مقایسه آینده نگر تصادفی شده تزریق کورتون تحت هدایت سونوگرافی و لندمارک در سندرم تونا کارپال
A Randomized Prospective Comparison of Ultrasound Guided and Landmark Guided Steroid Injections for Carpal Tunnel Syndrome.
نویسندگان: فریبا اسلامیان , بینا افتخارسادات , فاطمه جهانجو
کلمات کلیدی: Carpal tunnel syndrome, Ultrasound, Guide, Injection, Corticosteroid.
نشریه: 19740 , 0 , 0 , 2016
| نویسنده ثبت کننده مقاله |
فریبا اسلامیان |
| مرحله جاری مقاله |
تایید نهایی |
| دانشکده/مرکز مربوطه |
طب فیزیکی وتوانبخشی |
| کد مقاله |
59000 |
| عنوان فارسی مقاله |
مقایسه آینده نگر تصادفی شده تزریق کورتون تحت هدایت سونوگرافی و لندمارک در سندرم تونا کارپال |
| عنوان لاتین مقاله |
A Randomized Prospective Comparison of Ultrasound Guided and Landmark Guided Steroid Injections for Carpal Tunnel Syndrome. |
| ناشر |
5 |
| آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ |
بلی |
| عنوان نشریه (خارج از لیست فوق) |
|
| نوع مقاله |
Original Article |
| نحوه ایندکس شدن مقاله |
ایندکس شده سطح یک – ISI - Web of Science |
| آدرس لینک مقاله/ همایش در شبکه اینترنت |
http://journals.lww.com/clinicalneurophys/pages/default.aspx |
| Purpose: The aim of this study was to compare the clinical and electrodiagnostic efficacy of ultrasound (US)-guided versus
landmark (LM)-guided steroid injections in patients with carpal AQ : 5 tunnel syndrome (CTS).
Methods: This randomized clinical trial included 47 patients (60 affected hands) with moderate CTS (30 hands in each group). All
clinically suspected patients with CTS who met the inclusion criteria confirmed by electrodiagnostic tests were enrolled. The
subjects received 40 mg of methylprednisolone either with the US-guide or the LM-guided injection technique. They were evaluated using the Boston Carpal Tunnel Questionnaire (symptom/function/total) and 6 electrodiagnostic findings at the baseline and 12 weeks after injection.
Results: Symptom severity scores and functional status scores and electrodiagnostic parameters were significantly improved within each group at week 12 after treatment (P , 0.05), except for compound muscle action potential amplitude and motor nerve conduction velocity (P . 0.05). The improvement in symptom severity scores and functional status scores in the US-guided group was more than in the LM-guided group after 12 weeks, but there was no statistically significant difference (P ¼ 0.79 and 0.64). The mean changes in electrodiagnostic parameters were also not different between groups except for the higher sensory nerve action potential amplitude in LM-guided group (P ¼ 0.003).
Conclusions: Both US-guided and LM-guided steroid injections were effective in reducing the symptoms, improving the function and electrodiagnostic findings of CTS. Although there was better symptomatic improvement with US-guided injections and better increase in sensory nerve action potential amplitude with LM-guided injection, a significant difference was not generally observed between US-guided and LM-guided CTS injections |
| نام فایل |
تاریخ درج فایل |
اندازه فایل |
دانلود |
| fariba.pdf | 1395/11/24 | 302237 | دانلود |