Document Detail


A new clinical scale of carpal tunnel syndrome: validation of the measurement and clinical-neurophysiological assessment.
MedLine Citation:
PMID:  11801427     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To validate a new clinical scale of carpal tunnel syndrome (CTS). The scale is based on clinical history and physical examination findings and includes two figures. The first is a score determined by clinical history and objective findings. The second evaluates the presence/absence of pain as a dichotomous categorical score. METHODS: One hundred and sixty-eight consecutive idiopathic CTS hands were studied in two centers (Rome, Siena). We compare the results of the historical-objective scale (Hi-Ob scale) with the results of other validated measurements of CTS severity: (1) the Italian version of the Boston Carpal Tunnel Questionnaire, (2) the neurophysiological classification adopted by the Italian CTS study group. Furthermore, for the Hi-Ob scale the intra-observer and inter-observer evaluations were assessed. RESULTS: The main Hi-Ob parameter was positively related to the conventional validated measurements. Conversely, the category 'PAIN' of the Hi-Ob scale appeared unrelated to the other clinical and electrophysiological parameters. Intra- and inter-observer evaluation showed the reproducibility of the Hi-Ob assessment. CONCLUSIONS: Our data show that the Hi-Ob scale is a reliable measurement which may be useful in CTS evaluation either for clinical or for scientific purposes.
Authors:
F Giannini; R Cioni; M Mondelli; R Padua; B Gregori; P D'Amico; L Padua
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Publication Detail:
Type:  Journal Article; Validation Studies    
Journal Detail:
Title:  Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology     Volume:  113     ISSN:  1388-2457     ISO Abbreviation:  Clin Neurophysiol     Publication Date:  2002 Jan 
Date Detail:
Created Date:  2002-01-21     Completed Date:  2002-02-28     Revised Date:  2008-09-10    
Medline Journal Info:
Nlm Unique ID:  100883319     Medline TA:  Clin Neurophysiol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  71-7     Citation Subset:  IM    
Affiliation:
Dipartimento di Neuroscienze, Sezione di Neurologia, Università di Siena, Policlinico Le Scotte, 53100 Siena, Italy. gianninif@unisi.it
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Carpal Tunnel Syndrome / classification,  physiopathology*
Electrodiagnosis / methods,  standards
Electrophysiology
Female
Humans
Italy
Language
Male
Middle Aged
Observer Variation
Pain Measurement / instrumentation
Physical Examination / methods*,  standards
Questionnaires
Reproducibility of Results

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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