The Effect of Provocative Tests on Electrodiognosis of Clinical Carpal Tunnel Syndrome
ABSTRACT: Introduction & Objective: Nerve conduction study is the most sensitive test for diagnosis of carpal tunnel syndrome (CTS). This test is normal in some patients with mild CTS. Median nerve conduction study evaluation after a provocative test (e.g. wrist flexion) may be helpful for diagn...
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Yasuj University Of Medical Sciences
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ftdoajarticles:oai:doaj.org/article:69c25c6198654d6892afe44572204b8f 2023-05-15T16:02:03+02:00 The Effect of Provocative Tests on Electrodiognosis of Clinical Carpal Tunnel Syndrome MR Emad SH Najafi 2006-04-01T00:00:00Z https://doaj.org/article/69c25c6198654d6892afe44572204b8f FA per Yasuj University Of Medical Sciences http://armaghanj.yums.ac.ir/browse.php?a_code=A-10-39-119&slc_lang=en&sid=1 https://doaj.org/toc/1728-6506 https://doaj.org/toc/1728-6514 1728-6506 1728-6514 https://doaj.org/article/69c25c6198654d6892afe44572204b8f Armaghane Danesh Bimonthly Journal, Vol 11, Iss 1, Pp 65-73 (2006) KEYWORDS: Median nerve Carpal Tunnel Syndrome (CTS) Electrodiagnostic tests Provocative test Medicine (General) R5-920 article 2006 ftdoajarticles 2022-12-31T00:07:02Z ABSTRACT: Introduction & Objective: Nerve conduction study is the most sensitive test for diagnosis of carpal tunnel syndrome (CTS). This test is normal in some patients with mild CTS. Median nerve conduction study evaluation after a provocative test (e.g. wrist flexion) may be helpful for diagnosis of mild CTS. This study aimed to determine the effect of wrist flexion on median nerve conduction in patients suspected to CTS and in healthy subjects. Materials & Methods: In this case-controlled study, 20 patients (20 hands) with clinical signs of CTS and normal routine electrodiagnosis test results and 20 healthy subjects were investigated. Measured parameters included: median nerve distal sensory latency (DSL), nerve conduction velocity (NCV), compound nerve action potential (CNAP), distal motor latency (DML) and compound muscle action potential amplitude (CMAP AMP). The above noted parameters were measured before and after 5 minutes of full wrist flexion. Data were collected by filling out a questionnaire and were analyzed using Paired T-test. Results: Distal Sensory Latency increment and NCV decrement after 5 minutes wrist flexion in the patients group were statistically significant (p<0.05). The same parameters did not show a significant incremental or decremental change in the control group. Conclusion: Median nerve DSL and NCV measurement after 5 minutes wrist flexion may be helpful in determining more sensitive parameters in the electrodiagnosis of CTS. Article in Journal/Newspaper DML Directory of Open Access Journals: DOAJ Articles |
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Directory of Open Access Journals: DOAJ Articles |
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KEYWORDS: Median nerve Carpal Tunnel Syndrome (CTS) Electrodiagnostic tests Provocative test Medicine (General) R5-920 |
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KEYWORDS: Median nerve Carpal Tunnel Syndrome (CTS) Electrodiagnostic tests Provocative test Medicine (General) R5-920 MR Emad SH Najafi The Effect of Provocative Tests on Electrodiognosis of Clinical Carpal Tunnel Syndrome |
topic_facet |
KEYWORDS: Median nerve Carpal Tunnel Syndrome (CTS) Electrodiagnostic tests Provocative test Medicine (General) R5-920 |
description |
ABSTRACT: Introduction & Objective: Nerve conduction study is the most sensitive test for diagnosis of carpal tunnel syndrome (CTS). This test is normal in some patients with mild CTS. Median nerve conduction study evaluation after a provocative test (e.g. wrist flexion) may be helpful for diagnosis of mild CTS. This study aimed to determine the effect of wrist flexion on median nerve conduction in patients suspected to CTS and in healthy subjects. Materials & Methods: In this case-controlled study, 20 patients (20 hands) with clinical signs of CTS and normal routine electrodiagnosis test results and 20 healthy subjects were investigated. Measured parameters included: median nerve distal sensory latency (DSL), nerve conduction velocity (NCV), compound nerve action potential (CNAP), distal motor latency (DML) and compound muscle action potential amplitude (CMAP AMP). The above noted parameters were measured before and after 5 minutes of full wrist flexion. Data were collected by filling out a questionnaire and were analyzed using Paired T-test. Results: Distal Sensory Latency increment and NCV decrement after 5 minutes wrist flexion in the patients group were statistically significant (p<0.05). The same parameters did not show a significant incremental or decremental change in the control group. Conclusion: Median nerve DSL and NCV measurement after 5 minutes wrist flexion may be helpful in determining more sensitive parameters in the electrodiagnosis of CTS. |
format |
Article in Journal/Newspaper |
author |
MR Emad SH Najafi |
author_facet |
MR Emad SH Najafi |
author_sort |
MR Emad |
title |
The Effect of Provocative Tests on Electrodiognosis of Clinical Carpal Tunnel Syndrome |
title_short |
The Effect of Provocative Tests on Electrodiognosis of Clinical Carpal Tunnel Syndrome |
title_full |
The Effect of Provocative Tests on Electrodiognosis of Clinical Carpal Tunnel Syndrome |
title_fullStr |
The Effect of Provocative Tests on Electrodiognosis of Clinical Carpal Tunnel Syndrome |
title_full_unstemmed |
The Effect of Provocative Tests on Electrodiognosis of Clinical Carpal Tunnel Syndrome |
title_sort |
effect of provocative tests on electrodiognosis of clinical carpal tunnel syndrome |
publisher |
Yasuj University Of Medical Sciences |
publishDate |
2006 |
url |
https://doaj.org/article/69c25c6198654d6892afe44572204b8f |
genre |
DML |
genre_facet |
DML |
op_source |
Armaghane Danesh Bimonthly Journal, Vol 11, Iss 1, Pp 65-73 (2006) |
op_relation |
http://armaghanj.yums.ac.ir/browse.php?a_code=A-10-39-119&slc_lang=en&sid=1 https://doaj.org/toc/1728-6506 https://doaj.org/toc/1728-6514 1728-6506 1728-6514 https://doaj.org/article/69c25c6198654d6892afe44572204b8f |
_version_ |
1766397680045522944 |