Evaluation of Duruoz Hand Index in diagnosis and staging of Carpal tunnel syndrome

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dc.authoridOzyemisci-Taskiran, Ozden/0000-0002-2052-6072
dc.contributor.authorKucuk, Esin Benli
dc.contributor.authorTaskiran, Ozden Ozyemisci
dc.date.accessioned2024-11-07T13:32:14Z
dc.date.available2024-11-07T13:32:14Z
dc.date.issued2020
dc.departmentNiğde Ömer Halisdemir Üniversitesi
dc.description.abstractCarpal tunnel syndrome (CTS) is a common entrapment neuropathy of the upper limb. In this cross-sectional study our aim is to investigate the value of Duruoz Hand Index (DHI) in diagnosis and staging of CTS patients and comparing it with Boston Carpal Tunnel Questionnaire (BQ) and provocative tests. Among 423 patients who were referred to the EMG laboratory at the physical medicine and rehabilitation unit with the symptoms of CTS, 294 patients were included in the study. Patients' demographic data, weight, height, body mass index (BMI) measurements, physical examinations, Tinel and Phalen provocative test results, visual analog scale for pain, DHI and BQ scores were recorded. Electrophysiological examinations were also performed. The mean age was 45.1 +/- 11.6 years and 254 (86.4%) patients were women. Based on the results of EMG, 120 (40.8%) patients were found negative for CTS, 57 (19.4%) patients had mild CTS, 89 (30.3%) patients had moderate CTS and 28 (9.5%) patients had severe CTS. Among the parameters evaluated, DHI scores were found to be significantly higher in the severe CTS group. DHI (r: 0.306, p < 0.001) and Boston functional status scale (FSS) (r: 0.257p = 0.001) were found to be correlated with CTS severity. Tinel positivity (OR: 2.36, p: 0.01), Phalen positivity (OR: 2.22, p: 0.02), Boston symptom severity scale (SSS) scores (OR: 1.76, p: 0.024), increasing age (OR: 1.06, p < 0.001) and increased BMI (OR: 1.07, p: 0.03) were found to be associated with increased likelihood of CTS diagnosis. In conclusion, DHI was found to be correlated with CTS severity similar to Boston FSS. (C) 2020 Elsevier Ltd. All rights reserved.
dc.identifier.doi10.1016/j.jocn.2020.10.033
dc.identifier.endpage114
dc.identifier.issn0967-5868
dc.identifier.issn1532-2653
dc.identifier.pmid33317717
dc.identifier.scopus2-s2.0-85095446369
dc.identifier.scopusqualityQ2
dc.identifier.startpage111
dc.identifier.urihttps://doi.org/10.1016/j.jocn.2020.10.033
dc.identifier.urihttps://hdl.handle.net/11480/15305
dc.identifier.volume82
dc.identifier.wosWOS:000601243600021
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Sci Ltd
dc.relation.ispartofJournal of Clinical Neuroscience
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20241106
dc.subjectCarpal tunnel syndrome
dc.subjectDuru6z Hand Index
dc.subjectBoston Questionnaire
dc.subjectTinel test
dc.subjectPhalen test
dc.titleEvaluation of Duruoz Hand Index in diagnosis and staging of Carpal tunnel syndrome
dc.typeArticle

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