Literature DB >> 26296394

A randomized trial of diagnostic ultrasound to improve outcomes in focal neuropathies.

Michael S Cartwright1, Leah P Griffin2, Hugh Dowlen1, Jessica M Bargoil1, James B Caress1, Zhongyu J Li3, Anthony J Defranzo4, Ethan R Wiesler3, Christopher J Tuohy3, Nikhil Balakrishnan1, Joseph A Molnar4, Vanessa Baute1, L Andrew Koman3, Gary G Poehling3, Francis O Walker1.   

Abstract

INTRODUCTION: Neuromuscular ultrasound is valid, reliable, and accurate, but it is not known whether combining it with electrodiagnostic studies leads to better outcomes in individuals with focal neuropathies.
METHODS: One hundred twenty individuals with focal neuropathy, based on history, examination, and electrodiagnosis, were enrolled in this study. All patients underwent neuromuscular ultrasound and were randomized to either have their ultrasound results sent to the referring physician or not have them sent. Outcomes were assessed at 6 months by evaluators blinded to group assignment.
RESULTS: The Overall Disability Sum Score and 7 of 8 domains of the Medical Outcomes Study 36-item Short-Form Health Survey (SF-36) showed more improvement in the "report sent" group, although only the general health perception domain was significant (P = 0.005).
CONCLUSIONS: Most 6-month outcomes did not reach statistical significance between the 2 groups. However, the "report sent" group had trends toward better outcomes, with significance being reached in the general health perception domain of the SF-36.
© 2015 Wiley Periodicals, Inc.

Entities:  

Keywords:  carpal tunnel syndrome; nerve; outcomes ultrasound; ulnar neuropathy at the elbow

Mesh:

Year:  2015        PMID: 26296394      PMCID: PMC4596792          DOI: 10.1002/mus.24884

Source DB:  PubMed          Journal:  Muscle Nerve        ISSN: 0148-639X            Impact factor:   3.217


  30 in total

Review 1.  Ultrasound of nerve and muscle.

Authors:  Francis O Walker; Michael S Cartwright; Ethan R Wiesler; James Caress
Journal:  Clin Neurophysiol       Date:  2004-03       Impact factor: 3.708

2.  CONSORT 2010 statement: updated guidelines for reporting parallel group randomized trials.

Authors:  Kenneth F Schulz; Douglas G Altman; David Moher
Journal:  Ann Intern Med       Date:  2010-03-24       Impact factor: 25.391

3.  A modified peripheral neuropathy scale: the Overall Neuropathy Limitations Scale.

Authors:  R C Graham; R A C Hughes
Journal:  J Neurol Neurosurg Psychiatry       Date:  2006-03-30       Impact factor: 10.154

4.  Contribution of ultrasound in a neurophysiological lab in diagnosing nerve impairment: A one-year systematic assessment.

Authors:  L Padua; I Aprile; C Pazzaglia; G Frasca; P Caliandro; P Tonali; C Martinoli
Journal:  Clin Neurophysiol       Date:  2007-04-26       Impact factor: 3.708

5.  Validity and reliability of nerve and muscle ultrasound.

Authors:  Michael S Cartwright; Samantha Demar; Leah P Griffin; Nikhil Balakrishnan; Jessica M Harris; Francis O Walker
Journal:  Muscle Nerve       Date:  2013-02-08       Impact factor: 3.217

6.  Evidence-based guideline: neuromuscular ultrasound for the diagnosis of carpal tunnel syndrome.

Authors:  Michael S Cartwright; Lisa D Hobson-Webb; Andrea J Boon; Katharine E Alter; Christopher H Hunt; Victor H Flores; Robert A Werner; Steven J Shook; T Darrell Thomas; Scott J Primack; Francis O Walker
Journal:  Muscle Nerve       Date:  2012-08       Impact factor: 3.217

7.  Carpal tunnel syndrome in Rochester, Minnesota, 1961 to 1980.

Authors:  J C Stevens; S Sun; C M Beard; W M O'Fallon; L T Kurland
Journal:  Neurology       Date:  1988-01       Impact factor: 9.910

8.  Validity and usefulness of hand-held dynamometry for measuring muscle strength in community-dwelling older persons.

Authors:  Pedro Abizanda; José Luis Navarro; María Isabel García-Tomás; Esther López-Jiménez; Esther Martínez-Sánchez; Gema Paterna
Journal:  Arch Gerontol Geriatr       Date:  2011-03-02       Impact factor: 3.250

9.  Ultrasound as a useful tool in the diagnosis and management of traumatic nerve lesions.

Authors:  L Padua; A Di Pasquale; G Liotta; G Granata; C Pazzaglia; C Erra; C Briani; D Coraci; P De Franco; G Antonini; C Martinoli
Journal:  Clin Neurophysiol       Date:  2013-02-04       Impact factor: 3.708

10.  Getting closer to patients: the INCAT Overall Disability Sum Score relates better to patients' own clinical judgement in immune-mediated polyneuropathies.

Authors:  I S J Merkies; P I M Schmitz
Journal:  J Neurol Neurosurg Psychiatry       Date:  2006-03-20       Impact factor: 10.154

View more
  4 in total

1.  Cost-effectiveness of neuromuscular ultrasound in focal neuropathies.

Authors:  Ross Mandeville; Arvin Wali; Charlie Park; Erik Groessl; Francis O Walker; Michael S Cartwright
Journal:  Neurology       Date:  2019-05-03       Impact factor: 9.910

2.  A Pilot Study of Strain Elastography in the Diagnosis of Carpal Tunnel Syndrome.

Authors:  Matthew J Martin; Michael S Cartwright
Journal:  J Clin Neurophysiol       Date:  2017-03       Impact factor: 2.177

Review 3.  Neuromuscular Ultrasound in the Pediatric Population.

Authors:  Trent A VanHorn; Michael S Cartwright
Journal:  Diagnostics (Basel)       Date:  2020-11-26

4.  Clinical and economic arguments to support a neuromuscular ultrasound service.

Authors:  Neil G Simon
Journal:  Clin Neurophysiol Pract       Date:  2019-07-12
  4 in total

北京卡尤迪生物科技股份有限公司 © 2022-2023.