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Assessment of Ultrasound Findings, Nerve Test Results, and Hand Function in Patients With Carpal Tunnel Syndrome

13. September 2026 aktualisiert von: Hatice Zehra FERHATLAR, Kanuni Sultan Suleyman Training and Research Hospital

Association of Clinical Severity With Ultrasonographic, Electrophysiological, and Functional Parameters in Patients With Carpal Tunnel Syndrome: A Cross-Sectional Observational Study

Carpal tunnel syndrome is one of the most common conditions caused by compression of a nerve at the wrist. It can lead to numbness, tingling, pain, weakness, and difficulty performing daily activities. Although nerve conduction studies are widely used to confirm the diagnosis and assess disease severity, ultrasonography has become an increasingly important, non-invasive diagnostic tool. However, the relationship between ultrasound findings, nerve conduction study results, hand function, and symptom severity has not been fully clarified.

The purpose of this study is to investigate the relationship between the clinical severity of carpal tunnel syndrome and ultrasonographic, electrophysiological, and functional parameters. Participants with carpal tunnel syndrome will undergo ultrasonographic measurement of the median nerve, nerve conduction studies, hand grip strength assessment, pressure pain threshold measurement, and completion of the Boston Carpal Tunnel Questionnaire.

The investigators hypothesize that greater clinical severity will be associated with larger median nerve cross-sectional area, more severe electrophysiological abnormalities, reduced hand grip strength, lower pressure pain threshold, and poorer functional status. The findings of this study may improve the understanding of the relationship between structural, electrophysiological, and functional changes in carpal tunnel syndrome and contribute to clinical evaluation and patient management.

Studienübersicht

Status

Abgeschlossen

Bedingungen

Studientyp

Beobachtungs

Einschreibung (Tatsächlich)

109

Kontakte und Standorte

Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.

Studienorte

    • Istanbul
      • Küçükçekmece, Istanbul, Türkei (türkiye), 34307
        • Kanuni Sultan Suleyman Education and Research Hospital

Teilnahmekriterien

Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.

Zulassungskriterien

Studienberechtigtes Alter

  • Erwachsene
  • Älterer Erwachsener

Akzeptiert gesunde Freiwillige

N/A

Probenahmeverfahren

Nicht-Wahrscheinlichkeitsprobe

Studienpopulation

The study population will consist of adult patients (≥18 years) with clinically suspected and electrophysiologically confirmed carpal tunnel syndrome who are evaluated in the Physical Medicine and Rehabilitation outpatient clinic. Participants will be classified into mild, moderate, and severe groups according to electrophysiological severity.

Beschreibung

Inclusion Criteria:

  • Adults aged 18 years or older
  • Clinical findings consistent with carpal tunnel syndrome
  • Carpal tunnel syndrome confirmed by electroneuromyography
  • Ability to understand and complete the study assessments
  • Provision of written informed consent

Exclusion Criteria:

  • Previous carpal tunnel release surgery
  • History of fracture, major trauma, or surgery involving the assessed wrist or hand
  • Cervical radiculopathy, brachial plexopathy, or other peripheral neuropathy affecting the upper extremity
  • Polyneuropathy
  • Inflammatory rheumatic disease or active infection involving the assessed upper extremity
  • Severe neurological or musculoskeletal disorder that may affect hand function
  • Inability to complete ultrasonographic, electrophysiological, functional, or questionnaire assessments

Studienplan

Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.

Wie ist die Studie aufgebaut?

