Comparison of responsiveness of the Japanese Society for Surgery of the Hand version of the carpal tunnel syndrome instrument to surgical treatment with DASH, SF-36, and physical findings |
| |
Authors: | S Uchiyama T Imaeda S Toh K Kusunose T Sawaizumi T Wada S Okinaga J Nishida S Omokawa |
| |
Institution: | (1) Department of Orthopaedic Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan;(2) Department of Public Health, Fujita Health University School of Medicine, Toyoake, Japan;(3) Department of Orthopaedic Surgery, Hirosaki University School of Medicine, Hirosaki, Japan;(4) Department of Orthopaedic Surgery, Tokyo Rosai Hospital, Tokyo, Japan;(5) Department of Orthopaedic Surgery, Nippon Medical School, Tokyo, Japan;(6) Department of Orthopaedic Surgery, School of Medicine, Sapporo Medical University, Sapporo, Japan;(7) Department of Orthopaedic Surgery, Tokyo Teishin Hospital, Tokyo, Japan;(8) Department of Orthopaedic Surgery, Iwate Medical University, Morioka, Japan;(9) Department of Orthopaedic Surgery, Ishin-kai Yao General Hospital, Yao, Japan |
| |
Abstract: | Background The Japanese Society for Surgery of -the Hand version of the Carpal Tunnel Syndrome Instrument (CTSI-JSSH), which consists
of two parts — one for symptom severity (CTSI-SS) and the other for functional status (CTSI-FS) — is a self-administered questionnaire
specifically designed for carpal tunnel syndrome. The responsiveness of the CTSI-JSSH was compared with that of the JSSH version
of the Disability of Arm, Shoulder, and Hand questionnaire (DASH), the official Japanese version of the 36-Item Short Form
Health Survey (SF-36, version 1.2), and physical examinations to elucidate the role of the CTSI-JSSH for evaluating patients
with carpal tunnel syndrome.
Methods Preoperatively, a series of 60 patients with carpal tunnel syndrome completed the CTSI-JSSH, DASH, and SF-36. Results of physical
examinations, including grip strength, pulp pinch, and static two-point discrimination of the thumb, index, and long fingers,
were recorded. Three months after carpal tunnel release surgery the patients were asked to fill out the same questionnaires,
and the physical examinations were repeated. The responsiveness of all the instruments was examined by calculating the standardized
response mean (SRM) and effect size (ES). Correlation coefficients were calculated between questionnaire change scores and
patient satisfaction scores as well as between the CTSI change scores and those of the DASH and SF-36.
Results The largest responsiveness was observed in the CTSI-SS (SRM/ES: −1.00/−1.08) followed by the CTSI-FS (−0.76/−0.63), and bodily
pain subscale of SF-36 (SF-36-BP, 0.45/0.55), and the DASH (−0.46/−0.47). Only the change scores of the CTSI-SS had significant
correlation with patient satisfaction (r = 0.34, P < 0.01). An absolute value of Spearman's correlation coefficient of >0.5 was observed between the change scores of the CTSI-SS
and the DASH, the CTSI-SS and the SF-36-BP, the CTSI-FS and the DASH, and the DASH and the SF-36-BP.
Conclusion The CTSI-JSSH was proven to be more sensitive to clinical changes after carpal tunnel release than the other outcome measures
and should be used to evaluate patients with carpal tunnel syndrome who speak Japanese as their native language. |
| |
Keywords: | |
本文献已被 ScienceDirect SpringerLink 等数据库收录! |
|