Correlação entre gravidade clínica e estado funcional com achados eletroneuromiograficos, em pacientes com síndrome do túnel do carpo: uma revisão sistemática

Autores

  • Andressa Silvia Faé Nunes Universidade de São Paulo. Faculdade de Medicina
  • Lucas Martins de Exel Nunes Universidade de São Paulo. Faculdade de Medicina
  • Luciana Dotta Antonio Camargo Cancer Center
  • Tae Mo Chung Universidade de São Paulo. Faculdade de Medicina
  • Linamara Rizzo Battistella Universidade de São Paulo. Faculdade de Medicina https://orcid.org/0000-0001-5275-0733
  • Marcelo Riberto Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto https://orcid.org/0000-0001-9549-8830

DOI:

https://doi.org/10.5935/0104-7795.20170037

Palavras-chave:

Síndrome do Túnel Carpal, Neuropatia Mediana, Eletromiografia, Eletrodiagnóstico, Condução Nervosa

Resumo

A síndrome do Túnel do Carpo é a neuropatia compressiva mais frequente na população geral que pode levar a sintomas incapacitantes e significativa limitação funcional. Uma revisão sistemática foi realizada nas bases de dados Pubmed, Medline, Embase, Cochrane, CINAHL, LILACS e SCIELO, sem delimitação de tempo ou idioma. Utilizou-se da estratégia PICO para a pesquisa, palavras-chave extraídas dos Descritores de Ciências da Saúde (Decs) e a qualidade dos estudos foi avaliada através da escala Agency for Healthcare Research and Quality (AHRQ). Identificaram-se 857 estudos dos quais, somente 10 obedeceram aos critérios de inclusão. Apesar dos bons resultados apresentados, verificou-se uma expressiva heterogeneidade existente entre os estudos incluídos, associado à discrepância metodológica, e um limitado tamanho amostral em alguns deles. São necessários estudos com melhor padrão metodológico, bem como avaliações mais homogêneas e precisas, a fim de melhorar o nível de evidência científica.

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Referências

Atroshi I, Gummesson C, Johnsson R, Ornstein E, Ranstam J, Rosén I. Prevalence of carpal tunnel syndrome in a general population. JAMA. 1999;282(2):153-8. DOI: http://dx.doi.org/10.1001/jama.282.2.153

Bongers FJ, Schellevis FG, van den Bosch WJ, van der Zee J. Carpal tunnel syndrome in general practice (1987 and 2001): incidence and the role of occupational and non-occupational factors. Br J Gen Pract. 2007;57(534):36-9.

Alfonso C, Jann S, Massa R, Torreggiani A. Diagnosis, treatment and follow-up of the carpal tunnel syndrome: a review. Neurol Sci. 2010;31(3):243-52. DOI: http://dx.doi.org/10.1007/s10072-009-0213-9

American Academy of Orthopaedic Surgeons. Clinical practice guideline on the diagnosis of carpal tunnel syndrome. Rosemont: AAOS; 2007.

Ibrahim I, Khan WS, Goddard N, Smitham P. Carpal tunnel syndrome: a review of the recent literature. Open Orthop J. 2012;6:69-76 DOI: http://dx.doi.org/10.2174/1874325001206010069

Aroori S, Spence RA. Carpal tunnel syndrome. Ulster Med J. 2008;77(1):6-17.

British Society for Surgery of the Hand. Guideline: carpal tunnel syndrome (CTS). London: BSSH; 2012.

Van Dijk MA, Reitsma JB, Fischer JC, Sanders GT. Indications for requesting laboratory tests for concurrent diseases in patients with carpal tunnel syndrome: a systematic review. Clin Chem. 2003;49(9):1437-44. DOI: http://dx.doi.org/10.1373/49.9.1437

Armstrong T, Dale AM, Franzblau A, Evanoff BA. Risk factors for carpal tunnel syndrome and median neuropathy in a working population. J Occup Environ Med. 2008;50(12):1355-64. DOI: http://dx.doi.org/10.1097/JOM.0b013e3181845fb1

Cartwright MS, Hobson-Webb LD, Boon AJ, Alter KE, Hunt CH, Flores VH, et al. Evidence-based guideline: neuromuscular ultrasound for the diagnosis of carpal tunnel syndrome. Muscle Nerve. 2012;46(2):287-93. DOI: http://dx.doi.org/10.1002/mus.23389

New York carpal tunnel syndrome medical treatment Guidelines. New York: Workers' Compensation Board; 2013.

Gürsoy AE, Kolukısa M, Yıldız GB, Kocaman G, Celebi A, Koçer A. Relationship between electrodiagnostic severity and neuropathic pain assessed by the LANSS pain scale in carpal tunnel syndrome. Neuropsychiatr Dis Treat. 2013;9:65-71. DOI: http://dx.doi.org/10.2147/NDT.S38513

American Association of Electrodiagnostic Medicine, American Academy of Neurology, and American Academy of Physical Medicine and Rehabilitation. Practice parameter for electrodiagnostic studies in carpal tunnel syndrome: summary statement. Muscle Nerve. 2002;25(6):918-22.

