THE RELATIONSHIP OF CARPAL TUNNEL SYNDROME CLINICAL SYMPTOMPS AND ELECTRONEUROMYOGRAPHY RESULTS IN RSSA MALANG

Shahdevi Nandar Kurniawan, Machlusil Husna, Harun Al Rasyid, Nadiya Elfira Bilqis
  MNJ, pp. 24-29  

Abstract


Background. Carpal tunnel syndrome (CTS) is caused by entrapment neuropathy of the median nerve in the carpal tunnel that can be detected with electroneuromyography (ENMG).
Objective. To determine whether there are significant differences in parameters of ENMG examination between CTS groups with mild-to-moderate and severe clinical symptoms.
Methods. The study design was observational analytic using cross sectional design approach of the patient's medical record data as many as 61 samples.
Results. From 61 samples, there were dominancy of age ≥ 40 years old as many as 80.32% and gender female as many as 88.52%. There was no significant differences in age and gender between the two groups (p=0.073 and p=1.000 respectively). Sensory amplitude, MSDL, and Ring Diff are significantly different between the two groups (p=0.005, p=0.020, and p=0.031 respectively). There are no significant difference of motor amplitude and MMDL between the two groups (p=0.384 and p=0.196 respectively).
Conclusion. Sensory amplitude value having a relationship with the severity of clinical symptoms. ENMG examination and clinical symptoms of CTS were independent parameters, that should not be used alone to make a diagnosi both of them could enhance the accuracy of diagnosis.


Keywords


amplitude; CTS; MMDL; MSDL; Ring Diff

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References


Preston DC, Shapiro BE. Electromyography and Neuromuscular Disorders: Clinical–Electrophysiologic 3rd edition. Elsevier Inc. China. 2013.

Tanaka S, Deanna KW. Seligman PJ. Prevalence and Work-relatedness of SelfReported Carpal Tunnel Syndrome among U.S. Workers: Analysis of The Occupational Health Supplement Data of 1988 National Health Interview Survey. Am J Ind Med 1995; 27: 45 1-470.

Yanri Z. Evaluasi pelaksanaan pemeriksaan kesehatan tenaga kerja di Indonesia. Seminar Nasional Surveilans Kesehatan Pekerja. Jakarta. 2001. p. 9.

Harsono WR. Carpal tunnel syndrome at workers who were exposed by repeated biomechanical pressures at hand and wrist in tire industry RSIN Company. Thesis. Universitas Indonesia, Jakarta. 1995.

American Academy of Orthophaedic Surgeons (AAOS). Clinical Practice Guideline on the Diagnosis of Carpal Tunnel Syndrome. 2007.

Poernomo H, Mudjiani B, Djoenaidi W. Petunjuk Praktis Elektrodiagnostik. Airlangga University Press. Surabaya. 2003.

Rambe AS. Sindroma Terowongan Karpal. Repository Universitas Sumatera Utara. 2004.

Ali Z, Khan A, Shah SM, Zafar A. Clinical and Electro-Diagnostic Quantification of the Severity of Carpal Tunnel Syndrome. Ann.Pak.Inst.Med.Sci.2012; 8(4):207-212.

Herjanto P, Djoenaidi W. Harga Normal NCV. 1996. Surabaya.

Chan L, Turner JA, Comstock BA, Levenson LM, Hollingworth W, Heagerty PJ, dkk. The Relationship between Electrodiagnostic Findings and Patient Symptomps and Function in Carpal Tunnel Syndrome. Arch Phys Med Rehabil Vol 88. 2007.

Luchetti R, Amadio P. Carpal Tunnel Syndrome. Springer. Germany. 2007.

Dhong ES, Han SK, Lee Bi, Kim WK. Correlation of electrodiagnostic findings with subjective symptoms in carpal tunnel syndrome. Ann Plast Surg 2000; 45:127-31.

Werner RA, Andary M. Electrodiagnostic Evaluation of Carpal Tunnel Syndrome. Muscle Nerve. 2011. 44:597-607.

Gray H, Wikipedia the Free Encyclopedia. Ulnar Canal. 1918. (Online, https://upload.wikimedia.org/wikipedia/commons/3/31/Gray422.png, diakses 14 Desember 2015).


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