Utility of a Self-administered Hand Symptom Diagram for the Diagnosis of Carpal Tunnel Syndrome / 대한산업의학회지
Korean Journal of Occupational and Environmental Medicine
;
: 360-368, 2001.
Article
in Korean
| WPRIM
| ID: wpr-35319
ABSTRACT
OBJECTIVES:
This study was conducted to compare a self-administered hand symptom diagram with other diagnostic tests and to assess its value in the diagnosis of carpal tunnel syndrome.METHODS:
A self-administered hand symptom diagram has been developed for the evaluation of upper extremity paresthesias. A rating system was devised to classify the diagrams into four categories classic, probable, possible, or unlikely carpal tunnel syndrome. Before nerve conduction testing, a medical history and demographic data were collected, a physical examination was conducted, and a hand symptom diagram was obtained from each patient. The diagram ratings of 85 patients(130 hands) were evaluated by an occupational and environmental medicine physician and a nerve conduction study was administered and interpreted by a rehabilitation medicine physician.RESULTS:
Of 85 patients, 48(56.5 %) had carpal tunnel syndrome confirmed by nerve conduction study. A hand symptom diagram rating of classic or probable CTS had a sensitivity of 75.6 %, a specificity of 59.6 %, a positive predictive value of 73.8 % and a negative predictive value of 62.0 %. Of the combinations of clinical findings in carpal tunnel syndrome, a classic or probable hand symptom diagram or a positive Tinel's sign showed the highest sensitivity.CONCLUSIONS:
A self-administered hand symptom diagram is valuable in the diagnosis of carpal tunnel syndrome among patients with upper extremity paresthesias. It is a useful diagnostic tool and may be valuable for occupational or population screening.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Paresthesia
/
Physical Examination
/
Rehabilitation
/
Carpal Tunnel Syndrome
/
Mass Screening
/
Sensitivity and Specificity
/
Environmental Medicine
/
Upper Extremity
/
Diagnosis
/
Diagnostic Tests, Routine
Type of study:
Diagnostic study
/
Prognostic study
/
Screening study
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Occupational and Environmental Medicine
Year:
2001
Type:
Article
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