Dirsekte ulnar nöropatide elektrodiagnostik bulgularla kol, omuz ve el sorunları anketinin korelasyonu

Yıl 2021, Cilt: 12 Sayı: 1, 15 - 22, 31.03.2021

İlker Öztürk , Halit Fidancı

https://doi.org/10.18663/tjcl.679752

Öz

Amaç: Dirsekte ulnar nöropatide (DUN) elektrodiagnostik bulgular ile kol, omuz ve el sorunları (DASH) anketi arasında bir ilişki olup olmadığını bulmayı amaçladık.
Gereç ve Yöntemler: Klinik ve elektrodiagnostik bulguları DUN ile uyumlu olan hastalar bu retrospektif kohort çalışmasına dahil edildi. DUN hastaları nörofizyolojik sınıflandırmaya göre hafif, orta ve şiddetli DUN olarak ayrıldı. Tüm hastaların DASH-özürlülük / semptom (DASH-ÖS) skorları hesaplandı. Ayrıca bazı hastalara DASH iş modeli (DASH-İ) ve DASH yüksek performans sporları ve müzisyenler anketi uygulanmıştır.
Bulgular: Otuz dokuz DUN hastası çalışmaya dahil edildi. Yirmialtı hafif DUN, 8 orta DUN ve 5 şiddetli DUN hastası vardı. DUN’un nörofizyolojik sınıflandırması ile DASH-ÖS / DASH-İ skorları arasında pozitif bir korelasyon vardı (p = 0.002 r = 0.491, p = 0.012 r = 0.453). DASH-İ skorları ile ulnar sinir bileşik kas aksiyon potansiyeli / duyusal sinir aksiyon potansiyeli amplitüdleri arasında ters bir korelasyon bulundu (p = 0.036 r = -0.413, p = 0.006 r = 0.-492). Orta ve şiddetli UNE grubu tek bir grup olarak değerlendirildiğinde, hafif UNE hastalarının DASH-ÖS ve DASH-İ skorları orta-şiddetli UNE hastalarının skorlarından daha düşük bulundu (p = 0.001, p = 0.012).
Sonuç: Bu çalışma DUN’da DASH skorları ile nörofizyolojik sınıflandırma arasında pozitif bir korelasyon olduğunu göstermiştir. DASH-ÖS anketine ek olarak, DASH-İ anketinin kullanımı UNE'de faydalı olabilir.

Anahtar Kelimeler

DASH anketi, elektrodiagnoz, ulnar nöropati

Correlation of electrodiagnostic findings and the disabilities of arm, shoulder and hand questionnaire in ulnar neuropathy at the elbow

Öz

Aim: We aimed to find out whether there is a relationship between the electrodiagnostic findings and disabilities of arm, shoulder and hand (DASH) questionnaire in the ulnar neuropathy at the elbow (UNE).
Material and Methods: Patients whose clinical and electrodiagnostic findings were compatible with UNE were included in this retrospective cohort study. UNE patients were divided into mild, moderate and severe UNE according to the neurophysiological classification. DASH-disability / symptom (DASH-DS) scores of all patients were calculated. In addition, DASH work module (DASH-W) and DASH sports / performing arts module (DASH-SP) questionnaire were applied to some patients.
Results: Thirty-nine UNE patients were included in the study. There were 26 mild UNE patients, 8 moderate UNE patients, and 5 severe UNE patients. There was a positive correlation between neurophysiological classification of UNE and DASH-DS / DASH-W scores (p = 0.002 r = 0.491, p = 0.012 r = 0.453). An inverse correlation was found between DASH-W scores and ulnar nerve compound muscle action potential / sensory nerve action potential amplitudes (p = 0.036 r = -0.413, p = 0.006 r = 0.-492). When the moderate and severe UNE group was evaluated as a single group, DASH-DS and DASH-W scores of mild UNE patients were low in those of moderate-severe UNE patients (p = 0.001, p = 0.012).
Conclusion: This study showed a positive correlation between the DASH scores and the neurophysiological classification in the UNE. In addition to the DASH-DS questionnaire, the use of the DASH-W questionnaire can be useful in UNE.

Anahtar Kelimeler

DASH questionnaire, electrodiagnosis, ulnar neuropathy

Kaynakça

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