Designdetails

Kohorten und Interventionen

Gruppe / Kohorte
Intervention / Behandlung
Mild Carpal Tunnel Syndrome
Participants will undergo a standardized diagnostic assessment including ultrasonographic measurement of the median nerve cross-sectional area at the carpal tunnel inlet, nerve conduction study evaluation, hand grip strength measurement using a Jamar dynamometer, pressure pain threshold assessment using a digital algometer, and completion of the Boston Carpal Tunnel Questionnaire. All assessments will be performed once during a single study visit. No therapeutic intervention will be administered.
Moderate Carpal Tunnel Syndrome
Participants will undergo a standardized diagnostic assessment including ultrasonographic measurement of the median nerve cross-sectional area at the carpal tunnel inlet, nerve conduction study evaluation, hand grip strength measurement using a Jamar dynamometer, pressure pain threshold assessment using a digital algometer, and completion of the Boston Carpal Tunnel Questionnaire. All assessments will be performed once during a single study visit. No therapeutic intervention will be administered.
Severe Carpal Tunnel Syndrome
Participants will undergo a standardized diagnostic assessment including ultrasonographic measurement of the median nerve cross-sectional area at the carpal tunnel inlet, nerve conduction study evaluation, hand grip strength measurement using a Jamar dynamometer, pressure pain threshold assessment using a digital algometer, and completion of the Boston Carpal Tunnel Questionnaire. All assessments will be performed once during a single study visit. No therapeutic intervention will be administered.

Was misst die Studie?

Primäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Median Nerve Cross-Sectional Area Measured by Ultrasonography (mm²)
Zeitfenster: Baseline (prior to study assessments, during the single study visit)
The median nerve cross-sectional area will be measured by high-resolution ultrasonography at the carpal tunnel inlet (pisiform level). The mean of three measurements will be recorded in square millimeters (mm²).
Baseline (prior to study assessments, during the single study visit)

Sekundäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Boston Carpal Tunnel Questionnaire Symptom Severity Score
Zeitfenster: Baseline (prior to study assessments, during the single study visit)
Symptom severity will be assessed using the Boston Carpal Tunnel Questionnaire (BCTQ) Symptom Severity Scale. Scores range from 1 to 5, with higher scores indicating greater symptom severity.
Baseline (prior to study assessments, during the single study visit)
Boston Carpal Tunnel Questionnaire Functional Status Score
Zeitfenster: Baseline (prior to study assessments, during the single study visit)
Functional status will be assessed using the Functional Status Scale of the Boston Carpal Tunnel Questionnaire (BCTQ-FSS). The questionnaire consists of 8 items evaluating difficulty in performing daily activities. Each item is scored from 1 (no difficulty) to 5 (cannot perform the activity), and the final score is calculated as the mean of all items. Higher scores indicate greater functional impairment.
Baseline (prior to study assessments, during the single study visit)
Hand Grip Strength Measured Using a Jamar Dynamometer (kg)
Zeitfenster: Baseline (prior to study assessments, during the single study visit)
Maximum hand grip strength will be measured using a Jamar hydraulic hand dynamometer. The mean of three measurements will be recorded in kilograms (kg).
Baseline (prior to study assessments, during the single study visit)
Pressure Pain Threshold Measured Using a Digital Algometer (kPa)
Zeitfenster: Baseline (prior to study assessments, during the single study visit)
Pressure pain threshold will be assessed using a digital pressure algometer. The mean of three measurements will be recorded in kPa
Baseline (prior to study assessments, during the single study visit)

Mitarbeiter und Ermittler

Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.

Studienaufzeichnungsdaten

Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.

Haupttermine studieren

Studienbeginn (Tatsächlich)

1. Juni 2026

Primärer Abschluss (Tatsächlich)

31. Juli 2026

Studienabschluss (Tatsächlich)

31. Juli 2026

Studienanmeldedaten

Zuerst eingereicht

29. Juli 2026

Zuerst eingereicht, das die QC-Kriterien erfüllt hat

3. August 2026

Zuerst gepostet (Tatsächlich)

7. August 2026

Studienaufzeichnungsaktualisierungen

Letztes Update gepostet (Tatsächlich)

16. September 2026

Letztes eingereichtes Update, das die QC-Kriterien erfüllt

13. September 2026

Zuletzt verifiziert

1. September 2026

Mehr Informationen

Begriffe im Zusammenhang mit dieser Studie

Arzneimittel- und Geräteinformationen, Studienunterlagen

Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt

Nein

Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt

Nein

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