Journal of Korean Neurosurgical Society

  • 제52권5호
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  • Pages.472-475
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  • 2012
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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The Diagnostic Assessment of Hand Elevation Test in Carpal Tunnel Syndrome

  • Ma, HyunJin (Department of Neurosurgery, Dongsan Medical Center, College of Medicine, Keimyung University) ;
  • Kim, Insoo (Department of Neurosurgery, Dongsan Medical Center, College of Medicine, Keimyung University)
  • 투고 : 2012.06.07
  • 심사 : 2012.11.22
  • 발행 : 2012.11.28
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초록

Objective : The aim of this study is to establish the value of hand elevation test as a reproducible provocative test for the diagnosis of carpal tunnel syndrome (CTS). Methods : We had a prospective study of 45 hands of 38 patients diagnosed with CTS between April 2005 and February 2009. The diagnosis of CTS was based on the American Academy of Neurology clinical diagnostic criteria. Experimental and control group patients underwent Tinel's test, Phalen's test, carpal compression test and hand elevation test as provocative tests for CTS. Results : We used chi-square analysis to compare Tinel's test and Phalen's test, carpal compression test with hand elevation test. The sensitivity and specificity of the hand elevation test is 86.7% and 88.9% each. Tinel's test had 82.2% sensitivity and 88.9% specificity. Phalen's test had 84.4% sensitivity and 86.7% specificity. Carpal compression test had 84.4% sensitivity 82.2% specificity. Comparisons of sensitivity and specificity between hand elevation test and Tinel's test, Phalen's test, and carpal compression test had no statistically significant differences. To compare the diagnostic accuracies of four tests, the area under the non-parametric receiver operating character curve was applied. Conclusion : The hand elevation test has higher sensitivity and specificity than Tinel's test, Phalen's test, and carpal compression test. Chi-square statistical analysis confirms the hand elevation test is not ineffective campared with Tinel's test, Phalen's test, and carpal compression test.

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참고문헌

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피인용 문헌

  1. Tarsal tunnel syndrome in the mucopolysaccharidoses: A case series and literature review vol.46, pp.1, 2012, https://doi.org/10.1002/jmd2.12021
  2. Hand Pain and Sensory Deficits: Carpal Tunnel Syndrome : Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health From the Academy of Hand and Uppe vol.49, pp.5, 2012, https://doi.org/10.2519/jospt.2019.0301
  3. Hand Pain and Sensory Deficits: Carpal Tunnel Syndrome : Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health From the Academy of Hand and Uppe vol.49, pp.5, 2012, https://doi.org/10.2519/jospt.2019.0301
  4. Carpal Tunnel Syndrome: A National Survey to Monitor Knowledge and Operating Methods vol.18, pp.4, 2012, https://doi.org/10.3390/ijerph18041995