Keniş-Coşkun Özge, Karadağ-Saygı Evrim, Özsoy Tuğba, Giray Esra, Mansız-Kaplan Başak, Kora Kaan
Department of Physical Medicine and Rehabilitation, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, Turkey.
Department of Physical Medicine and Rehabilitation, Medical Faculty of Marmara University, İstanbul, Turkey.
Turk J Phys Med Rehabil. 2017 May 15;63(4):335-339. doi: 10.5606/tftrd.2017.453. eCollection 2017 Dec.
This study aims to investigate if function and mood involvement correlate in female patients who have a pre-diagnosis of carpal tunnel syndrome (CTS) and its correlation with physical examination and electrodiagnostic findings.
A total of 170 patients between the ages of 18-65 who applied to Physical Medicine and Rehabilitation outpatient clinics with CTS symptoms between May 2014 and December 2015 were enrolled. The mean age of patients was 44.6±11 years. Before electrophysiological testing (electromyography; EMG), Disabilities of the Arm, Shoulder and Hand questionnaire (QuickDASH), Beck Depression Inventory, Tinnel, Phalen and Durkan tests, grip and pinch strength measurement by JAMAR hand dynamometer were performed. The patients also used a Visual Analog Scale (VAS) to determine the severity of their symptoms during the day and at night.
In 98 patients (57.6%) the diagnosis of CTS was confirmed by EMG, while 72 patients (42.4%) had normal electrodiagnostic findings. In patients who had normal EMG, Beck Depression Inventory and QuickDASH scores were not significantly different from the patients who had an electrodiagnosis of CTS. Pain experienced in the night was significantly higher in patients who had an electrodiagnosis of CTS, and these patients had significantly higher Beck Depression Inventory and QuickDASH scores.
The lack of electrodiagnostic evidence in patients who have CTS symptoms does not show that function and mood are not affected in these patients. However, mood is significantly affected in patients with severe CTS.
本研究旨在调查在预先诊断为腕管综合征（CTS）的女性患者中，功能和情绪参与是否相关，以及其与体格检查和电诊断结果的相关性。
纳入2014年5月至2015年12月期间因CTS症状前往物理医学与康复门诊就诊的170例年龄在18 - 65岁之间的患者。患者的平均年龄为44.6±11岁。在进行电生理测试（肌电图；EMG）之前，进行了手臂、肩部和手部功能障碍问卷（QuickDASH）、贝克抑郁量表、Tinnel试验、Phalen试验和Durkan试验，并用JAMAR握力计测量握力和捏力。患者还使用视觉模拟量表（VAS）来确定白天和晚上症状的严重程度。
98例患者（57.6%）经EMG确诊为CTS，而72例患者（42.4%）电诊断结果正常。EMG正常的患者，其贝克抑郁量表和QuickDASH评分与经电诊断为CTS的患者无显著差异。经电诊断为CTS的患者夜间疼痛明显更高，且这些患者的贝克抑郁量表和QuickDASH评分也显著更高。
有CTS症状的患者缺乏电诊断证据并不表明这些患者的功能和情绪未受影响。然而，严重CTS患者的情绪受到显著影响。
