Functional outcomes post carpal tunnel release: a modified replication of a previous study

J Hand Ther. 2009 Jul-Sep;22(3):240-8; quiz 249. doi: 10.1016/j.jht.2009.03.001. Epub 2009 May 19.

Abstract

Study design: Exploratory cohort study.

Introduction: To compares the outcome of self-administered questionnaires and physical measures in assessing change in function for participants after carpal tunnel surgery.

Methods: The self-administered questionnaires were the Carpal Tunnel Questionnaire (CTQ), the Disabilities of the Arm, Shoulder, and Hand (DASH), and Short Form-36. The physical measures were grip, pinch, range of motion, sensibility, and dexterity. Twenty-nine participants from five hand clinics were enrolled in the study.

Results: The results revealed that self-administered questionnaires were sensitive to change in function and three of ten physical measures showed a change in function.

Conclusions: The authors concluded that select physical measures coupled with a disease-specific assessment, such as the CTQ and a region-specific questionnaire, such as the DASH would result in a comprehensive assessment of outcomes. This combination of assessments provides both physical measures of recovery and measures of perceived level of function.

Level of evidence: 4.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Carpal Tunnel Syndrome / surgery*
  • Cohort Studies
  • Disability Evaluation
  • Female
  • Hand Strength
  • Humans
  • Male
  • Middle Aged
  • Motor Skills
  • Outcome Assessment, Health Care / methods*
  • Range of Motion, Articular
  • Recovery of Function
  • Sensation
  • Severity of Illness Index
  • Surveys and Questionnaires