수근관증후군에서 Boston Questionnaire의 유용성: 유발 검사 및 전기생리학적 검사와의 연관성 = Efficiency of the Boston Questionnaire in Carpal Tunnel Syndrome: Comparing Scores with Provocation Tests and Electrophysiological Studies

다국어 초록 (Multilingual Abstract)

Purpose: We aimed to make a comparison of Boston Questionnaire scores with provocation tests and findings of electrophysiological studies in patients with a carpal tunnel syndrome.
Materials and Methods: The Boston Questionnaire was applied preoperatively for 248 hands in 142 patients with an idiopathic carpal tunnel syndrome. Boston Questionnaire scores were compared with provocation tests (Phalen’s test, Tinel’s sign, compression test and hand elevation test) and electrophysiological findings.
Results: Correlation study between the Boston Questionnaire scores and electrophysiological findings showed that the electrophysiological findings correlated more with symptom severity score (Spearman coefficient, 0.545; p<0.01)than with functional status score (Spearman coefficient, 0.307; p<0.01). Symptom severity score and functional status scores of the Boston Questionnaire correlated more linearly with the hand elevation test than with other provocation tests.
Conclusion: This study demonstrates a high correlation of Boston Questionnaire scores with the electrophysiological findings and the hand elevation test.

국문 초록 (Abstract)

목적: 수근관증후군 환자에서 Boston 설문지 결과와 유발 검사 및 전기생리학적 검사 결과를 비교하여 연관성에 대하여 알아보고자 한다.
대상 및 방법: 특발성 수근관증후군으로 진단된 142명의 환자의 248 수부를 대상으로 하였다. 수술 전에 작성한 Boston 설문지 결과를 유발 검사 및 전기생리학적 검사결과와 비교 분석하였다.
결과: 전기생리학적 결과와 Boston 설문지 증상 점수의 상관 계수는 0.545로 기능점수와의 상관 계수 0.307 보다 높은 상관 관계를 보였다. 유발 검사 중에서 손들기검사가 Boston 설문지의 증상 점수 및 기능 점수의 증가에 따라 비례하여 양성 가능성이 높아지는 결과를 보였다.
결론: Boston 설문지의 점수는 전기생리학적 검사와 유의한 상관 관계가 있으며 유발 검사 중에서 손들기 검사의 결과와 유의한 상관 관계가 있다.

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