Comparing the Neurophysiological Findings of 200 Cases with Boston Carpal Tunnel Syndrome Questionnare Scores and Job Exposure

Year 2021, Volume: 23 Issue: 1, 25 - 33, 30.04.2021

Burç Esra Şahin , Aysu Yetiş , Selcen Duran , Ece Özdemir Öktem

Abstract

Objective: Electrodiagnostic diagnostic tests are the most reliable method in the diagnosis of carpal tunnel syndrome (CTS). The rates of patients who were referred to the electrophysiology laboratory from outpatient clinics with a pre-diagnosis of CTS, the scores of the Turkish version of the Boston Carpal Tunnel Syndrome Questionnaire (BCTSQ), one of the frequently used questionnaires to aid diagnosis, and their relationship with the job exposure were evaluated.

Material and Methods: 200 patients, who were referred to our electrophysiology laboratory due to initial diagnosis of CTS, were included. All the patients self recorded demographic findings, comorbid diseases, duration of complaints, daily working time, jobs and Turkish version of BCTSQ

Results: 94 of 200 patients who were referred to our electrophysiology laboratory with a pre-diagnosis of CTS were diagnosed with carpal tunnel syndrome according to their electrophysiological findings. 94 CTS patients; 53 (56.4%) were housewives, 31(33%) were blue collar and 10 (10.6%) were white collar. Statistically significant correlation was found between CTS and age, number of births, menopause, obesity (p <0.05). However, no statistically significant difference was found between gender, comorbid diseases, duration of complaints and daily working hours. There was a statistically significant difference between electrophysiological results and BCTSQ Symptom Severity Scale, but no significant difference was found between the Functional Status Scale.

Conclusion: This study confirms that age, number of births, menopause and obesity are important risk factors for CTS. The fact that the number of patients referred to our laboratory is higher than those with CTS detected electrophysiologically suggests that patient evaluation in outpatient clinics is not sufficient. In order to increase this rate, easier and more understandable questionnaire tests can be done. We believe that detailed clinical evaluation and examination (Tinel and Phalen test) will prevent unnecessary tests.

Keywords

Carpal Tunnel Syndrome, Boston Questionnaire, entrapment neuropathy

İKİ YÜZ HASTANIN ELEKTROFİZYOLOJİK BULGULARININ BOSTON KARPAL TÜNEL SENDROMU ANKETİ SKORLARI VE MESLEKLER İLE İLİŞKİSİNİN İNCELENMESİ

Abstract

Amaç: Karpal tünel sendromu (KTS) tanısında en güvenilir yöntem elektrodiagnostik tanı testlerdir. KTS ön tanısı ile polikliniklerden, elektrofizyoloji laboratuvarına yönlendirilen hastalardan kesin tanı alanların oranları, tanıya yardımcı sık kullanılan anketlerden Boston Karpal Tünel Sendromu Anketi (BKTSA) Türkçe versiyonu skorları ve meslekler ile ilişkisi değerlendirildi.

Gereç ve Yöntemler: KTS ön tanısıyla elektrofizyoloji laboratuvarımıza sevk edilen 200 hasta çalışmaya dahil edildi. Tüm hastaların demografik bulguları, komorbid hastalıkları, şikayet süresi, günlük çalışma süresi, mesleği ve BKTSA Türkçe versiyonu skorları ve elektrofizyolojik bulguları kaydedildi.

Bulgular: Elektrofizyoloji laboratuvarımıza KTS ön tanısı ile yönlendirilen 200 hastanın 94' üne elektrofizyolojik bulgularına göre KTS tanısı konuldu. 94 KTS hastasının; 53'ü (%56.4) ev hanımı, 31'i (%33) mavi yakalı ve 10'u (%10.6) beyaz yakalıydı. KTS ile yaş, doğum sayısı, menopoz ve obezite arasında istatistiksel olarak anlamlı bir ilişki bulundu (p<0.05). Ancak cinsiyet, eşlik eden hastalıklar, şikayet süresi ve günlük çalışma süresi arasında anlamlı fark bulunamadı. Elektrofizyolojik sonuçlar ile BKTSA Semptom Şiddeti Skalası arasında istatistiksel olarak anlamlı fark bulunurken; Fonksiyonel Durum Skalası arasında bulunamadı.

Sonuç: Bu çalışma yaş, doğum sayısı, menopoz ve obezitenin KTS için önemli bir risk faktörü olduğunu doğrulamaktadır. Laboratuvarımıza yönlendirilen hasta sayısının, elektrofizyolojik olarak KTS tespit edilenlerden daha fazla olması, polikliniklerde hasta değerlendirilmesinin yeterli olmadığını düşündürmektedir. Bu oranı yükseltmek için daha kolay ve anlaşılır anket testleri yapılabilir. Ayrıntılı klinik değerlendirme ve muayene (Tinel ve Phalen testi) ile gereksiz tetkik istenmesini engelleyeceğine inanmaktayız.

Keywords

Karpal Tünel Sendromu, Boston Anketi, tuzak nöropati

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