چاپ صفحه |  صفحه نخست سامانه |  چکیده مقاله |  نویسندگان |  دانلود مقاله | دانشگاه علوم پزشکی تبریز |
| نویسنده ثبت کننده مقاله | بینا افتخارسادات |
| مرحله جاری مقاله | تایید نهایی |
| دانشکده/مرکز مربوطه | طب فیزیکی وتوانبخشی |
| کد مقاله | 61509 |
| عنوان فارسی مقاله | تزریق کورتیکواستروئید موضعی با گاید سونوگرافی در مقایسه با گاید لندمارک در سندرم تونل کارپال: مرور نظام ند و متاانالیز کارآزمایی های بالینی تصادفی شاهددار |
| عنوان لاتین مقاله | Ultrasound-guided versus landmark-guided local corticosteroid injection for carpal tunnel syndrome: A systematic review and meta-analysis of randomized controlled clinical trials |
| ناشر | 8 |
| آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ | خیر |
| عنوان نشریه (خارج از لیست فوق) | |
| نوع مقاله | Review Article |
| نحوه ایندکس شدن مقاله | ایندکس شده سطح یک – ISI - Web of Science |
| آدرس لینک مقاله/ همایش در شبکه اینترنت | http://www.sciencedirect.com/science/article/pii/S0003999317310961 |
| Objective To review the literature and assess the comparative effectiveness of ultrasound-guided versus landmark-guided local corticosteroid injections in patients with carpal tunnel syndrome (CTS). Data Sources Cochrane Central Register of Controlled Trials, MEDLINE (PubMed), EMBASE (Ovid), and Web of Science (from inception to 1 February 2017). Study Selection Randomized controlled trials (RCTs) comparing ultrasound-guided injection to landmark-guided injection in patients with CTS were included. Data Extraction Two authors independently screened abstracts and full texts. The Outcomes of interest were symptom severity scale (SSS) and functional status scale (FSS) scores of Boston Carpal Tunnel Questionnaire as well as four electro-diagnostic parameters including compound muscle action potential (CMAP), sensory nerve action potential (SNAP), distal motor latency (DML), and distal sensory latency (DSL). Data Synthesis Overall, 569 abstracts were retrieved and checked for eligibility and finally 3 RCTs were included (181 injected hands). Pooled analysis showed that ultrasound-guided injection was more effective in SSS improvement (mean difference [MD] = -0.46, 95% confidence interval (CI) = -0.59 to -0.32, P<0.00001); whereas, no significant difference was observed between the two methods in terms of FSS (MD= -0.25, 95%CI= -0.56 to 0.05, P=0.10). There were also no statistically significant differences in improvements of CMAP (MD=1.54, 95%CI=0.01 to 3.07, P=0.05), SNAP (MD= -0.02, 95%CI= -6.27 to 6.23, P=1.00), DML (MD=0.05, 95% CI= -0.30 to 0.39, P=0.80) or DSL (MD=0.00, 95%CI= -0.65 to 0.65, P=1.00). Conclusions This review suggested that ultrasound-guided injection was more effective than landmark-guided injection in symptom severity improvement in patients with CTS; however, no significant differences were observed in functional status or electro-diagnostic improvements between the two methods. |
| نویسنده | نفر چندم مقاله |
|---|---|
| بینا افتخارسادات | هشتم |
| فاطمه جهانجو | هفتم |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| _Ultrasound_guided_versus_landmark.pdf | 1396/07/11 | 2536377 | دانلود |
