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Use of diffusion tensor imaging for nonsurgical treatments of carpal tunnel syndrome
Author(s) -
Yildirim Adem,
Bulut Haci Taner,
Ekmekci Burcu,
Surucu Gülseren Dost,
Karabiber Mehmet
Publication year - 2014
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/mus.24236
Subject(s) - carpal tunnel syndrome , medicine , wrist , visual analogue scale , fractional anisotropy , sss* , median nerve , splints , diffusion mri , carpal tunnel , effective diffusion coefficient , prospective cohort study , nuclear medicine , physical therapy , physical medicine and rehabilitation , radiology , surgery , magnetic resonance imaging
: This study evaluated the applicability of diffusion tensor imaging (DTI) of therapeutic ultrasound (US) and wrist splints in addition to clinical and electrophysiological assessments of patients with carpal tunnel syndrome (CTS). Methods : This prospective study analyzed 41 patients (30 women, 11 men; 56 wrists) with CTS. Therapeutic US and wrist splints were performed for 3 and 4 weeks, respectively. Fractional anisotropy and the apparent diffusion coefficient (ADC) were evaluated in addition to a visual analog scale (VAS), symptom severity scale (SSS), functional status scale (FSS), and electrodiagnostic studies (EDX) before and after treatment. Results : There were significant decreases in the mean ADC, VAS, SSS, FSS, and EDX after treatment. Conclusions : This study suggests that DTI parameters provide helpful information that complements clinical and electrophysiological assessments for evaluating the efficacy of nonsurgical treatment of patients with CTS. Muscle Nerve 50: 950–955, 2014