2004
DOI: 10.2519/jospt.2004.34.10.565
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Clinical and Electrodiagnostic Testing of Carpal Tunnel Syndrome: A Narrative Review

Abstract: Carpal Tunnel Syndrome (CTS) is a pressure-induced neuropathy that causes sensorimotor disturbances of the median nerve, which impair functional ability. A clear history that elicits relevant personal and work exposures and the nature of symptoms can lead to a high probability of a correct diagnosis. Hand diagrams and diagnostic questionnaires are available to provide structure to this process. A variety of provocative tests have been described and have variable accuracy. The Phalen's wrist flexion and the car… Show more

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Cited by 92 publications
(57 citation statements)
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References 134 publications
(148 reference statements)
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“…8 As a consequence, no single clinical test has been accepted as sufficient to identify this disorder. 9,10 A frequently adopted tension test is the Upper Limb Neurodynamic Test 1 (ULNT1), which emphasizes tension on the median nerve, as reported by anatomical studies. [11][12][13][14][15] Butler 16 suggests to perform the test as follows: while preventing elevation of the shoulder girdle, the shoulder is abducted and the wrist is extended; supination of the forearm is followed by lateral rotation of the shoulder, elbow extension, and cervical lateral flexion, first away from the tested extremity and then toward the tested extremity.…”
mentioning
confidence: 99%
“…8 As a consequence, no single clinical test has been accepted as sufficient to identify this disorder. 9,10 A frequently adopted tension test is the Upper Limb Neurodynamic Test 1 (ULNT1), which emphasizes tension on the median nerve, as reported by anatomical studies. [11][12][13][14][15] Butler 16 suggests to perform the test as follows: while preventing elevation of the shoulder girdle, the shoulder is abducted and the wrist is extended; supination of the forearm is followed by lateral rotation of the shoulder, elbow extension, and cervical lateral flexion, first away from the tested extremity and then toward the tested extremity.…”
mentioning
confidence: 99%
“…There is a diversity of electrophysiological techniques that are utilized to assess median nerve conduction across carpal tunnel. Slowing of the median nerve across the carpal tunnel is the electrophysiological confirmation of clinical CTS [20]. These electrophysiological tests are the routine median motor and sensory conduction studies.…”
Section: Discussionmentioning
confidence: 99%
“…In contrast, however, most researchers use supramaximal stimulation when conducting sensory nerve conduction studies, whether it is to investigate pathologies such as Carpal Tunnel Syndrome (MacDermid and Doherty, 2004;Stevens, 1997), diabetic neuropathy (Dyck et al, 1985) or to develop normative data sets (Jablecki et al, 1993). Other researchers fail to report what level of stimulation that was used to generate SNAPs in their studies (Aydin et al, 2004;Rathakrishnan et al, 2007).…”
Section: Snap Latencymentioning
confidence: 95%