Itsubo Toshiro, Uchiyama Shigeharu, Momose Toshimitsu, Yasutomi Takashi, Imaeda Toshihiko, Kato Hiroyuki
Department of Orthopaedic Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.
J Orthop Sci. 2009 Jan;14(1):17-23. doi: 10.1007/s00776-008-1290-y. Epub 2009 Feb 13.
We evaluated the correlation between Japanese versions of patient-oriented questionnaires and electrophysiological examinations in patients with carpal tunnel syndrome (CTS).
A series of 45 patients who were diagnosed with carpal tunnel syndrome and subsequently underwent carpal tunnel release surgery were analyzed. There were 8 men and 37 women with an average age of 64.8 years. They completed the Japanese Society for Surgery of the Hand version of the Carpal Tunnel Syndrome Instrument (CTSI-JSSH), which consisted of a Symptom Severity Score (CTSI-JSSH-SS), Functional Score (CTSI-JSSH-FS), and Japanese Society for Surgery of the Hand version-Quick Disability of Arm, Shoulder, and Hand questionnaire (QuickDASH-JSSH) both preoperatively and 3 months postoperatively. Nerve conduction studies (NCSs) were also performed and included motor distal latency (MDL) and sensory nerve conduction velocity (SCV) measurements. The responsiveness of each instrument was evaluated by calculating the standardized response mean (SRM) and effect size (ES). Correlation coefficients between preoperative and postoperative questionnaire scores and NCS parameters were calculated.
Responsiveness (SRM/ES) was as follows: CTSI-JSSH-SS (-1.06/-1.14), CTSI-JSSH-FS (-0.75/-0.74), Quick-DASH-JSSH (-0.65/-0.62), MDL (-1.45/-1.11), and the neurophysiological stage of the disease (-0.90/-1.42). No significant correlation was observed between the preoperative and postoperative patient-oriented questionnaires and nerve conduction studies (P > 0.05).
Although NCSs and the Japanese version of patient-oriented questionnaires are highly responsive to treatment, they are not parallel. Multifaceted assessment of CTS treatment is possible by performing both outcome measurements.
我们评估了面向患者的日本版问卷与腕管综合征（CTS）患者电生理检查之间的相关性。
对45例被诊断为腕管综合征并随后接受腕管松解手术的患者进行了分析。其中男性8例，女性37例，平均年龄64.8岁。他们在术前和术后3个月完成了日本手部外科学会版腕管综合征量表（CTSI-JSSH），该量表包括症状严重程度评分（CTSI-JSSH-SS）、功能评分（CTSI-JSSH-FS）以及日本手部外科学会版手臂、肩部和手部快速残疾问卷（QuickDASH-JSSH）。还进行了神经传导研究（NCS），包括运动远端潜伏期（MDL）和感觉神经传导速度（SCV）测量。通过计算标准化反应均值（SRM）和效应量（ES）来评估每种工具的反应性。计算术前和术后问卷评分与NCS参数之间的相关系数。
反应性（SRM/ES）如下：CTSI-JSSH-SS（-1.06/-1.14）、CTSI-JSSH-FS（-0.75/-0.74）、Quick-DASH-JSSH（-0.65/-0.62）、MDL（-1.45/-1.11）以及疾病的神经生理阶段（-0.90/-1.42）。术前和术后面向患者的问卷与神经传导研究之间未观察到显著相关性（P>0.05）。
尽管NCS和面向患者的日本版问卷对治疗具有高度反应性，但它们并不平行。通过同时进行两种结果测量，可以对CTS治疗进行多方面评估。
