Esra Dilek KESKİN, Bahar SAY, Ufuk ERGUN, Hatice AGİR, Gulten KARACA

Full cup test (FCT) for symptom severity assessment in carpal tunnel syndrome/comparing scores with clinical and neurophysiological findings

AbstractAim: Carpal tunnel syndrome (CTS) is a compression neuropathy. There is neuropathic pain in the clinic. Treatment is planned according to electrodiagnostic testing (EDX) and symptom severity. This study was planned to evaluate of full cup test (FCT) to demonstrate symptom severity in CTS and investigate the relationship between FCT and EDX.Material and Methods: This study included patients with idiopathic CTS. The self-administered Boston Carpal Tunnel Syndrome Questionnaire (BCTQ) and FCT were used to determine the severity of clinical symptoms. The severity of CTS was classified as mild, moderate and severe according to EDX.Results: A total of 97 hands (55 right, 42 left) were evaluated. 29 patients had bilateral symptoms. The severity of CTS was 51.5% mild, 44.3% moderate, and 4.1% severe. The mean FCT score was 51.13 ± 20.80 (min: 6.6-max: 100). The mean symptom severity scale (SSS) of the BCTQ was 24.25 ± 7 and the functional severity scale (FSS) was 13.26 ± 4.55. The score of FCT was significantlycorrelated with SSS and the FSS (r=0.60 p

PDF

___

1. Padua L, Coraci D, Erra C, et al. Carpal tunnel syndrome: clinical features, diagnosis, and management. Lancet Neurol 2016;15:1273-84.
2. P Dec, A Zyluk. Bilateral carpal tunnel syndrome – a review. Neurol Neurochir Pol 2018;52:79-83.
3. Levine DW, Simmons BP, Koris MJ, et al. A selfadministered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome. J Bone Joint Surg Am 1993;75:1585- 92.
4. Ergun U, Say B, Ozer G, et al. Trial of a new pain assessment tool in patients with low education: the full cup test. Int J Clin Pract 2007;61:1692-6.
5. Werner RA, Andary M. Electrodiagnostic evaluation of carpal tunnel syndrome. Muscle Nerve 2011;44:597- 607.
6. IBM Corp. Released 2011. IBM SPSS Statistics for Windows, Version 20.0. Armonk, NY: IBM Corp.
7. Leite JC, Jerosch-Herold C, Song F. A systematic review of the psychometric properties of the Boston Carpal Tunnel Questionnaire. BMC Musculoskelet Disord 2006:20;7:78.
8. Sezgin M, Incel NA, Serhan S, et al. Assessment of symptom severity and functional status in patients with carpal tunnel syndrome: reliability and functionality of the Turkish version of the Boston Questionnaire. Disabil Rehabil 2006;28:1281-5.
9. Guyatt GH. A taxonomy of health status instruments. J Rheumatol 1995;22:1188-90.
10. Zambelis T, Tsivgoulis G, Karandreas N. Carpal tunnel syndrome: associations between risk factors and laterality. Eur Neurol 2010;63:43-7.
11. Reinstein L. Hand dominance in carpal tunnel syndrome. Arch Phys Med Rehabil 1981;62:202-3.
12. Mattos Feijó L, Tarman GZ, Fontaine C, Harrison R, Johnstone T, Salomons T. Sex-Specific Effects of Gender Identification on Pain Study Recruitment. J Pain 2018;19:178-85.
13. Roizenblatt M, Rosa Neto NS, Tufik S, et al. Painrelated diseases and sleep disorders. Braz J Med Biol Res 2012;45:792-8.
14. Zilliox LA. Neuropathic Pain. Continuum (Minneap Minn) 2017;23:512-32.
15. Jensen MP, Karoly P, Braver S. The measurement of clinical pain intensity: A comparison of six methods. Pain 1986;27:117–26.
16. Jensen M, Karoly P. Self-report scales and procedures for assessing pain in adults. In: Turk DC, Melzack R, editors. , editors. Handbook of pain assessment. Vol. 2 New York: Guilford Press 1992:135-51.
17. Williamson A, Hoggart B. Pain: a review of three commonly used pain rating scales. Clin Nurs 2005;4: 798-804.
18. You H Simmons Z, Freivalds A, Kothari MJ, et al. Relationships between clinical symptom severity scales and nerve conduction measures in carpal tunnel syndrome. Muscle Nerve 1999;22:497-501.
19. Ilhan D, Toker S, Kilincioglu V, et al. Assessment of the Boston Questionnaire in Diagnosis of Idiopathic Carpal Tunnel Syndrome: Comparing Scores with Clinical and Neurophysiological Findings. Düzce Tıp Fakültesi Dergisi 2008;3:4-9.
20. Ortiz-Corredor F, Calambas N, Mendoza-Pulıdo C, et al. Factor analysis of carpal tunnel syndrome questionnaire in relation to nerve conduction studies. Clin Neurophysiol 2011;122:2067-70.
21. Mondelli M, Reale F, Sicurelli F, et al. Relationship between the self-administered Boston questionnaire and electrophysiological findings in follow-up of surgically-treated carpal tunnel syndrome. J Hand Surg Br 2000;25:128-34.
22. Heybeli N, Kutluhan S, Demirci S, et al. Assessment of outcome of carpal tunnel syndrome: a comparison of electrophysiological findings and a self-administered Boston questionnaire. J Hand Surg Br 2002;27:259- 64.
23. Khan F, Shehna A, Ramesh S, et al. Subjective symptoms of carpal tunnel syndrome correlate more with psychological factors than electrophysiological severity. Ann Indian Acad Neurol 2017;20:69-72.
24. de la Llave-Rincón AI, Fernández-de-las-Peñas C, Laguarta-Val S, et al. Increased pain sensitivity is not associated with electrodiagnostic findings in women with carpal tunnel syndrome. Clin J Pain 2011;27:747- 54.
25. Oncel C, L Bir S, Sanal E. The relationship between electrodiagnostic severity and Washington Neuropathic Pain Scale in patients with carpal tunnel syndrome. AGRI 2009;21:146-8.
26. Kommalage M. Association between severity of Carpal Tunnel Syndrome and pain in wrist or hand. Galle Med J 2011;16:11-5.
27. Gursoy AE, Kolukisa M, Yildiz GB, et al. Relationship between electrodiagnostic severity and neuropathic pain assessed by the LANSS pain scale in carpal tunnel syndrome. Neuropsychiatr Dis Treat 2013;9:65-71.