Relationship between Semmes-Weinstein Monofilaments perception Test and sensory nerve conduction studies in Carpal Tunnel Syndrome
| Autor: | Parvin Raji, Noureddin Nakhostin Ansari, Bijan Forogh, Soofia Naghdi, Scott Hasson |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Sensory Receptor Cells Neural Conduction Sensation Physical Therapy Sports Therapy and Rehabilitation Hazard perception Thumb Audiology Nerve conduction velocity Fingers Young Adult Physical Stimulation medicine Humans Carpal tunnel syndrome Aged Neurologic Examination medicine.diagnostic_test Electrodiagnosis Rehabilitation Middle Aged medicine.disease Carpal Tunnel Syndrome Numerical digit Median Nerve nervous system diseases Cross-Sectional Studies Treatment Outcome medicine.anatomical_structure Measurement study Nerve conduction study Physical therapy Female Neurology (clinical) Psychology Sensory nerve |
| Zdroj: | NeuroRehabilitation. 35:543-552 |
| ISSN: | 1878-6448 1053-8135 |
| Popis: | Background The Semmes-Weinstein Monofilament Test (SWMT) is a clinical widely used test to quantify the sensibility in patients with Carpal Tunnel Syndrome (CTS). No study has investigated the relationship between the SWMT and sensory nerve conduction studies (SNCS) in patients with CTS. Objective To assess the relationship between the SWMT and SNCS findings in patients with CTS. Methods This cross-sectional clinical measurement study included 35 patients with CTS (55 hands) with a mean age of 45 ± 12 years. The outcome measures were the SWMT and SNCS measures of distal latency (DLs), amplitude (AMPs), and nerve conduction velocity (NCV). The median innervated fingers were tested using SWMT and electrodiagnostic tests. The primary outcome was the correlations between the SWMTs and NCS measures. Results All of the patients/hands had abnormal NCS findings. When looking at the three digits of interest (thumb, index and middle), the thumb SWMTs had the highest number of abnormal findings (58.2%), with the middle digit having the lowest (45.5%). All NCS findings were statistically different between abnormal and normal thumb SWMTs and abnormal and normal total summed SWMTs. There were significant moderate correlations between thumb SWMT scores and all NCS outcomes. Conclusions Although only approximately 50% of the CTS diagnosed through NCS are corroborated through SWMT; the significant associations between SWMT and NCS measures suggest that SWMT is a valid test for assessing sensations in patients with CTS. |
| Databáze: | OpenAIRE |
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