Does the provocation maneuvers increase the sensitivity of sensory nerve conduction studies in diagnosis of carpal tunnel syndrome?

Uluc, Kayihan; Aktas, Ilknur; İŞAK, Barış; AKYÜZ, GÜLSEREN DERYA; TANRIDAĞ, Tülin; US, Önder; SÜNTER, GÜLIN

Does the provocation maneuvers increase the sensitivity of sensory nerve conduction studies in diagnosis of carpal tunnel syndrome?

İlknur AKTAŞ, (Sağlık Bakanlığı, Fatih Sultan Mehmet Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, İstanbul, Türkiye)

Gülin SÜNTER, (Marmara Üniversitesi, Tıp Fakültesi, Nöroloji Anabilim Dalı, İstanbul, Türkiye)

Kayıhan ULUÇ, (Marmara Üniversitesi, Tıp Fakültesi, Nöroloji Anabilim Dalı, İstanbul, Türkiye)

Barış İŞAK, (Marmara Üniversitesi, Tıp Fakültesi, Nöroloji Anabilim Dalı, İstanbul, Türkiye)

Tülin TANRIDAĞ, (Marmara Üniversitesi, Hastanesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)

GÜLSEREN DERYA AKYÜZ, (Marmara Üniversitesi, Hastanesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)

Önder US (Marmara Üniversitesi, Hastanesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)

Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi

2 0

Yıl: 2012 Cilt: 58 Sayı: 4 Sayfa Aralığı: 307 - 311 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Does the provocation maneuvers increase the sensitivity of sensory nerve conduction studies in diagnosis of carpal tunnel syndrome?

Öz:

Amaç: Bu çalışmanın amacı karpal tünel sendromu (KTS) tanısında duyusal sinir iletim çalışmaları parametrelerinin duyarlılığını ve provokasyon manevraları kullanıldığında bunların duyarlılığını nasıl artırdığını belirlemektir. Gereç ve Yöntem: Bu prospektif çalışmaya KTS semptom ve bulguları olan 85 olgu (135 el) ve 100 kontrol el dahil edildi. Duyusal sinir iletim çalışmaları, nötral pozisyonda, el bileği fleksiyon ve 90 derece ekstansiyonda 1 dk pozisyonlandıktan sonra yapıldı. Başlangıç ve piklatansı ve hızları, negatif dalga süresi ve alanı ve pik amplitud ölçüldü.Bulgular: En sensitif parametreler nötral pozisyonda başlangıç latansı (%77),başlangıç (%72) ve pik hızlarıydı (%72). Fleksiyon manevrası bunların duyarlılığını artırmadı; bununla beraber negatif pik alanı (%10) ve amplitüdlerin (%24) duyarlılığı ekstansiyon pozisyonunda nötral pozisyona göre daha yüksekti.Sonuç: Nötral pozisyonda en duyarlı manevralar başlangıç latansı, başlangıç ve pik hızlarıydı. Ekstansiyon manevrası nötral pozisyondan dahaduyarlıydı.

Anahtar Kelime:

Konular: Rehabilitasyon

Karpal tünel sendromu tanısında provokasyon manevraları duyusal sinir iletim çalışmalarının duyarlılığını arttırmakta mıdır?

Öz:

Objective: The aim of this study was to determine the sensitivity of sensory nerveconduction study (NCS) parameters in the diagnosis of carpal tunnel syndrome(CTS) and to explore if the use of provocative maneuvers improves theirsensitivity.Materials and Methods: In this prospective study, we included 85consecutive cases (135 hands) that had signs and symptoms of CTS, and100 control hands. Sensory NCS was performed in the neutral position andthen the wrist was placed in flexion and 90° of extension for 1 min. Onsetand peak latencies and velocities, negative peak duration and area, andpeak amplitude were measured.Results: The most sensitive parameters were onset latency (77%), andonset (72%) and peak velocities (72%) in neutral position. The flexionmaneuver did not increase their sensitivity, however, negative peak area(10%) and amplitude (24%) sensitivities were higher in extendedposition than in neutral position.Conclusion: The most sensitive NCS parameters were onset latency, andonset and peak velocities in neutral position. The extension maneuverwas more sensitive than neutral position.

