SavedAdd your journal

Journals / Neurological sciences and neurophysiology (Online) / 2021 / Cilt: 38 - Sayı: 4

Value of Boston Questionnaire in Carpal Tunnel Syndrome

Ayşe ÇAĞLAR SARILAR
Duygu KURT GÖK
Pages
245–249
Publication Date
2022-10-19
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Today, electrophysiological tests are still the gold standard for the diagnosis of CTS, and referring the patient to the electromyography EMG laboratory is necessary for early diagnosis and determining the effective treatment method.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: The Boston Carpal Tunnel Questionnaire (BCTQ) is a patient‑based outcome measure that has been developed for patients with Carpal tunnel syndrome (CTS).
📊
Key Findings & Data:Subjects and Methods: This study included 174 individuals (control group [n = 68] and patient group [n = 106]) admitted to Erciyes University Hospital Department of Neurology between August 2019 and November 2019 with complaints of pain, numbness, and paresthesia in the unilateral or bilateral median nerve trace and diagnosed with idiopathic CTS or normal after electrophysiological testing.
💡
Conclusion & Impact:Today, electrophysiological tests are still the gold standard for the diagnosis of CTS, and referring the patient to the electromyography EMG laboratory is necessary for early diagnosis and determining the effective treatment method.
🔬Design:Survey & Empirical Study
📍Scope:2019 Verileri
⚙️Variables:Domain Parameters

Abstract

Objectives: The Boston Carpal Tunnel Questionnaire (BCTQ) is a patient‑based outcome measure that has been developed for patients with Carpal tunnel syndrome (CTS). The purpose of this study was to investigate the association between BCTQ scores and electrophysiological findings in patients with CTS. Subjects and Methods: This study included 174 individuals (control group [n = 68] and patient group [n = 106]) admitted to Erciyes University Hospital Department of Neurology between August 2019 and November 2019 with complaints of pain, numbness, and paresthesia in the unilateral or bilateral median nerve trace and diagnosed with idiopathic CTS or normal after electrophysiological testing. The Turkish version of the BCTQ was applied to these patients. Results: The mean age of the participants was 46.6 (standard deviation ± 11.9). One hundred and fifty‑seven (90.2%) of all the participants were female. Among patients, 29.9% (n = 52) had mild, 21.8% (n = 38) had moderate, and 9.2% (n = 16) had severe CTS. Both the Symptom Severity Scale (SSS) and functional status scale (FSS) scores were evaluated between the groups, and there was a significant difference between the groups (P < 0.001 and P = 0.001, respectively). Although there was a significant difference between the groups, the huge overlap in the distribution of the scores indicated that discrimination of an individual according to FSS/ SSS scores is unrealistic in the clinical setting. Conclusion: The BCTQ will not be sufficient and objective in the diagnosis and management of CTS. Today, electrophysiological tests are still the gold standard for the diagnosis of CTS, and referring the patient to the electromyography EMG laboratory is necessary for early diagnosis and determining the effective treatment method.

🔖

Cite This Article

SARILAR, A. Ç., GÖK, D. K. (2022). Value of Boston Questionnaire in Carpal Tunnel Syndrome. Neurological sciences and neurophysiology (Online), Cilt: 38 - Sayı: 4, 245–249. https://ajindex.com/articles/584304

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (12)

  1. Genova A, Dix O, Saefan A, Thakur M, Hassan A. Carpal tunnel syndrome: A review of literature. Cureus 2020;12:e7333
  2. Nordstrom DL, Vierkant RA, DeStefano F, Layde PM. Risk factors for carpal tunnel syndrome in a general population. Occup Environ Med 1997;54:734‑40
  3. Sonoo M, Menkes DL, Bland JD, Burke D. Nerve conduction studies and EMG in carpal tunnel syndrome: Do they add value? Clin Neurophysiol Pract 2018;3:78‑88
  4. Levine DW, Simmons BP, Koris MJ, Daltroy LH, Hohl GG, Fossel AH, et al. A self‑administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome. J Bone Joint Surg Am 1993;75:1585‑92
  5. İlhan D, Toker S, Kılıncıoğlu V, Gülcan E. Assessment of the Boston questionnaire in diagnosis of idiopathic carpal tunnel syndrome: Comparing scores with clinical and neurophysiological findings. Düzce Tıp Derg 2008;10:4‑9
  6. Erkol E, Eroğlu P. Analysis of the relationships between electroneurography and Boston questionnaire in obes female patients with carpal tunnel syndrome. SDU J Health Sci Inst 2015;6:72‑6
  7. Stevens JC. AAEM minimonograph #26: The electrodiagnosis of carpal tunnel syndrome. American Association of Electrodiagnostic Medicine. Muscle Nerve 1997;20:1477‑86
  8. Sambandam SN, Priyanka P, Gul A, Ilango B. Critical analysis of outcome measures used in the assessment of carpal tunnel syndrome. Int Orthop 2008;32:497‑504
  9. Mehta SP, Weinstock‑Zlotnick G, Akland KL, Hanna MM, Workman KJ. Using carpal tunnel questionnaire in clinical practice: A systematic review of its measurement properties. J Hand Ther 2020;33:493‑506
  10. Nageeb RS, Shehta N, Nageeb GS, Omran AA. Body mass index and vitamin D level in carpal tunnel syndrome patients. Egypt J Neurol Psychiatr Neurosurg 2018;54:1‑7. 11. de‑la‑Llave‑Rincon AI, Laguarta‑Val S, Arroyo‑Morales M, Martinez‑Perez A, Pareja JA, Fernandez‑de‑Las‑Penas C. Characterisation of pain in patients with carpal tunnel syndrome according to electromyographic severity criteria. Rev Neurol 2012;54:407‑14
  11. Meirelles LM, Santos JB, Santos LL, Branco MA, Faloppa F, Leite VM, et al. Evaluation of Boston questionnaire applied at late post‑operative period of carpal tunnel syndrome operated with the paine retinaculatome through palmar port. Acta Ortop Bras 2006;14:126‑32
  12. Sançmış M, Cavit A, Çakıcı İ, Özcanlı H, Uysal H. Rehabilitation. Is Boston questionnaire an alternative to electromyography for evaluation of the surgical outcome for carpal tu