Validity and Reliability of Thai Version of Kamath and Stothard Clinical Questionnaire for Diagnosis of Carpal Tunnel Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 80
- 试验地点
- 2
- 主要终点
- Validity of Thai version of Kamath and Stothard Questionnaire in carpal tunnel syndrome patients
研究概览
简要总结
The Kamath and Stothard clinical questionnaire for diagnosing carpal tunnel syndrome (CTS) is a valid score for diagnosis of CTS. However it haven't been translated in to Thai version and the validity and accuracy of the Thai the Thai version have not been yet verified.
The research team recognizes the importance and potential benefits of adapting this assessment for use within the Thai population.Therefore, we aim to conduct this research to translate the questionnaire from the original English to Thai and to assess its validity and reliability for diagnosing patients with Carpal Tunnel Syndrome.
详细描述
Carpal Tunnel Syndrome is a common condition among working and older adults. The incidence of the disease ranges from 7 to 19 percent in the general population, with an approximate rate of 99 cases per 100,000 population per year. Symptoms are typically associated with hand and wrist function. Patients frequently seek medical attention due to numbness or pain in their hands after prolonged, continuous use. Some individuals may experience persistent numbness or pain in their hands, significantly impacting their daily lives. In cases of prolonged symptoms, weakness of the thumb may also occur.
The diagnosis is established through a comprehensive history and physical examination, with symptoms including numbness in the thumb and index finger, as well as the middle finger and the portion of the ring finger adjacent to the middle finger. Some individuals may experience pain, especially at night or in cold conditions, often aggravated by the use of the hands and wrists. The physical examination reveals a reduction in tactile sensations in the regions corresponding to the thumb, index finger, middle finger, and half of the ring finger near the middle finger. In severe cases, weakness of the abductor pollicis brevis muscle or muscle atrophy in the thenar area may be detected. Confirmation of the diagnosis can be achieved through an electrodiagnostic study of muscles and nerves.
Kamath and Stothard clinical questionnaire was developed to help clinician in the diagnosis of CTS, with score more than 5 the diagnosis can be achieve without needed for further electrodiagnostic test. However it haven't been translated in to Thai version and the validity and accuracy of the Thai the Thai version have not been yet verified.
The research team recognizes the importance and potential benefits of adapting this assessment for use within the Thai population.Therefore, we aim to conduct this research to translate the questionnaire from the original English to Thai and to assess its validity and reliability for diagnosing patients with Carpal Tunnel Syndrome.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients aged 18 years and older who are admitted to Siriraj Hospital with signs and symptoms consistent with carpal tunnel disease.
- •Diagnosis of carpal tunnel disease was confirm with electrodiagnostic study and electromyography
- •Must be able to communicate in Thai.
排除标准
- •Patients diagnosed with other neurological diseases such as cerebrovascular disease, cervical radiculopathy, diabetic neuropathy, tumors of the nerve endings in the arm, and other peripheral neuropathy.
- •Pregnancy or breastfeeding
- •History of recieving chemotheraphy agent
- •Patient who recieved surgical treatment for carpal tunnel syndrome.
结局指标
主要结局
Validity of Thai version of Kamath and Stothard Questionnaire in carpal tunnel syndrome patients
时间窗: Pre-treatment
The questionnaire composes of 9 clinical questions asking whether the patient has any symptom of carpal tunnel syndrome. The total score is the sum of the score from each question. Total score ranges from -2 to 11. Higher scores indicate a greater probability of the condition, prompting further investigation and potential referral to a specialist. Concurrent validity is evaluated by comparing this questionnaire with the Boston carpal tunnel questionnaire.
Reliability of Thai version of Kamath and Stothard Questionnaire in carpal tunnel syndrome patients
时间窗: Pre-treatment and 2 weeks later
The questionnaire composes of 9 clinical questions asking whether the patient has any symptom of carpal tunnel syndrome. The total score is the sum of the score from each question. Total score ranges from -2 to 11. Higher scores indicate a greater probability of the condition, prompting further investigation and potential referral to a specialist. Intra-observer reliability is measured using Kappa statistics for each answered question between two different periods.
次要结局
- Thai version of Boston carpal tunnel questionnaire (BCTQ)(Pre-treatment)
- Thai version of EQ-5D-5L questionaire(Pre-treatment)
- Thai version of Patient-rated wrist evaluation questionaire (PRWE)(Pre-treatment)
- Thai version of Quick Disabilities of Arm, Shoulder and Hand questionaire (QuickDASH)(Pre-treatment)
- Thai Language of the Neuropathic Pain Diagnostic Questionnaire (DN4)(Pre-treatment)
研究者
Panai Laohaprasitiporn, MD
Principle investigator
Siriraj Hospital