CPR for Carpal Tunnel Syndrome: Difference between revisions
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Clinical prediction rules (CPRs) combine historical and physical examination findings to help clinicians predict the probability of a particular diagnosis.<ref name="Childs">Childs JD, Cleland JA. Development and Application of Clinical Prediction Rules to Improve Clinical Decision Making in Physical Therapist Practice. Phys Ther. 2006; 122-131.</ref> In 2005, Wainner et al published a level IV CPR to aid clinicians in diagnosing carpal tunnel syndrome.<ref name="Wainner">Wainner R, Fritz J, Irrgang J, Delitto A, Allison S, Boninger M. Development of a Clinical Prediction Rule for the Diagnosis of Carpal Tunnel Syndrome. Arch Phys Med 2005; 86: 609-618.</ref> | Clinical prediction rules (CPRs) combine historical and physical examination findings to help clinicians predict the probability of a particular diagnosis.<ref name="Childs">Childs JD, Cleland JA. Development and Application of Clinical Prediction Rules to Improve Clinical Decision Making in Physical Therapist Practice. Phys Ther. 2006; 122-131.</ref> In 2005, Wainner et al published a level IV CPR to aid clinicians in diagnosing carpal tunnel syndrome.<ref name="Wainner">Wainner R, Fritz J, Irrgang J, Delitto A, Allison S, Boninger M. Development of a Clinical Prediction Rule for the Diagnosis of Carpal Tunnel Syndrome. Arch Phys Med 2005; 86: 609-618.</ref> | ||
== Clinical Prediction Rule Components == | == Clinical Prediction Rule Components <ref name="Wainner" /> == | ||
1. Shaking hands to relieve symptoms<span id="fck_dom_range_temp_1246070608046_19"></span> | 1. Shaking hands to relieve symptoms<span id="fck_dom_range_temp_1246070608046_19"></span> | ||
2. Wrist ratio >.67 | 2. Wrist ratio >.67 | ||
3. Symptom Severity Scale > 1.9 | 3. Symptom Severity Scale > 1.9 | ||
4. Diminished sensation in median sensory field 1 (thumb) | 4. Diminished sensation in median sensory field 1 (thumb) | ||
5. Age > 45 years old | 5. Age > 45 years old | ||
Revision as of 04:49, 27 June 2009
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Purpose
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Clinical prediction rules (CPRs) combine historical and physical examination findings to help clinicians predict the probability of a particular diagnosis.[1] In 2005, Wainner et al published a level IV CPR to aid clinicians in diagnosing carpal tunnel syndrome.[2]
Clinical Prediction Rule Components [2][edit | edit source]
1. Shaking hands to relieve symptoms
2. Wrist ratio >.67
3. Symptom Severity Scale > 1.9
4. Diminished sensation in median sensory field 1 (thumb)
5. Age > 45 years old
Technique[edit | edit source]
Evidence[edit | edit source]
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Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
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- ↑ Childs JD, Cleland JA. Development and Application of Clinical Prediction Rules to Improve Clinical Decision Making in Physical Therapist Practice. Phys Ther. 2006; 122-131.
- ↑ 2.0 2.1 Wainner R, Fritz J, Irrgang J, Delitto A, Allison S, Boninger M. Development of a Clinical Prediction Rule for the Diagnosis of Carpal Tunnel Syndrome. Arch Phys Med 2005; 86: 609-618.
