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      Hand Pain and Sensory Deficits: Carpal Tunnel Syndrome : Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health From the Academy of Hand and Upper Extremity Physical Therapy and the Academy of Orthopaedic Physical Therapy of the American Physical Therapy Association

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          A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome.

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            Practice parameter: Electrodiagnostic studies in carpal tunnel syndrome. Report of the American Association of Electrodiagnostic Medicine, American Academy of Neurology, and the American Academy of Physical Medicine and Rehabilitation.

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              A neurophysiological grading scale for carpal tunnel syndrome.

              Different ways of expressing the severity of carpal tunnel syndrome (CTS) are found in the existing literature and in clinical records. This paper documents the distribution of patients on a scale based upon the nerve conduction study findings, which are largely independent of the exact normal values used in any given laboratory and demonstrate a highly significant linear relationship between the neurophysiological grading and a numerical score derived from the clinical history. Patients with more characteristic stories of CTS generally have higher neurophysiological grades. The scale is as follows: normal (grade 0); very mild (grade 1), CTS demonstrable only with most sensitive tests; mild (grade 2), sensory nerve conduction velocity slow on finger/wrist measurement, normal terminal motor latency; moderate (grade 3), sensory potential preserved with motor slowing, distal motor latency to abductor pollicis brevis (APB) 6.5 ms; extremely severe (grade 6), sensory and motor potentials effectively unrecordable (surface motor potential from APB < 0.2 mV amplitude). Copyright 2000 John Wiley & Sons, Inc.
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                Author and article information

                Journal
                Journal of Orthopaedic & Sports Physical Therapy
                J Orthop Sports Phys Ther
                Journal of Orthopaedic & Sports Physical Therapy (JOSPT)
                0190-6011
                1938-1344
                May 2019
                May 2019
                : 49
                : 5
                : CPG1-CPG85
                Article
                10.2519/jospt.2019.0301
                31039690
                266ad543-6b1b-4cbc-9a0c-a968852c2a5c
                © 2019
                History

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