Zong Ya, Zhang Hong, Xu Peipei, Chen Maoqi, Xie Qing, Zhou Ping
Department of Rehabilitation, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
School of Rehabilitation Science and Engineering, University of Health and Rehabilitation Sciences, Qingdao, Shandong, China.
Front Neurosci. 2023 Oct 31;17:1251807. doi: 10.3389/fnins.2023.1251807. eCollection 2023.
This study presents an electrophysiological assessment of radial extracorporeal shock wave therapy on patients with carpal tunnel syndrome (CTS). Sixteen CTS subjects received radial extracorporeal shock wave therapy once a week for five consecutive weeks. Outcome performance was assessed using the Boston Carpal Tunnel Questionnaire (BCTQ) and electrodiagnostic measurements including a nerve conduction study of the median nerve and a compound muscle action potential (CMAP) scan of the abductor pollicis brevis muscle. The BCTQ and the sensory conduction test measurements were all statistically improved after the treatment. However, the motor conduction test measurements were not significantly different before and after the treatment. The CMAP scan examination revealed MScanFit motor unit number estimation (MUNE) was significantly higher after the treatment, while no significant change was found in StairFit MUNE and step index. These results confirmed the effectiveness of shock wave therapy for treating CTS symptoms and the associated sensory property changes. The reasons for the inconsistencies from different CMAP scan processing methods are worthwhile targets for further investigation.
本研究对桡侧体外冲击波疗法治疗腕管综合征（CTS）患者进行了电生理评估。16名CTS患者连续5周每周接受一次桡侧体外冲击波治疗。使用波士顿腕管问卷（BCTQ）和电诊断测量进行结果评估，包括正中神经的神经传导研究和拇短展肌的复合肌肉动作电位（CMAP）扫描。治疗后，BCTQ和感觉传导测试测量结果均有统计学意义的改善。然而，治疗前后运动传导测试测量结果无显著差异。CMAP扫描检查显示，治疗后MScanFit运动单位数量估计（MUNE）显著升高，而StairFit MUNE和步长指数无显著变化。这些结果证实了冲击波疗法治疗CTS症状及相关感觉特性变化的有效性。不同CMAP扫描处理方法结果不一致的原因值得进一步研究。
