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 diag...
| Main Authors: | , |
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| Format: | Article |
| Language: | fas |
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Yasuj University Of Medical Sciences
2006-04-01
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| Series: | Armaghane Danesh Bimonthly Journal |
| Subjects: | |
| Online Access: | http://armaghanj.yums.ac.ir/browse.php?a_code=A-10-39-119&slc_lang=en&sid=1 |
| _version_ | 1818024864800309248 |
|---|---|
| author | MR Emad SH Najafi |
| author_facet | MR Emad SH Najafi |
| author_sort | MR Emad |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-10T04:07:00Z |
| format | Article |
| id | doaj.art-69c25c6198654d6892afe44572204b8f |
| institution | Directory Open Access Journal |
| issn | 1728-6506 1728-6514 |
| language | fas |
| last_indexed | 2024-12-10T04:07:00Z |
| publishDate | 2006-04-01 |
| publisher | Yasuj University Of Medical Sciences |
| record_format | Article |
| series | Armaghane Danesh Bimonthly Journal |
| spelling | doaj.art-69c25c6198654d6892afe44572204b8f2022-12-22T02:02:49ZfasYasuj University Of Medical SciencesArmaghane Danesh Bimonthly Journal1728-65061728-65142006-04-011116573The Effect of Provocative Tests on Electrodiognosis of Clinical Carpal Tunnel SyndromeMR Emad0SH Najafi1 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.http://armaghanj.yums.ac.ir/browse.php?a_code=A-10-39-119&slc_lang=en&sid=1KEYWORDS: Median nerve Carpal Tunnel Syndrome (CTS) Electrodiagnostic tests Provocative test |
| spellingShingle | MR Emad SH Najafi The Effect of Provocative Tests on Electrodiognosis of Clinical Carpal Tunnel Syndrome Armaghane Danesh Bimonthly Journal KEYWORDS: Median nerve Carpal Tunnel Syndrome (CTS) Electrodiagnostic tests Provocative test |
| title | 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_short | 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 |
| topic | KEYWORDS: Median nerve Carpal Tunnel Syndrome (CTS) Electrodiagnostic tests Provocative test |
| url | http://armaghanj.yums.ac.ir/browse.php?a_code=A-10-39-119&slc_lang=en&sid=1 |
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