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document
Assessment from Functional Perspectives : Using Sensorimotor Control in the Hand as an Outcome Indicator in the Surgical Treatment of Carpal Tunnel Syndrome . To investigate whether sensorimotor control of the hand could be an outcome indicator after carpal tunnel release ( CTR ) , this work examined changes in the results of patients ' manual tactile test ( MTT ) , pinch-holding-up activity ( PHUA ) , two-point discrimination ( 2PD ) and Semmes-Weinstein monofilament ( SWM ) tests . Participants included 30 predominantly sensory neuropathy CTS patients , as confirmed by a nerve conduction study . The MTT , precision pinch performance in PHUA and traditional sensibility ( 2PD and SWM ) tests were used to examine different aspects of sensory status at the time-points of two weeks before operation and one month post-operation , with a single-blind design . The results showed significant improvements in the sensory function as detected by the 2PD and SWM tests ( p < 0.001 ) and sensorimotor function as detected by the MTT ( p < 0.001 ) and PHUA test ( p < 0.05 ) for patients receiving CTR . The responsiveness of the SWM , MTT and PHUA tests ( effect size > 0.5 , p < 0.01 ) are better than that of two-point discrimination test ( effect size < 0.5 , p < 0.001 ) . However , pinch strength saw a decline compared to baseline with a moderate effect sizes ( effect size = 0.7 , p < 0.001 ) . This cohort study found that the MTT and PHUA test can both meet all the statistical criteria with regard to assessing treatment outcomes for patients with CTS . In addition , the results of this work provide clinicians with the information that the sensorimotor functions of the hands , as assessed by MTT and PHUA , are responsive to clinical changes due to CTR .
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Intervention_Physical
Sensorimotor Control in the Hand
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Intervention_Physical
sensorimotor control
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Intervention_Physical
manual tactile test
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Intervention_Physical
pinch-holding-up activity
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Intervention_Physical
two-point discrimination
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Intervention_Physical
Semmes-Weinstein monofilament
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Intervention_Physical
MTT , precision pinch performance in PHUA
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Intervention_Physical
traditional sensibility ( 2PD and SWM ) tests
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Intervention_Physical
2PD
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Intervention_Physical
SWM
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Intervention_Physical
MTT
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Intervention_Physical
PHUA
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Intervention_Physical
SWM
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Intervention_Physical
MTT
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Intervention_Physical
PHUA
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Intervention_Physical
MTT
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Intervention_Physical
PHUA
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Intervention_Physical
MTT
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Intervention_Physical
PHUA
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Outcome_Physical
sensorimotor control of the hand
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Outcome_Physical
sensory function
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Outcome_Physical
sensorimotor function
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Outcome_Physical
pinch strength
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Participant_Condition
Carpal Tunnel Syndrome
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Participant_Sample-size
30
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Participant_Condition
CTS
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Participant_Condition
nerve conduction study
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Participant_Condition
patients with CTS .