000135965 001__ 135965
000135965 005__ 20240704095849.0
000135965 0247_ $$2doi$$a10.3390/brainsci14060615
000135965 0248_ $$2sideral$$a138920
000135965 037__ $$aART-2024-138920
000135965 041__ $$aeng
000135965 100__ $$0(orcid)0000-0001-9678-3449$$aHernández-Secorún, Mar$$uUniversidad de Zaragoza
000135965 245__ $$aUnderstanding the mechanosensitivity of the median nerve in pre-surgical carpal tunnel syndrome patients: a correlational study
000135965 260__ $$c2024
000135965 5060_ $$aAccess copy available to the general public$$fUnrestricted
000135965 5203_ $$aNeurodynamic tests are recommended for the diagnosis of entrapment neuropathies such as carpal tunnel syndrome (CTS). However, their association with clinical variables in severe patients or patients with associated comorbidities is poorly documented. This study aims to analyze the association between the mechanosensitivity of the median nerve and symptoms, function and psycho-social variables in moderate and severe carpal tunnel syndrome patients with comorbidities; (2) Methods: Correlational study. In total, 42 pre-surgical patients (24 females; 59.1 ± 12.7 years) included in the Spanish Public Healthcare System with an electrodiagnostic of CTS were selected. Sociodemographic variables and clinical features (symptoms, function, sensitivity and quality of life evaluated with the 36-item Short Form Survey (SF-36) and the Medical Outcomes Study Sleep Scale (MOS-sleep) were recorded. Upper Limb Neurodynamic Test 1 was used to evaluate neural mechanosensitivity; (3) Results: The 81% had a severe CTS and 78.6% had some comorbidity. The average time from the first medical visit to the surgeon’s visit was 365.5 days. Median nerve mechanosensitivity correlated weakly with the SF-36 subscale, General Health, (Spearman’s rho = 0.367) and MOS sleep scale, Awaken Short of Breath or with headache dimension (Spearman’s rho = −0.353) and moderately with SF-36 subscale, Social Functioning (Spearman’s rho = 0.553); (4) Conclusions: No associations were observed for median nerve mechanosensitivity, except for quality of life and sleep. Both social determinants and clinical variables should be considered when examining and treating these patients.
000135965 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000135965 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000135965 700__ $$aAbenia-Benedí, Hugo
000135965 700__ $$0(orcid)0000-0002-9930-3903$$aLucha-López, María$$uUniversidad de Zaragoza
000135965 700__ $$aDurán-Serrano, María
000135965 700__ $$aHamam-Alcober, Javier
000135965 700__ $$aKrauss, John
000135965 700__ $$aBooth-Smith, Christie
000135965 700__ $$0(orcid)0000-0001-7667-2178$$aHidalgo-García, César$$uUniversidad de Zaragoza
000135965 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia
000135965 773__ $$g14, 6 (2024), 615 [13 pp.]$$pBrain sci.$$tBrain Sciences$$x2076-3425
000135965 8564_ $$s3264966$$uhttps://zaguan.unizar.es/record/135965/files/texto_completo.pdf$$yVersión publicada
000135965 8564_ $$s2759247$$uhttps://zaguan.unizar.es/record/135965/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000135965 909CO $$ooai:zaguan.unizar.es:135965$$particulos$$pdriver
000135965 951__ $$a2024-07-04-07:59:14
000135965 980__ $$aARTICLE