Evaluation Of The Compound Muscle Action Potential In Diagnosis Of The Mild Carpal Tunnel Syndrome

Veysel Alcan [1] , Murat Zinnuroğlu [2] , Gülçin Kaymak Karataş [3] , Mehmet Rahmi Canal [4]


Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy. In most patients, the diagnosis can be proposed based on patient history and clinical symptoms, with electrophysical findings. The mild CTS may not produce any nerve conduction abnormalities and this can make standard conventional tests not enough in diagnosis the mild CTS. The aim of this study was to evaluate Compound Muscle Action Potential (CMAP) morphology as more sensitive and specific parameters without any additional testing for diagnosis the mild CTS. A total of seventy seven clinically diagnosed patients with CTS were prospectively enrolled. Data was evaluated from seventy normal hands and forty six hands with the diagnosis of the mild CTS with standard electrodiagnostic (EDX) tests and clinical findings. The specificity and sensitivity rate were calculated to evaluate the utility of CMAP negative peak (NP) morphology parameters evaluated duration (CMAP NPHalf-Duration and CMAP NPFull-Duration) and area (CMAP NPHalf-Area and CMAP NPFull-Area) by comparing the standard EDX test (Median Distal Motor Latency (DML) and peak to peak amplitude of CMAP (CMAP NPAmplitude) recorded from the abductor policies brevis (APB) muscle. Although CMAP NPHalf-Duration and CMAP NPFull-Duration had no statistically significantly difference between the mild CTS and normal group (p>0.05), DML, CMAP NPAmplitude, CMAP NPHalf-Area and CMAP NPFull-Area in the mild CTS group were statistically significantly different (p<0.05). The present study shown CMAP NPFull-Area had the highest sensitivity and moderate specificity rate (90.0% and 42.2%, respectively). Furthermore, it was confirmed again that DML was a valuable motor nerve conduction technique for the diagnosis of the mild CTS with high sensitivity and moderate specificity (84.8% and 47.6%, respectively), and it had more sensitive than CMAP NPHalf-Area high sensitivity and moderate specificity (80.0% and 38.7%, respectively).This study provided the evidence of CMAP NPFull-Area and CMAP NPHalf-Area that could be predictors of the mild CTS

carpal tunnel syndrome, motor nerve conduction study, signal processing
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Subjects Engineering
Journal Section Research Article
Authors

Author: Veysel Alcan
Institution: T.C. MİLLİ EĞİTİM BAKANLIĞI
Country: Turkey


Author: Murat Zinnuroğlu
Institution: Gazi Üniversitesi
Country: Turkey


Author: Gülçin Kaymak Karataş
Institution: Gazi Üniversitesi
Country: Turkey


Author: Mehmet Rahmi Canal
Institution: Gazi Üniversitesi
Country: Turkey


Dates

Publication Date : December 1, 2016

Bibtex @research article { ijamec280468, journal = {International Journal of Applied Mathematics Electronics and Computers}, issn = {}, eissn = {2147-8228}, address = {}, publisher = {Selcuk University}, year = {2016}, volume = {}, pages = {266 - 270}, doi = {10.18100/ijamec.280468}, title = {Evaluation Of The Compound Muscle Action Potential In Diagnosis Of The Mild Carpal Tunnel Syndrome}, key = {cite}, author = {Alcan, Veysel and Zinnuroğlu, Murat and Kaymak Karataş, Gülçin and Canal, Mehmet Rahmi} }
APA Alcan, V , Zinnuroğlu, M , Kaymak Karataş, G , Canal, M . (2016). Evaluation Of The Compound Muscle Action Potential In Diagnosis Of The Mild Carpal Tunnel Syndrome. International Journal of Applied Mathematics Electronics and Computers , (Special Issue-1) , 266-270 . DOI: 10.18100/ijamec.280468
MLA Alcan, V , Zinnuroğlu, M , Kaymak Karataş, G , Canal, M . "Evaluation Of The Compound Muscle Action Potential In Diagnosis Of The Mild Carpal Tunnel Syndrome". International Journal of Applied Mathematics Electronics and Computers (2016 ): 266-270 <https://dergipark.org.tr/en/pub/ijamec/issue/25619/280468>
Chicago Alcan, V , Zinnuroğlu, M , Kaymak Karataş, G , Canal, M . "Evaluation Of The Compound Muscle Action Potential In Diagnosis Of The Mild Carpal Tunnel Syndrome". International Journal of Applied Mathematics Electronics and Computers (2016 ): 266-270
RIS TY - JOUR T1 - Evaluation Of The Compound Muscle Action Potential In Diagnosis Of The Mild Carpal Tunnel Syndrome AU - Veysel Alcan , Murat Zinnuroğlu , Gülçin Kaymak Karataş , Mehmet Rahmi Canal Y1 - 2016 PY - 2016 N1 - doi: 10.18100/ijamec.280468 DO - 10.18100/ijamec.280468 T2 - International Journal of Applied Mathematics Electronics and Computers JF - Journal JO - JOR SP - 266 EP - 270 VL - IS - Special Issue-1 SN - -2147-8228 M3 - doi: 10.18100/ijamec.280468 UR - https://doi.org/10.18100/ijamec.280468 Y2 - 2016 ER -
EndNote %0 International Journal of Applied Mathematics Electronics and Computers Evaluation Of The Compound Muscle Action Potential In Diagnosis Of The Mild Carpal Tunnel Syndrome %A Veysel Alcan , Murat Zinnuroğlu , Gülçin Kaymak Karataş , Mehmet Rahmi Canal %T Evaluation Of The Compound Muscle Action Potential In Diagnosis Of The Mild Carpal Tunnel Syndrome %D 2016 %J International Journal of Applied Mathematics Electronics and Computers %P -2147-8228 %V %N Special Issue-1 %R doi: 10.18100/ijamec.280468 %U 10.18100/ijamec.280468
ISNAD Alcan, Veysel , Zinnuroğlu, Murat , Kaymak Karataş, Gülçin , Canal, Mehmet Rahmi . "Evaluation Of The Compound Muscle Action Potential In Diagnosis Of The Mild Carpal Tunnel Syndrome". International Journal of Applied Mathematics Electronics and Computers / Special Issue-1 (December 2016): 266-270 . https://doi.org/10.18100/ijamec.280468
AMA Alcan V , Zinnuroğlu M , Kaymak Karataş G , Canal M . Evaluation Of The Compound Muscle Action Potential In Diagnosis Of The Mild Carpal Tunnel Syndrome. International Journal of Applied Mathematics Electronics and Computers. 2016; (Special Issue-1): 266-270.
Vancouver Alcan V , Zinnuroğlu M , Kaymak Karataş G , Canal M . Evaluation Of The Compound Muscle Action Potential In Diagnosis Of The Mild Carpal Tunnel Syndrome. International Journal of Applied Mathematics Electronics and Computers. 2016; (Special Issue-1): 270-266.