Department of Physical Medicine and Rehabilitation, Bezmialem Vakıf University, İstanbul, Turkey.
Department of Biostatistics and Medical Informatics, Bezmialem Vakıf University, İstanbul, Turkey.
J Electromyogr Kinesiol. 2022 Aug;65:102688. doi: 10.1016/j.jelekin.2022.102688. Epub 2022 Jul 20.
To evaluate the link between EMG findings and clinical status, the Boston questionnaire and the severity of pain in patients with pre-diagnosis of carpal tunnel syndrome.
A total of 85 patients (133 hands) who presented to the Physical Therapy and Rehabilitation outpatient clinic consecutively with complaints of numbness, tingling, pain and weakness in their hands were evaluated for their demographic and clinical features. After the initial evaluation, the diagnosis of CTS was confirmed by EMG. Visual analog scale (VAS), the Boston Questionnaire (Symptom Severity Scale = SSS, Functional Status Scale = FSS) and nerve conduction study results (sensory conduction velocity = SCV, distal motor latency = DML, compound muscle action potential = CMAP) were enrolled.
Eighty-five patients (58 female and 27 male) participated in this study yielding 133 hands (73 right hands, 60 right hands) with CTS. The mean age was 48.3 ± 10.41 years. Of all patients, 68.2 % were female and 31.8 % were male. A statistically significant relationship was found between SSS and duration of symptoms, VAS, both right and left SCV, DML and CMAP. A statistically significant relationship was found between FSS and duration of symptoms, VAS and only right SCV, DML and CMAP.
The diagnosis of CTS should be evaluated not only as an electrodiagnostic finding, but also the clinical picture of the patients. According to our results, both SSS and FSS had good correlations with VAS and the findings of EMG. Therefore, the Boston Questionnaire can provide a standardized measure of symptom severity and functional status in patients with CTS.
评估肌电图检查结果与临床状况、波士顿问卷以及疼痛严重程度之间的联系，这些患者在被诊断为腕管综合征之前已经出现了手部麻木、刺痛、疼痛和无力等症状。
连续 85 例（133 只手）因手部麻木、刺痛、疼痛和无力等症状就诊于物理治疗和康复门诊的患者，评估其人口统计学和临床特征。在初步评估后，通过肌电图确认 CTS 的诊断。视觉模拟评分（VAS）、波士顿问卷（症状严重程度评分 [SSS]、功能状态评分 [FSS]）和神经传导研究结果（感觉传导速度 [SCV]、远端运动潜伏期 [DML]、复合肌肉动作电位 [CMAP]）均被纳入评估。
本研究共纳入 85 例（58 例女性和 27 例男性）患者，共计 133 只手（73 只右手，60 只左手）患有 CTS。患者平均年龄为 48.3±10.41 岁。所有患者中，68.2%为女性，31.8%为男性。SSS 与症状持续时间、VAS、双侧 SCV、DML 和 CMAP 之间存在显著相关性，FSS 与症状持续时间、VAS 以及仅右侧 SCV、DML 和 CMAP 之间存在显著相关性。
对 CTS 的诊断不仅应基于电诊断发现，还应结合患者的临床情况。根据我们的结果，SSS 和 FSS 与 VAS 和肌电图检查结果均具有良好的相关性。因此，波士顿问卷可为 CTS 患者的症状严重程度和功能状态提供标准化的衡量标准。
