ◽  
The Self ◽  
Electrophysiological Findings ◽  
Idiopathic Carpal Tunnel Syndrome ◽  
Tunnel Syndrome ◽  
The Relationship ◽  
Boston Questionnaire

The relationship between nerve conduction studies and the self-administered Boston Questionnaire that measures the severity of symptoms and functional status in carpal tunnel syndrome was assessed in 44 patients with idiopathic carpal tunnel syndrome. The patients were examined preoperatively and 3 and 6 months postoperatively. Although both the clinical outcome and electrophysiological findings improved significantly after surgery, we observed no correlation between improvements in nerve conduction and the questionnaire scores.

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