INTRODUCTION: A study conducted to establish the most accurate combination of questionnaire and physical signs for the diagnosis of carpal tunnel syndrome. METHOD: Nerve conduction studies confirmed 70 patients with having carpal tunnel syndrome who were enrolled along with 70 age- and sex-matched controls. Patients were assessed using a symptom questionnaire, Phalen's test, Hoffmann-Tinel's sign, hand elevation test, carpal compression test, tourniquet test, pressure aesthesiometry and two-point discrimination. RESULTS: Through multivariate analysis, the best combination of tests was tourniquet, carpal compression and Phalen's tests but the difference between these and hand elevation test alone was negligible. CONCLUSION: The hand elevation test may be used in isolation and is superior to questionnaires and other physical signs in the clinical diagnosis of carpal tunnel syndrome.
INTRODUCTION: A study conducted to establish the most accurate combination of questionnaire and physical signs for the diagnosis of carpal tunnel syndrome. METHOD: Nerve conduction studies confirmed 70 patients with having carpal tunnel syndrome who were enrolled along with 70 age- and sex-matched controls. Patients were assessed using a symptom questionnaire, Phalen's test, Hoffmann-Tinel's sign, hand elevation test, carpal compression test, tourniquet test, pressure aesthesiometry and two-point discrimination. RESULTS: Through multivariate analysis, the best combination of tests was tourniquet, carpal compression and Phalen's tests but the difference between these and hand elevation test alone was negligible. CONCLUSION: The hand elevation test may be used in isolation and is superior to questionnaires and other physical signs in the clinical diagnosis of carpal tunnel syndrome.
Authors: Mohammad Setayesh; Amir Reza Sadeghifar; Nozar Nakhaee; Mohammad Kamalinejad; Hossein Rezaeizadeh Journal: J Evid Based Complementary Altern Med Date: 2016-12-01
Authors: Matthew S Thiese; Fred Gerr; Kurt T Hegmann; Carisa Harris-Adamson; Ann Marie Dale; Bradley Evanoff; Ellen A Eisen; Jay Kapellusch; Arun Garg; Susan Burt; Stephen Bao; Barbara Silverstein; Linda Merlino; David Rempel Journal: Arch Phys Med Rehabil Date: 2014-08-28 Impact factor: 3.966