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Symptom severity and conservative treatment for carpal tunnel syndrome in association with eventual carpal tunnel release.

Identifieur interne : 001274 ( PubMed/Checkpoint ); précédent : 001273; suivant : 001275

Symptom severity and conservative treatment for carpal tunnel syndrome in association with eventual carpal tunnel release.

Auteurs : Nancy A. Baker [États-Unis] ; Heather M. Livengood [États-Unis]

Source :

RBID : pubmed:24909563

Descripteurs français

English descriptors

Abstract

To study the relationship between the severity of carpal tunnel syndrome (CTS) symptoms and surgery for CTS and the relationship between conservative treatments and surgery for CTS.

DOI: 10.1016/j.jhsa.2014.04.034
PubMed: 24909563


Affiliations:


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pubmed:24909563

Le document en format XML

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<title xml:lang="en">Symptom severity and conservative treatment for carpal tunnel syndrome in association with eventual carpal tunnel release.</title>
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<name sortKey="Baker, Nancy A" sort="Baker, Nancy A" uniqKey="Baker N" first="Nancy A" last="Baker">Nancy A. Baker</name>
<affiliation wicri:level="2">
<nlm:affiliation>Department of Occupational Therapy, University of Pittsburgh, School of Health and Rehabilitation Sciences, Pittsburgh, PA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<region type="state">Pennsylvanie</region>
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<wicri:cityArea>Department of Occupational Therapy, University of Pittsburgh, School of Health and Rehabilitation Sciences, Pittsburgh</wicri:cityArea>
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<name sortKey="Livengood, Heather M" sort="Livengood, Heather M" uniqKey="Livengood H" first="Heather M" last="Livengood">Heather M. Livengood</name>
<affiliation wicri:level="2">
<nlm:affiliation>Department of Occupational Therapy, University of Pittsburgh, School of Health and Rehabilitation Sciences, Pittsburgh, PA. Electronic address: hml12@pitt.edu.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<region type="state">Pennsylvanie</region>
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<title level="j">The Journal of hand surgery</title>
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<term>Carpal Tunnel Syndrome (surgery)</term>
<term>Carpal Tunnel Syndrome (therapy)</term>
<term>Disease Progression</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Muscle Stretching Exercises</term>
<term>Orthotic Devices</term>
<term>Patient Selection</term>
<term>Severity of Illness Index</term>
<term>Surveys and Questionnaires</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte d'âge moyen</term>
<term>Enquêtes et questionnaires</term>
<term>Exercices d'étirement musculaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de gravité médicale</term>
<term>Mâle</term>
<term>Orthèses</term>
<term>Résultat thérapeutique</term>
<term>Syndrome du canal carpien ()</term>
<term>Sélection de patients</term>
<term>Évolution de la maladie</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Carpal Tunnel Syndrome</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Carpal Tunnel Syndrome</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Disease Progression</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Muscle Stretching Exercises</term>
<term>Orthotic Devices</term>
<term>Patient Selection</term>
<term>Severity of Illness Index</term>
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<term>Treatment Outcome</term>
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<term>Enquêtes et questionnaires</term>
<term>Exercices d'étirement musculaire</term>
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<term>Orthèses</term>
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<term>Évolution de la maladie</term>
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<div type="abstract" xml:lang="en">To study the relationship between the severity of carpal tunnel syndrome (CTS) symptoms and surgery for CTS and the relationship between conservative treatments and surgery for CTS.</div>
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<DateCreated>
<Year>2014</Year>
<Month>08</Month>
<Day>26</Day>
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<DateCompleted>
<Year>2015</Year>
<Month>05</Month>
<Day>08</Day>
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<Year>2015</Year>
<Month>11</Month>
<Day>19</Day>
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<Issue>9</Issue>
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<Year>2014</Year>
<Month>Sep</Month>
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<Title>The Journal of hand surgery</Title>
<ISOAbbreviation>J Hand Surg Am</ISOAbbreviation>
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<ArticleTitle>Symptom severity and conservative treatment for carpal tunnel syndrome in association with eventual carpal tunnel release.</ArticleTitle>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To study the relationship between the severity of carpal tunnel syndrome (CTS) symptoms and surgery for CTS and the relationship between conservative treatments and surgery for CTS.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A secondary analysis of baseline to 6-month data from a randomized controlled trial, which examined the effectiveness of orthosis/stretch combinations on the symptoms of CTS, was conducted for a total of 96 participants with CTS. Participants completed the Carpal Tunnel Questionnaire and posttreatment surveys. Statistical analyses included exploration of correlates of progression to surgery for CTS and logistical regression to examine the association between conservative treatments and CTS symptoms and progression to surgery for CTS.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Twenty-one participants received surgery for their CTS, and 31 participants received 1 or more conservative treatments. Severity of baseline CTS symptoms and additional treatments were indicators of progression to surgery. The randomized controlled trial intervention was inversely associated with progression to surgery.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">CTS that does not respond to an initial course of conservative treatment may not improve with additional treatments. More than half of the participants who received additional conservative treatment still progressed to surgery. Current intervention guidelines for CTS provide limited guidance as to the best methods to efficiently treat CTS.</AbstractText>
<AbstractText Label="CLINICAL RELEVANCE" NlmCategory="CONCLUSIONS">CTS is a costly and high-burden disorder, resulting in reduced quality of life. Research should examine when and for whom conservative care is an effective choice and the association between conservative care and the eventual need for CTS surgery.</AbstractText>
<CopyrightInformation>Copyright © 2014 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
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