...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Occupational and environmental medicine >Diagnostic strategies using physical examination are minimally useful in defining carpal tunnel syndrome in population-based research studies.
【24h】

Diagnostic strategies using physical examination are minimally useful in defining carpal tunnel syndrome in population-based research studies.

机译：在基于人群的研究中，使用身体检查的诊断策略在定义腕管综合症方面几乎没有用。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

OBJECTIVE: We evaluated the utility of physical examination manoeuvres in the prediction of carpal tunnel syndrome (CTS) in a population-based research study. METHODS: We studied a cohort of 1108 newly employed workers in several industries. Each worker completed a symptom questionnaire, a structured physical examination and nerve conduction study. For each hand, our CTS case definition required both median nerve conduction abnormality and symptoms classified as classic values and likelihood ratios for physical examination manoeuvres in subjects with and without symptoms. RESULTS: The prevalence of CTS in our cohort was 1.2% for the right hand and 1.0% for the left hand. The likelihood ratios of a positive test for physical provocative tests ranged from 2.0 to 3.3, and those of a negative test from 0.3 to 0.9. The post-test probability of positive testing was <50% for all strategies tested. CONCLUSION: Our study found that physical examination, alone or in combination with symptoms, was not predictive of CTS in a working population. We suggest using specific symptoms as a first-level screening tool, and nerve conduction study as a confirmatory test, as a case definition strategy in research settings.
机译：目的：在一项基于人群的研究中，我们评估了体格检查策略在预测腕管综合症（CTS）中的实用性。方法：我们研究了多个行业的1108名新雇用工人。每个工人都完成了症状问卷，结构化体格检查和神经传导研究。对于每只手，我们的CTS病例定义都要求中位神经传导异常和症状均被分类为有症状和无症状受试者的体格检查操作的经典值和似然比。结果：在我们的队列中，CTS的患病率为右手1.2％，左手1.0％。对于身体刺激性测试，阳性测试的似然比在2.0到3.3之间，而阴性测试的似然比在0.3到0.9之间。对于所有测试策略，测试后阳性测试的概率均小于50％。结论：我们的研究发现，单独或结合症状进行体格检查不能预测劳动人口中的CTS。我们建议将特定症状用作一级筛查工具，并将神经传导研究用作验证性测试，作为研究环境中的病例定义策略。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号