Outcome assessment for carpal tunnel surgery: The relative responsiveness of generic, arthritis-specific, disease-specific, and physical examination measures

P. C. Amadio, M. D. Silverstein, D. M. Ilstrup, C. D. Schleck, L. M. Jensen

Research output: Contribution to journalArticlepeer-review

128 Scopus citations

Abstract

Clinical evaluation of outcome after treatment of carpal tunnel syndrome has not been standardized. To assess the value of various clinical and questionnaire measures for the assessment of outcome after carpal tunnel surgery, we surveyed 22 patients 1 day before and 3 months after carpal tunnel release with the following measures: the Medical Outcomes Study 36- item short form health survey, the Arthritis Impact Measurement Scale, the Brigham and Women's Hospital carpal tunnel questionnaire, wrist range of motion, power pinch, grip strength, pressure sensibility, and dexterity. Significant changes, all in the direction of improved health status postoperatively, were noted in the following scales or measures: the Arthritis Impact Measurement Scale pain, satisfaction, health perception, arthritis impact, and symptom scales; the Brigham and Women's Hospital symptom and function scales; the short form health survey's physical role, emotional role, and bodily pain scales; and the measurement of dexterity. In this study, standardized questionnaires were more sensitive to the clinical change produced by carpal tunnel surgery than many commonly performed physical measures of outcome. The condition-specific questionnaire was more sensitive to change than were more generic questionnaires.

Original languageEnglish (US)
Pages (from-to)338-346
Number of pages9
JournalJournal of Hand Surgery
Volume21
Issue number3
DOIs
StatePublished - Jan 1 1996

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Fingerprint Dive into the research topics of 'Outcome assessment for carpal tunnel surgery: The relative responsiveness of generic, arthritis-specific, disease-specific, and physical examination measures'. Together they form a unique fingerprint.

Cite this