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五种常见腕管综合征检查方法与腕管综合征严重程度之间的关系。

The relationship among five common carpal tunnel syndrome tests and the severity of carpal tunnel syndrome.

作者信息

Priganc Victoria W, Henry Sharon M

机构信息

Occupational Therapy Department, University of New England, Biddeford, Maine 04005, USA.

出版信息

J Hand Ther. 2003 Jul-Sep;16(3):225-36. doi: 10.1016/s0894-1130(03)00038-3.

Abstract

The purpose of this research was to examine the relationship among clinical carpal tunnel syndrome (CTS) tests and the severity of CTS. A total of 66 subjects with electrodiagnostically confirmed CTS were tested on five CTS tests, then classified according to the severity of CTS. An association was found between testing positive on Phalen's test and the severity of CTS (p < 0.05). In contrast, no association was found between the severity of CTS and results on Tinel's sign, manual version of the carpal compression test (mCCT), Katz-Stirrat hand diagram, or carpal tunnel outcomes assessment tool. The more severe the CTS, the more likely one is to test positive on Phalen's test. Tinel's sign and the mCCT are not influenced by the severity of CTS. This study suggests that Tinel's sign and mCCT may not be useful in assessing the effectiveness of treatment. The Katz-Stirrat hand diagram and the carpal tunnel outcomes assessment tool are not influenced by the severity of CTS, indicating that numerous factors can influence a patient's response on subjective questionnaires.

摘要

本研究的目的是探讨临床腕管综合征(CTS)检查与CTS严重程度之间的关系。共有66名经电诊断确诊为CTS的受试者接受了五项CTS检查,然后根据CTS的严重程度进行分类。发现Phalen试验阳性与CTS严重程度之间存在关联(p < 0.05)。相比之下,未发现CTS严重程度与Tinel征、手动版腕管压迫试验(mCCT)、Katz-Stirrat手部图或腕管结局评估工具的结果之间存在关联。CTS越严重,在Phalen试验中呈阳性的可能性就越大。Tinel征和mCCT不受CTS严重程度的影响。本研究表明,Tinel征和mCCT可能对评估治疗效果没有帮助。Katz-Stirrat手部图和腕管结局评估工具不受CTS严重程度的影响,这表明许多因素可能会影响患者在主观问卷上的回答。

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