Comparative study between physical examination, electroneuromyography and ultrasonography in diagnosing carpal tunnel syndrome

Filho, Arnaldo Gonçalves de Jesus; Nascimento, Bruno Fajardo do; Amorim, Marcelo de Carvalho; Naus, Ronald Alan Sauaia; Loures, Elmano de Araújo; Moratelli, Lucas

doi:10.1016/j.rboe.2014.09.002

Cited by 17 publications

(19 citation statements)

References 22 publications

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“…The first concerns the severity of the patient's symptoms (SSS). The second one, examines the functional state of the hand and the level of its dysfunction (FSS) [20][21][22] Research in the field of electrodiagnosis enables the elimination of polyneuropathy, radiculopathy and other disorders related to the median nerve [23]. Electroneurography (ENG) is a routine procedure performed in the diagnosis of carpal tunnel syndrome [24].…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of physiotherapy in carpal tunnel syndrome (CTS)

Bobowik¹

2019

areh

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Introduction: Carpal Tunnel Syndrome (CTS) is one of the most common peripheral upper limb's neuropathy. It can affect up to 4% of the human population. There is not one specific CTS's reason. Predisposing factors include: injuries and overloading of the wrists, frequently repetitions of the same activities, pregnancy and acromegaly. The ENG and USG are gold standards in the diagnosis of CTS. CTS treatment includes surgical and physiotherapeutic conservative treatment. Physiotherapists uses manual therapy techniques, neuromobilization, fascial manipulation, osteopathy and other kinds of physical therapy. Material and methods: A systematic review of the literature was based on publications from the last 5 years. Articles concerned the physiotherapy of people with carpal tunnel syndrome (CTS). Publications from the PubMed and ScienceDirect scientific databases have been analyzed. The inclusion and exclusion criteria were introduced and based on an analysis of the titles and abstracts related to carpal tunnel syndrome (CTS). Results: Out of over 28,000 CTS articles, 8 were selected to meet all inclusion and exclusion criteria. The publications concerned physiotherapeutic treatment in the conservative treatment of CTS. The analyzed publications examined the effectiveness of wrist manual therapy, median nerve mobilization, kinesiotaping, soft tissue therapy and fascial manipulations as well as other physiotherapy treatments. Conclusions: The reviewed publications show that physiotherapeutic procedures bring significant benefits and improve CTS symptoms within the hand. The development of physiotherapy and research on rehabilitation in the carpal tunnel syndrome (CTS) allow for more effective conservative treatment. This increases the chance of avoiding or delaying surgical intervention.

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Section: Introductionmentioning

confidence: 99%

“…On the other hand, EMG allows to evaluate muscle stimulation [27]. Electromyography is helpful because it allows to localize pathological changes in the muscles, shows their size, character and determines the dynamics of the disease process [23,28]. This assessment is carried out on muscle groups innervated by the median nerve.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of physiotherapy in carpal tunnel syndrome (CTS)

Bobowik¹

2019

areh

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“…The sensitivity of these tests is low (about 49-84%) and significant number of the patients is normal if we apply these tests alone, so more sensitive comparative studies are developed which compare the sensory and motor conduction studies of median nerve across the carpal tunnel to other nerves in the same hand like ulnar and radial nerves that does not cross through the carpal tunnel (10) . These tests are highly sensitive (95%) and specific (99%) (11) and offer the use of the patient as his own control which eliminate the effects of varying temperature, age and superimposed diseases on the results. There are many reference nerves that help in the diagnosis of CTS.…”

Section: Discussionmentioning

confidence: 99%

The Difference In Sensory Latency Of Median-Radial Nerves In The Diagnosis Of Carpal Tunnel Syndrome

Kadhim¹,

Basim²

2019

ATMPH

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Background: Electro-diagnosis plays an important role in the diagnosis of carpal tunnel syndrome (CTS);there are multiple tests available each with different sensitivity and specificity. Objective: This study aims to test the sensitivity and specificity of median-radial sensory latency comparison for diagnosing patients with early CTS .Methods: Hundred patients diagnosed clinically as having CTS with negative ordinary nerve conduction study were included in the study and tested for sensory nerve responses of median and radial nerves recorded from thumb and the difference between measured latency was measured. These patients are matched to 100 normal healthy volunteers. Results: The study found that the values of median sensory and motor latencies show statistically significant difference between patients and control. Also median sensory latency recorded from thumb finger was prolonged in comparison to that of radial nerve recorded from the same finger.Median-radial sensory latency comparison reveal high sensitivity (85%) and specificity (92%).Conclusion: Median-radial sensory latency comparison is helpful in the early diagnosis of CTS and is considered as complimentary part in the electrodiagnosis of CTS.

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“…As the disease grow up paresthesia in the hands in day time start [1]. In a study comparing physical examination, ultrasonography and electroneuromyography in diagnosing CTS, pain was reported by 74% of the patients while paresthesia was reported by 50% [11]. When comparing to other symptoms pain is more frequently positive in diagnosing CTS.…”

Section: Discussionmentioning

confidence: 99%

The diagnostic efficacy of clinical findings and electrophysiological studies in carpal tunnel syndrome

et al. 2016

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Objectives. The aim of the study was to examine the relation between clinical findings, neurological examination and electrophysiological studies in diagnosing carpal tunnel syndrome (CTS) and share our institutional experience in patients with CTS. Methods. Patients presenting with complaints of pain, paresthesia, and weakness in hands who diagnosed CTS between 2014 and 2015 were examined retrospectively. Demographic characteristics, clinical and neurological examination findings and electrodiagnostic evaluations were analyzed. Results. A total of 348 patients were included to the study. Weight and height measurements were significantly higher in patients with CTS on the right side (p=0.05 and p=0.04, respectively). Right hand side was the most dominant lateralization in patients with CTS (p=0.001) but there was no significant correlation for left side (p>0.05). The score of visual analogue scale was positively correlated with the severity of CTS (p=0.001). Thenar atrophy, hypoesthesia, positivity of Tinel and Phalen tests were also related to bilateral CTS (p=0.001 for each). Conclusion. We agree that clinical features, neurological examination findings and electrophysiological studies are effective diagnostic means in patients with CTS.

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Comparative study between physical examination, electroneuromyography and ultrasonography in diagnosing carpal tunnel syndrome

Cited by 17 publications

References 22 publications

Effectiveness of physiotherapy in carpal tunnel syndrome (CTS)

Effectiveness of physiotherapy in carpal tunnel syndrome (CTS)

The Difference In Sensory Latency Of Median-Radial Nerves In The Diagnosis Of Carpal Tunnel Syndrome

The diagnostic efficacy of clinical findings and electrophysiological studies in carpal tunnel syndrome

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