PMID: 3763234Aug 1, 1986Paper

Increase of vibration threshold during wrist flexion in patients with carpal tunnel syndrome

Pain
K Borg, U Lindblom

Abstract

The most prominent symptoms of carpal tunnel syndrome (CTS) are sensory, with intermittent numbness, paraesthesiae and pain in the fingers innervated by the median nerve. No consistent signs are found by neurological examination, however. Conventional sensibility tests are positive in only about 50% of the cases. This applies also to quantitative tests such as measurement of the perception threshold for vibration (VT). In an attempt to find a more reliable indication and improve the diagnostic value of sensory testing, determination of VT was combined with provocation by means of wrist flexion. In a patient group with neurophysiologically verified CTS, all patients exhibited an increase to at least twice the VT value in the fingers innervated by the median nerve. No increase was seen in the little finger or in a control group of patients with digital paraesthesiae but with normal neurophysiological findings. It is concluded that VT measurements during wrist flexion can be used as a supplementary or alternative diagnostic criterion to indicate that the nerve dysfunction is located in the carpal tunnel.

References

Nov 1, 1976·Journal of Neurology, Neurosurgery, and Psychiatry·H FruhstorferW C Schmidt
Sep 1, 1979·Journal of Neurology, Neurosurgery, and Psychiatry·J M Goldberg, U Lindblom
Jan 1, 1977·Scandinavian Journal of Plastic and Reconstructive Surgery·B Rydevik, G Lundborg
Jul 1, 1976·Journal of Neurology, Neurosurgery, and Psychiatry·S Sunderland
Mar 1, 1975·Journal of the Neurological Sciences·D NearyR W Gilliatt
Aug 18, 1973·Lancet·A R Upton, A J McComas
Aug 1, 1973·Journal of the Neurological Sciences·J Ochoa, L Marotte
Mar 1, 1968·Proceedings of the National Academy of Sciences of the United States of America·D Kirk
Aug 1, 1983·Electroencephalography and Clinical Neurophysiology·R J Schneider, A L Dellon
Sep 19, 1953·Lancet·M KREMERT G WILSON
Apr 14, 1951·Journal of the American Medical Association·G S PHALEN
Feb 1, 1947·Journal of Neurology, Neurosurgery, and Psychiatry·G WEDDELL, D C SINCLAIR

❮ Previous
Next ❯

Citations

Oct 3, 2007·International Archives of Occupational and Environmental Health·Martin CherniackJeffrey Dussetschleger
May 25, 2012·Current Diabetes Reports·Elena K KrumovaChristoph Maier
Mar 11, 1998·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·S P GillensonD B Stanton
Nov 24, 2004·The Journal of Orthopaedic and Sports Physical Therapy·Joy C MacDermid, Tim Doherty
Mar 25, 1998·Journal of the Neurological Sciences·R Zaslansky, D Yarnitsky
Oct 17, 1998·American Journal of Public Health·D RempelG Pransky
Jun 1, 1996·Journal of Occupational and Environmental Medicine·C M CheckoskyJ C Cohen
Mar 29, 2011·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Minu Shikha GandhiStacy J Morris Bamberg
Feb 11, 2004·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Mark C HubbardTrevor B Birmingham
Mar 1, 1993·The Journal of Hand Surgery·C B NovakG A Patterson
Sep 5, 2006·The Journal of Pain : Official Journal of the American Pain Society·Richard F SesekRobert P Tuckett
Oct 21, 2000·The Journal of Hand Surgery·F Gerr, R Letz
Dec 1, 1988·Acta Neurologica Scandinavica·K Borg, U Lindblom
Mar 30, 2017·Scientific Reports·Francesco ClementeMax Ortiz-Catalan
Apr 20, 1999·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·K EllemannT Smith
Jan 29, 1999·American Journal of Physical Medicine & Rehabilitation·V F VoermanB J Crul
May 27, 2004·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Joy C MacDermid, Jean Wessel

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association
Norio HagiwaraShigeru Yokoyama
JAMA : the Journal of the American Medical Association
C A D'Arcy, S McGee
Archives of Physical Medicine and Rehabilitation
A I KarlM P Kaul
© 2021 Meta ULC. All rights reserved