Clinical Neuroscience

Evaluation of symptom severity, functional status and anxiety levels in patients with carpal tunnel syndrome with different electrophysiological stages

SEVINC Gürses Eftal1, TEKESIN Aysel2, TUNC Abdulkadir3

NOVEMBER 30, 2018

Clinical Neuroscience - 2018;71(11-12)

DOI: https://doi.org/10.18071/isz.71.0417

Objective - The aim of this study was to evaluate the relationship between electrophysiological stage, symptom severity, functional status and anxiety levels in patients with idiopathic carpal tunnel syndrome (CTS). Materials and methods - This study included 130 patients in the 25-79 age group who were classified as clinically and electrophysiologically idiopathic carpal tunnel syndrome in our electromyography (EMG) laboratory. Visual Analog Scale (VAS) was used to assess pain during rest and activity. The Boston Carpal Tunnel Scale (BCTS) was used to evaluate symptom severity and functional status. Symptom Severity Scale (SSS) and Functional Capacity Scale (FCS) were assessed separately as a part of BCTS. Beck Anxiety Inventory (BAI) was used for anxiety assessment. Results - A total of 130 patients (25 males and 105 females) were enrolled to this prospective study. The mean age of the patients was 46.95 ± 10.57 years. When the electrophysiological stage was increased, it was found that SSS score and FCS score were increased (p <0.001). No significant correlation was detected between electrophysiological stage and VAS or BAI score. There was a positive correlation between VAS scores and SSS, FCS and BAI scores (p <0.001). Symptom severity and functional status were correlated with anxiety scores (p <0.001). SSS and FCS values of stage III and above patients were significantly higher than Stage I and II CTS patients (p <0.01). Conclusion - In conclusion, our study showed a significant correlation between symptom severity, functional status and anxiety in CTS patients. This can be interpreted as the mental deterioration of individuals with more severe symptoms. On the other hand, additional psychiatric support options should be recommended in cases of moderate findings but anxious symptoms. Electrophysiological findings shouldn’t be sufficient to measure the effect of the disease on the person.

AFFILIATIONS

  1. Gaziantep Metropolitan Municipality, İnayet Topçuoğlu Hospital, Gaziantep, Turkey
  2. Clinic of Neurology, Health Sciences University, İstanbul Training and Research Hospital, İstanbul, Turkey
  3. Clinic of Neurology, Sakarya University, Sakarya Training and Research Hospital, Sakarya, Turkey

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