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The Diagnostic Assessment of Hand Elevation Test in Carpal Tunnel Syndrome

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 diagnosi...

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Autores principales: Ma, HyunJin, Kim, Insoo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Neurosurgical Society 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3539082/
https://www.ncbi.nlm.nih.gov/pubmed/23323168
http://dx.doi.org/10.3340/jkns.2012.52.5.472
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author Ma, HyunJin
Kim, Insoo
author_facet Ma, HyunJin
Kim, Insoo
author_sort Ma, HyunJin
collection PubMed
description 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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spelling pubmed-35390822013-01-15 The Diagnostic Assessment of Hand Elevation Test in Carpal Tunnel Syndrome Ma, HyunJin Kim, Insoo J Korean Neurosurg Soc Clinical Article 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. The Korean Neurosurgical Society 2012-11 2012-11-30 /pmc/articles/PMC3539082/ /pubmed/23323168 http://dx.doi.org/10.3340/jkns.2012.52.5.472 Text en Copyright © 2012 The Korean Neurosurgical Society http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Article
Ma, HyunJin
Kim, Insoo
The Diagnostic Assessment of Hand Elevation Test in Carpal Tunnel Syndrome
title The Diagnostic Assessment of Hand Elevation Test in Carpal Tunnel Syndrome
title_full The Diagnostic Assessment of Hand Elevation Test in Carpal Tunnel Syndrome
title_fullStr The Diagnostic Assessment of Hand Elevation Test in Carpal Tunnel Syndrome
title_full_unstemmed The Diagnostic Assessment of Hand Elevation Test in Carpal Tunnel Syndrome
title_short The Diagnostic Assessment of Hand Elevation Test in Carpal Tunnel Syndrome
title_sort diagnostic assessment of hand elevation test in carpal tunnel syndrome
topic Clinical Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3539082/
https://www.ncbi.nlm.nih.gov/pubmed/23323168
http://dx.doi.org/10.3340/jkns.2012.52.5.472
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