Dolor y catastrofismo en el síndrome del túnel del carpo

Q4 Health Professions

Fisioterapia Pub Date : 2025-01-01 DOI:10.1016/j.ft.2024.10.001

O. del Pozo Blanco , E. González García

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Abstract

Objectives

To determine which variable influences pain in patients with carpal tunnel syndrome (CTS), specifically whether it is the severity of nerve injury or pain-associated catastrophization (PC). Additionally, to assess the relationship between electromyography (EMG) results and perceived pain in both hands.

Method

A prospective observational study of CTS patients with EMG results, who completed two questionnaires: the Pain Catastrophizing Scale (PCS) to quantify PC, and the McGill Pain Questionnaire to assess pain. For the latter, only the Visual Analog Scale (VAS) was used due to the difficulty patients faced in selecting the most appropriate term.

Results

A total of 74 subjects with CTS were studied. The intensity of pain and the severity of median nerve injury were not statistically significant in the right hand (p = 0.925) or the left hand (p = 0.270). A positive association was found between the PCS and pain in the right hand (p = 0.011) and in the left hand (p = 0.050). The relationship of the results between both hands was statistically significant for both EMG (p = 0.001) and pain (p = 0.000).

Conclusions

Pain in CTS is determined by PC rather than the severity of nerve injury. There is similarity in pain perception and the degree of median nerve injury between both hands.

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鲤鱼隧道综合症的痛苦和灾难

目的探讨影响腕管综合征（CTS）患者疼痛的因素，特别是神经损伤的严重程度和疼痛相关的巨化（PC）。此外，评估肌电图（EMG）结果与双手感知疼痛之间的关系。方法对有肌电图结果的CTS患者进行前瞻性观察研究，他们完成了两份问卷：量化PC的疼痛灾难量表（PCS）和评估疼痛的McGill疼痛问卷。对于后者，由于患者难以选择最合适的术语，仅使用视觉模拟量表（VAS）。结果共调查74例CTS患者。两组疼痛程度、正中神经损伤程度差异无统计学意义（p = 0.925），左手疼痛程度差异无统计学意义（p = 0.270）。PCS与右手疼痛呈正相关（p = 0.011），左手疼痛呈正相关（p = 0.050）。双手肌电图（p = 0.001）和疼痛（p = 0.000）结果之间的关系具有统计学意义。结论CTS的西班牙程度与神经损伤程度无关，而与PC有关。双手的痛觉和正中神经损伤程度有相似之处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Fisioterapia Health Professions-Physical Therapy, Sports Therapy and Rehabilitation

CiteScore

0.50

自引率

0.00%

发文量

期刊介绍： Publicación Oficial de la Sociedad Española de Fisioterapeutas. Sus páginas ofrecen desde artículos originales hasta revisiones, pasando por el estudio de casos o los actos más importantes relacionados con la especialidad.