波士顿腕管问卷与腕管综合征的严重程度

Q3 Medicine

Journal of Clinical Neuromuscular Disease Pub Date : 2022-06-01 DOI:10.1097/CND.0000000000000409

C. Forcelini, Estevão Ramon Chichelero, A. De Oliveira, Francisco Tres da Silva, Pietro Henrique Barbosa Durigan, Nathália Orso Ramos, L. Bianchini, Bárbara Battistel, V. Borghetti

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引用次数: 1

摘要

摘要目的：腕管综合征（CTS）是一种常见的压迫性神经病变，在严重病例中与残疾有关。在临床实践中，能够区分正中神经卡压严重程度谱的工具是可取的。方法：这项横断面研究包括58名在巴西神经科诊所接受辅助治疗的CTS患者。参与者对外科干预措施并不了解，并回答了波士顿腕管问卷（BCTQ）。根据电诊断测试，CTS分为轻度、中度和重度。结果：在正中神经卡压的严重程度范围内，BCTQ评分没有显著差异，甚至没有将轻度病例与中度/重度组进行比较。轻度病例（平均值±标准差：46.5±9.2岁）比重度病例（60.0±13.5，P=0.04）和中度/重度病例（55.5±14.5，P=0.01）年轻。

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Boston Carpal Tunnel Questionnaire and Severity of Carpal Tunnel Syndrome

Abstract Objectives: Carpal tunnel syndrome (CTS) is a common compressive neuropathy linked to disability in severe cases. Tools capable of distinguishing the severity spectrum median nerve entrapment in clinical practice are desirable. Methods: This cross-sectional study included 58 CTS patients assisted in a Brazilian neurologic clinic. Participants were naive of surgical interventions and answered to Boston Carpal Tunnel Questionnaire (BCTQ). CTS was classified as mild, moderate, and severe according to electrodiagnostic testing. Results: There was no significant difference in BCTQ scores across the severity spectrum of median nerve entrapment, not even comparing mild cases with the group moderate/severe. Mild cases were younger (mean ± SD: 46.5 ± 9.2 years) than severe ones (60.0 ± 13.5, P = 0.04) and the group moderate/severe (55.5 ± 14.5, P = 0.01). Conclusions: Results suggest that BCTQ is not adequate to assess the interpatient severity of median nerve entrapment on clinical practice.

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来源期刊

Journal of Clinical Neuromuscular Disease Medicine-Medicine (all)

CiteScore

1.60

自引率

0.00%

发文量

期刊介绍： Journal of Clinical Neuromuscular Disease provides original articles of interest to physicians who treat patients with neuromuscular diseases, including disorders of the motor neuron, peripheral nerves, neuromuscular junction, muscle, and autonomic nervous system. Each issue highlights the most advanced and successful approaches to diagnosis, functional assessment, surgical intervention, pharmacologic treatment, rehabilitation, and more.