PROVACATIVE POSITION WHILE NERVE CONDUCTION VELOCITY STUDY FOR DIAGNOSIS OF CARPAL TUNNEL SYNDROME

Abstract

Research findings indicate that carpal tunnel syndrome (CTS) was a prevailing form of compressive neuropathy, resulting from the compression of the median nerve as it traverses the wrist within the CT. It constitutes 90% of all cases of entrapment neuropathies. In the majority of instances, both parties involved are impacted. The process of formulating a diagnosis is a cumulative one, relying on the evaluation of signs, symptoms, and specific physical tests. Confirmation of a suspected diagnosis may be achieved through the use of electrodiagnostic tests (EDT), specifically the Nerve Conduction Velocity Test(NCVT).Therefore, the objective of our study was to assess the relevance of the Provocative Position (PP) in conjunction with the NCVT for the diagnosis of CTS. We have conducted NCVT on a sample of 25 patients in our study. Additionally, the data was divided by the impulse latency in order to calculate the conduction velocity. Therefore, these steps were also replicated in the PP, and the resulting findings were subsequently compared. In our study, it was observed that bilateral tests exhibited the highest number of patients, with 10 individuals accounting for 40% of the sample. Additionally, 8 patients (32%) displayed left-side test results, while 7 patients (28%) exhibited right-side test results. The findings of this research indicate that there is a notable advantage in utilizing EDT investigations to promptly confirm suspected cases of CTS. This enables early intervention and alleviation of symptoms.