Anahtar Kelime:

Konular: Rehabilitasyon

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Aktas I, SÜNTER G, Uluc K, İŞAK B, TANRIDAĞ T, AKYÜZ G, US Ö (2012). Does the provocation maneuvers increase the sensitivity of sensory nerve conduction studies in diagnosis of carpal tunnel syndrome?. , 307 - 311.
Chicago	Aktas Ilknur,SÜNTER GÜLIN,Uluc Kayihan,İŞAK Barış,TANRIDAĞ Tülin,AKYÜZ GÜLSEREN DERYA,US Önder Does the provocation maneuvers increase the sensitivity of sensory nerve conduction studies in diagnosis of carpal tunnel syndrome?. (2012): 307 - 311.
MLA	Aktas Ilknur,SÜNTER GÜLIN,Uluc Kayihan,İŞAK Barış,TANRIDAĞ Tülin,AKYÜZ GÜLSEREN DERYA,US Önder Does the provocation maneuvers increase the sensitivity of sensory nerve conduction studies in diagnosis of carpal tunnel syndrome?. , 2012, ss.307 - 311.
AMA	Aktas I,SÜNTER G,Uluc K,İŞAK B,TANRIDAĞ T,AKYÜZ G,US Ö Does the provocation maneuvers increase the sensitivity of sensory nerve conduction studies in diagnosis of carpal tunnel syndrome?. . 2012; 307 - 311.
Vancouver	Aktas I,SÜNTER G,Uluc K,İŞAK B,TANRIDAĞ T,AKYÜZ G,US Ö Does the provocation maneuvers increase the sensitivity of sensory nerve conduction studies in diagnosis of carpal tunnel syndrome?. . 2012; 307 - 311.
IEEE	Aktas I,SÜNTER G,Uluc K,İŞAK B,TANRIDAĞ T,AKYÜZ G,US Ö "Does the provocation maneuvers increase the sensitivity of sensory nerve conduction studies in diagnosis of carpal tunnel syndrome?." , ss.307 - 311, 2012.
ISNAD	Aktas, Ilknur vd. "Does the provocation maneuvers increase the sensitivity of sensory nerve conduction studies in diagnosis of carpal tunnel syndrome?". (2012), 307-311.

APA	Aktas I, SÜNTER G, Uluc K, İŞAK B, TANRIDAĞ T, AKYÜZ G, US Ö (2012). Does the provocation maneuvers increase the sensitivity of sensory nerve conduction studies in diagnosis of carpal tunnel syndrome?. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 58(4), 307 - 311.
Chicago	Aktas Ilknur,SÜNTER GÜLIN,Uluc Kayihan,İŞAK Barış,TANRIDAĞ Tülin,AKYÜZ GÜLSEREN DERYA,US Önder Does the provocation maneuvers increase the sensitivity of sensory nerve conduction studies in diagnosis of carpal tunnel syndrome?. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 58, no.4 (2012): 307 - 311.
MLA	Aktas Ilknur,SÜNTER GÜLIN,Uluc Kayihan,İŞAK Barış,TANRIDAĞ Tülin,AKYÜZ GÜLSEREN DERYA,US Önder Does the provocation maneuvers increase the sensitivity of sensory nerve conduction studies in diagnosis of carpal tunnel syndrome?. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, vol.58, no.4, 2012, ss.307 - 311.
AMA	Aktas I,SÜNTER G,Uluc K,İŞAK B,TANRIDAĞ T,AKYÜZ G,US Ö Does the provocation maneuvers increase the sensitivity of sensory nerve conduction studies in diagnosis of carpal tunnel syndrome?. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2012; 58(4): 307 - 311.
Vancouver	Aktas I,SÜNTER G,Uluc K,İŞAK B,TANRIDAĞ T,AKYÜZ G,US Ö Does the provocation maneuvers increase the sensitivity of sensory nerve conduction studies in diagnosis of carpal tunnel syndrome?. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2012; 58(4): 307 - 311.
IEEE	Aktas I,SÜNTER G,Uluc K,İŞAK B,TANRIDAĞ T,AKYÜZ G,US Ö "Does the provocation maneuvers increase the sensitivity of sensory nerve conduction studies in diagnosis of carpal tunnel syndrome?." Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 58, ss.307 - 311, 2012.
ISNAD	Aktas, Ilknur vd. "Does the provocation maneuvers increase the sensitivity of sensory nerve conduction studies in diagnosis of carpal tunnel syndrome?". Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 58/4 (2012), 307-311.