مجله علمی پژوهشی سازمان نظام پزشکی
Volume 38, Issue 3 (2021)                   jmciri 2021, 38(3): 156-160 | Back to browse issues page

XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

The Usefulness of Calculated Electrophysiological Parameters in Assessing the Severity of Carpal Tunnel Syndrome. jmciri 2021; 38 (3) :156-160
URL: http://jmciri.ir/article-1-3027-en.html
Abstract:   (1685 Views)
Background: Carpal tunnel syndrome (CTS) is the most common type of mononeuropathy. Although CTS patients usually have sensory and motor latency in the EMG-NCV or EDX, a significant percentage (10-25%) of patients have a normal routine study. And if more complete diagnostic tests are not performed, it will not be diagnosed. We decided to identify this group of patients by calculating other methods.
Methods: We evaluated 131 patients with CTS and 34 persons from the asymptomatic group as controls (297 hands in total). Individuals were then divided into 4 groups: asymptomatic, mild, moderate, and severe based on the severity of the disease. Calculated electrophysiological parameters were measured using nerve conduction studies. For each group, we calculated the sensitivity and specificity of 4 indicators separately including terminal latency index (TLI), residual latency (RL), modified F-wave latency ratio (MFR), difference of the minimal F-wave latencies between the median and ulnar nerves (F-diff M-U), and finally obtained the best parameter according to the total sensitivity and specificity. We also determined the cutting point for each parameter.
Results: RL index (90.7%) has the highest sensitivity for diagnosing mild cases and F-diff M-U index (50%) has the highest specificity. TLI and MFR indices have the highest sensitivity for diagnosing moderate cases and RL index (84.6%) has the highest specificity. RL index (94.6%) has the highest sensitivity for diagnosing severe cases and MFR index (86.5%) has the highest specificity.
Conclusion: The best indicator for distinguishing CTS from normal cases, as well as determining its severity, is RI.
Full-Text [PDF 346 kb]   (315 Downloads)    
Type of Study: Research | Subject: General

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.