Nora DB, Becker J, Ehlers JA, Gomes I. Clinical features of 1039 patients with neurophysiological diagnosis of carpal tunnel syndrome. Clin Neurol Neurosurg. 2004;107(1):64-9. DOI: http://dx.doi.org/10.1016/j.clineuro.2004.08.003

Truini A, Padua L, Biasiotta A, Caliandro P, Pazzaglia C, Galeotti F, et al. Differential involvement of A-delta and A-beta fibres in neuropathic pain related to carpal tunnel syndrome. Pain. 2009;145(1-2):105-9.

Campos CC, Manzano GM, Castelo Filho A, Nóbrega JAM. Parestesia e/ou dor nas mãos e/ou punhos como motivo de encaminhamento para estudo eletroneuromiográfico. Arq Neuropsiquiatr 2003;61(1):56-60. DOI: http://dx.doi.org/10.1590/S0004-282X2003000100010

Sardá Junior J, Nicholas MK, Pereira IA, Pimenta CAM, Asghari A, Cruz RM. Validação da Escala de Pensamentos Catastróficos sobre Dor. Acta Fisiatr. 2008;15(1):31-6.

Pincus T, Burton AK, Vogel S, Field AP. A systematic review of psychological factors as predictors of chronicity/disability in prospective cohorts of low back pain. Spine (Phila Pa 1976). 2002;27(5):E109-20.

Keefe FJ, Rumble ME, Scipio CD, Giordano LA, Perri LM. Psychological aspects of persistent pain: current state of the science. J Pain. 2004;5(4):195-211. DOI: http://dx.doi.org/10.1016/j.jpain.2004.02.576

Sullivan MJ, Thorn B, Haythornthwaite JA, Keefe F, Martin M, Bradley LA, et al. Theoretical perspectives on the relation between catastrophizing and pain. Clin J Pain. 2001;17(1):52-64. DOI: http://dx.doi.org/10.1097/00002508-200103000-00008

Bair MJ, Wu J, Damush TM, Sutherland JM, Kroenke K. Association of depression and anxiety alone and in combination with chronic musculoskeletal pain in primary care patients. Psychosom Med. 2008;70(8):890-7. PMID: 18799425 DOI: http://dx.doi.org/10.1097/PSY.0b013e318185c510

Nunez F, Vranceanu AM, Ring D. Determinants of pain in patients with carpal tunnel syndrome. Clin Orthop Relat Res. 2010;468(12):3328-32. DOI: http://dx.doi.org/10.1007/s11999-010-1551-x

Chan L, Turner JA, Comstock BA, Levenson LM, Hollingworth W, Heagerty PJ, et al. The relationship between electrodiagnostic findings and patient symptoms and function in carpal tunnel syndrome. Arch Phys Med Rehabil. 2007;88(1):19-24. DOI: http://dx.doi.org/10.1016/j.apmr.2006.10.013

You H, Simmons Z, Freivalds A, Kothari MJ, Naidu SH. Relationships between clinical symptom severity scales and nerve conduction measures in carpal tunnel syndrome. Muscle Nerve. 1999;22(4):497-501. DOI: http://dx.doi.org/10.1002/(SICI)1097-4598(199904)22:4<497::AID-MUS11>3.0.CO;2-T

Dhong ES, Han SK, Lee BI, Kim WK. Correlation of electrodiagnostic findings with subjective symptoms in carpal tunnel syndrome. Ann Plast Surg. 2000;45(2):127-31. DOI: http://dx.doi.org/10.1097/00000637-200045020-00005

Schrijver HM, Gerritsen AA, Strijers RL, Uitdehaag BM, Scholten RJ, de Vet HC, et al. Correlating nerve conduction studies and clinical outcome measures on carpal tunnel syndrome: lessons from a randomized controlled trial. J Clin Neurophysiol. 2005;22(3):216-21.

Ansari NN, Adelmanesh F, Naghdi S, Mousavi S. The relationship between symptoms, clinical tests and nerve conduction study findings in carpal tunnel syndrome. Electromyogr Clin Neurophysiol. 2009;49(1):53-7.

Ortiz-Corredor F, Calambas N, Mendoza-Pulido C, Galeano J, Díaz-Ruíz J, Delgado O. Factor analysis of carpal tunnel syndrome questionnaire in relation to nerve conduction studies. Clin Neurophysiol. 2011;122(10):2067-70. DOI: http://dx.doi.org/10.1016/j.clinph.2011.02.030

Oncel C, Bir LS, Sanal E. The relationship between electrodiagnostic severity and Washington Neuropathic Pain Scale in patients with carpal tunnel syndrome. Agri. 2009;21(4):146-8.

Hayashida K, Eisenach JC. Multiplicative interactions to enhance gabapentin to treat neuropathic pain. Eur J Pharmacol. 2008;598(1-3):21-6.

Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group.Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097.

Padua L, LoMonaco M, Gregori B, Valente EM, Padua R, Tonali P. Neurophysiological classification and sensitivity in 500 carpal tunnel syndrome hands. Acta Neurol Scand. 1997;96(4):211-7. DOI: http://dx.doi.org/10.1111/j.1600-0404.1997.tb00271.x

West S, King V, Carey TS, Lohr KN, McKoy N, Sutton SF, et al. Systems to rate the strength of scientific evidence. Evid Rep Technol Assess (Summ). 2002;(47):1-11.

De la Llave-Rincón AI, Fernández-de-Las-Peñas C, Pérez-de-Heredia-Torres M, Martínez-Perez A, Valenza MC, Pareja JA. Bilateral deficits in fine motor control and pinch grip force are not associated with electrodiagnostic findings in women with carpal tunnel syndrome. Am J Phys Med Rehabil. 2011;90(6):443-51. DOI: http://dx.doi.org/10.1097/PHM.0b013e31821a7170

De la Llave-Rincón AI, Fernández-de-las-Peñas C, Laguarta-Val S, Alonso-Blanco C, Martínez-Perez A, Arendt-Nielsen L, et al. Increased pain sensitivity is not associated with electrodiagnostic findings in women with carpal tunnel syndrome. Clin J Pain. 2011;27(9):747-54. DOI: http://dx.doi.org/10.1097/AJP.0b013e31821c29d3

Zanette G, Marani S, Tamburin S. Proximal pain in patients with carpal tunnel syndrome: a clinical-neurophysiological study. J Peripher Nerv Syst. 2007;12(2):91-7. DOI: http://dx.doi.org/10.1111/j.1529-8027.2007.00127.x

De la Llave-Rincon AI, Laguarta-Val S, Arroyo-Morales M, Martinez-Perez A, Pareja JA, Fernandez-de-Las-Penas C. Characterisation of pain in patients with carpal tunnel syndrome according to electromyographic severity criteria. Rev Neurol. 2012;54(7):407-14.

Modi CS, Ho K, Hegde V, Boer R, Turner SM. Diagnosis of motor fascicle compression in carpal tunnel syndrome. Orthop Traumatol Surg Res. 2010;96(4):485-9. DOI: http://dx.doi.org/10.1016/j.otsr.2010.01.009

Sabry MM, Elkader GA, Fahmi MK, Abdel-Rehman A. Correlation of Nerve Conduction Studies to the Anthropometric Measurements of the Hand and to the Clinical Severity of Carpal Tunnel Syndrome. Egypt J Neurol Psychiat Neurosurg.2009:46(1):67-77.

Zanette G, Marani S, Tamburin S. Extra-median spread of sensory symptoms in carpal tunnel syndrome suggests the presence of pain-related mechanisms. Pain. 2006;122(3):264-70. DOI: http://dx.doi.org/10.1016/j.pain.2006.01.034

Tamburin S, Cacciatori C, Marani S, Zanette G. Pain and motor function in carpal tunnel syndrome: a clinical, neurophysiological and psychophysical study. J Neurol. 2008;255(11):1636-43. DOI: http://dx.doi.org/10.1007/s00415-008-0895-6

Carvalho FN, Carneiro AP, Paulinelli RR, Carvalho TN. Classificação neurofisiológica da Síndrome do Túnel do Carpo. Acta Fisiátr.2007;14(4):190-5.

Katz JN, Stirrat CR. A self-administered hand diagram for the diagnosis of carpal tunnel syndrome. J Hand Surg Am. 1990;15(2):360-3. DOI: http://dx.doi.org/10.1016/0363-5023(90)90124-A

Practice parameter for carpal tunnel syndrome (summary statement). Report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology. 1993;43(11):2406-9.

Stevens JC. AAEM minimonograph #26: the electrodiagnosis of carpal tunnel syndrome. American Association of Electrodiagnostic Medicine. Muscle Nerve. 1997;20(12):1477-86.

Memorandum No. 45 - Aids to the examination of the peripheral nervous system. London; H.M. Stationery Office; 1976.

Rempel D, Evanoff B, Amadio PC, de Krom M, Franklin G, Franzblau A, et al. Consensus criteria for the classification of carpal tunnel syndrome in epidemiologic studies. Am J Public Health. 1998;88(10):1447-51. DOI: http://dx.doi.org/10.2105/AJPH.88.10.1447

Sterling M, Jull G, Wright A. The effect of musculoskeletal pain on motor activity and control. J Pain. 2001;2(3):135-45.

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2017-12-27

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1.
Correlação entre gravidade clínica e estado funcional com achados eletroneuromiograficos, em pacientes com síndrome do túnel do carpo: uma revisão sistemática. Acta Fisiátr. [Internet]. 27º de dezembro de 2017 [citado 29º de março de 2024];24(4):200-6. Disponível em: https://revistas.usp.br/actafisiatrica/article/view/154215