Universidade de Passo Fundo, Passo Fundo, Brazil.
Faculdade de Medicina, Universidade de Passo Fundo, Passo Fundo, Brazil; and.
J Clin Neuromuscul Dis. 2022 Jun 1;23(4):183-188. doi: 10.1097/CND.0000000000000409.
Carpal tunnel syndrome (CTS) is a common compressive neuropathy linked to disability in severe cases. Tools capable of distinguishing the severity spectrum median nerve entrapment in clinical practice are desirable.
This cross-sectional study included 58 CTS patients assisted in a Brazilian neurologic clinic. Participants were naive of surgical interventions and answered to Boston Carpal Tunnel Questionnaire (BCTQ). CTS was classified as mild, moderate, and severe according to electrodiagnostic testing.
There was no significant difference in BCTQ scores across the severity spectrum of median nerve entrapment, not even comparing mild cases with the group moderate/severe. Mild cases were younger (mean ± SD: 46.5 ± 9.2 years) than severe ones (60.0 ± 13.5, P = 0.04) and the group moderate/severe (55.5 ± 14.5, P = 0.01).
Results suggest that BCTQ is not adequate to assess the interpatient severity of median nerve entrapment on clinical practice.
腕管综合征（CTS）是一种常见的压迫性神经病变，在严重情况下会导致残疾。在临床实践中，需要能够区分正中神经受压严重程度的工具。
本横断面研究纳入了在巴西神经科诊所就诊的 58 名 CTS 患者。参与者对手术干预一无所知，并回答了波士顿腕管综合征问卷（BCTQ）。根据电诊断测试，将 CTS 分为轻度、中度和重度。
在正中神经受压的严重程度谱中，BCTQ 评分没有显著差异，甚至轻度病例与中度/重度组之间也没有差异。轻度病例的年龄（均值 ± 标准差：46.5 ± 9.2 岁）小于重度病例（60.0 ± 13.5，P = 0.04）和中度/重度组（55.5 ± 14.5，P = 0.01）。
结果表明，BCTQ 在临床实践中不足以评估正中神经受压的患者间严重程度。
