Karpal tünel sendromu içinhangi puanlama yöntemini kullanalım?

Yıl 2015, , 23 - 29, 19.03.2015

Hulya Yucel Hakan Seyithanoglu

https://doi.org/10.3944/AOTT.2015.13.0162

Öz

Amaç: Anketler hastanın el fonksiyonellliği algısını ortaya koymak için gereklidir. Bu çalışma, karpal tünel sendromu olan hastaların fonksiyonellliğini ortaya koymada ele özel anketlerden en etkin olanını belirlemek amacı ile planlandı.

Çalışma planı: Bu çalışmaya, geçen üç yıl içerisinde açık karpal tünel gevşetme ameliyatı olmuş toplam 89 hasta dahil edildi. Hastaların ağrı ve parestezi semptomlarının şiddetini değerlendirmek için Görsel Analog Skalası kullanıldı. Her bir katılımcıdan Boston Karpal Tünel Anketi, Michigan El Sonuç An¬keti, Kol, Omuz ve El Sorunları Anketi’nin kısa formu ve Duruöz El İndeksini doldurmaları istendi. Boston Karpal Tünel Anketi, ağrı ve parestezi sonuçları altın standart olarak kabul edildi. Michigan El Sonuç Anketi, Kol, Omuz ve El Sorunları Anketi’nin kısa formu ve Duruöz El İndeksi arasındaki korelasyonlar analiz edildi. Değişkenler arasındaki korelasyon analizi Spearman testi ya da Pearson testi ile yapıldı.

Bulgular: Kol, Omuz ve El Sorunları Anketi’nin kısa formunun ağrı, parestezi ve Boston Karpal Tünel Anketi ile korelasyonları çok iyi çıktı (p <0.001). Her üç anket te birbirleri ile uyumluydu.

Çıkarımlar: Kol, Omuz ve El Sorunları Anketi’nin kısa formu karpal tünel gevşetmeli hastalar için kolay ve daha pratiktir. Karmaşık puanlamasının yanı sıra, Michigan El Sonuç Anketinin birbirine benzer soruları olan ayrıntılı alt parametreler içermesi ve tamamlanmasının uzun zaman alması deza¬vantajlarıdır. Duruöz El İndeksi’nin ise etkin kullanımını ortaya koyacak daha ileri çalışmalara ihtiyaç vardır.

Anahtar Kelimeler

Karpal tünel sendromu; Duruöz El İndeksi; Michigan El Sonuç Anketi; Kol, Omuz ve El Sorunları Anketi; puanlama yöntemi; cerrahi.

Choosing the most efficacious scoring method for carpal tunnel syndrome

Öz

Objective: The aim of this study was to determine the most efficacious hand-specific questionnaire to determine functionality in patients with carpal tunnel syndrome.

Methods: The study included 89 patients who underwent open carpal tunnel release surgery within three years prior to the study. A visual analog scale was used to assess the intensity of pain and paresthesia symptoms. Each participant completed the Boston Carpal Tunnel Questionnaire (BCTQ), the Michigan Hand Outcome Questionnaire (MHQ), the quick form of the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, and the Duruoz Hand Index (DHI). The BCTQ, pain and paresthesia results were assumed as gold standards. Correlations between the MHQ, Quick-DASH, and the DHI were analyzed. A correlation analysis between the variables was tested using Spearman’s rho test or Pearson’s test for variables.

Results: The QuickDASH was well correlated with pain, paresthesia and the BCTQ (p<0.001). The questionnaires complied with each other.

Conclusion: In addition to its complicated scoring, the MHQ contained detailed subparameters with similar questions and takes a long time to complete. Further studies may confirm the effective usage of the DHI. The easier QuickDASH questionnaire appears to be more practical for carpal tunnel release patients.

Anahtar Kelimeler

Boston Carpal Tunnel Questionnaire, carpal tunnel syndrome, Duruoz Hand Index, Michigan Hand Outcome Questionnaire, quick Disabilities of the Arm, Shoulder and Hand questionnaire, scoring method; surgery

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