Journal of Mazandaran University of Medical Sciences
مجله دانشگاه علوم پزشکی مازندران
J Mazandaran Univ Med Sci
Medical Sciences
http://jmums.mazums.ac.ir
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2022
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مقایسه مطالعات الکترودیاگنوستیک قبل و بعد از جراحی آزاد سازی تونل کارپ جهت تعیین رابطه ی بین علائم بالینی بیمار و تغییرات EMG NCV بعد از عمل
Comparing Electrodiagnostic Findings Before and after Carpal Tunnel Release to Determine The Relationship Between Patients Clinical Symptom and Postoperative EMG NCV Changes
ارتوپدی،تروماتولوژی
Orthopedic & Traumatology
پژوهشي-کامل
Research(Original)
<span style="font-size:12pt"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="FA" style="line-height:90%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt">سابقه</span></span></span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt"> و هدف:</span></span></span></span> <span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">سندرم تونل کارپ یکی از شایع</span></span></span><span lang="AR-BH" style="line-height:90%"><span style="font-family:"B Zar"">‎</span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">ترین نوروپاتی</span></span></span><span lang="AR-BH" style="line-height:90%"><span style="font-family:"B Zar"">‎</span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">های ناشی از تحت فشار گرفتن عصب </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">median</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"> در مچ دست است. هدف از مطالعه حاضر، ارزیابی تغییرات الکترودیاگنوستیک قبل و بعد از عمل جراحی آزادسازی تونل کارپ می</span></span></span><span lang="AR-BH" style="line-height:90%"><span style="font-family:"B Zar"">‎</span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">باشد.</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:#0e101a"></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt">مواد و روش</span></span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt">ها:</span></span></span></span> <span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">این پژوهش مطالعه</span></span></span><span lang="AR-BH" style="line-height:90%"><span style="font-family:"B Zar"">‎</span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">ای توصیفی مقطعی بر </span></span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar"">38 دست</span></span> <span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">(۲۴ بیمار</span></span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar"">)<span style="color:black"> مبتلا به سندرم تونل کارپ با هدف بررسی </span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">تغییرات الکترودیاگنوستیک قبل و ۱۲ ماه بعد از عمل جراحی و بررسی ارتباط بین تغییرات الکترودیاگنوستیک با </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">Boston score</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">، </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">DASH score</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">، قدرت </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">Pinch</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"> و </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">Grip</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"> بود. داده ها توسط نرم افزار </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">SPSS</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"> نسخه ۲۰ آنالیز شدند.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.2pt">یافته</span></span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.2pt">ها:</span></span></span></span> <span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""><span style="letter-spacing:-.1pt">میانگین </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black"><span style="letter-spacing:-.1pt">distal motor latency</span></span></span></span> <span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black"><span style="letter-spacing:-.1pt">(DML)</span></span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt"> حاصل از مطالعه الکترودیاگنوستیک به</span></span></span></span><span lang="AR-BH" style="line-height:90%"><span style="font-family:"B Zar""><span style="letter-spacing:-.1pt">‎</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt">طور معنی</span></span></span></span><span lang="AR-BH" style="line-height:90%"><span style="font-family:"B Zar""><span style="letter-spacing:-.1pt">‎</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt">داری از 2/12</span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black"><span style="letter-spacing:-.1pt">±</span></span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt">6/07 </span></span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt">میلی</span></span></span></span><span lang="AR-BH" style="line-height:90%"><span style="font-family:"B Zar""><span style="letter-spacing:-.2pt">‎</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt">ثانیه به 0/61</span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black"><span style="letter-spacing:-.2pt">±</span></span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt">4/70 میلی</span></span></span></span><span lang="AR-BH" style="line-height:90%"><span style="font-family:"B Zar""><span style="letter-spacing:-.2pt">‎</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt">ثانیه کاهش یافته بود (0001 /0=</span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black"><span style="letter-spacing:-.2pt">P</span></span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt">). میانگین </span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black"><span style="letter-spacing:-.2pt">distal sensory latency</span></span></span></span> <span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black"><span style="letter-spacing:-.2pt">(DSL)</span></span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt"> نیز به</span></span></span></span><span lang="AR-BH" style="line-height:90%"><span style="font-family:"B Zar""><span style="letter-spacing:-.2pt">‎</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt">طور معنی</span></span></span></span><span lang="AR-BH" style="line-height:90%"><span style="font-family:"B Zar""><span style="letter-spacing:-.2pt">‎</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt">داری</span></span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:.1pt"> بهبود یافته بود (از 1/06</span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black"><span style="letter-spacing:.1pt">±</span></span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:.1pt">4/98 میلی ثانیه به 0/75</span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black"><span style="letter-spacing:-.2pt">±</span></span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:.1pt">4/54 میلی</span></span></span></span><span lang="AR-BH" style="line-height:90%"><span style="font-family:"B Zar""><span style="letter-spacing:.1pt">‎</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:.1pt">ثانیه، 0/012=</span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black"><span style="letter-spacing:.1pt">P</span></span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:.1pt">). تفاوت آماری معنی</span></span></span></span><span lang="AR-BH" style="line-height:90%"><span style="font-family:"B Zar""><span style="letter-spacing:.1pt">‎</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:.1pt">داری بین میانگین</span></span></span></span> <span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">DML</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"> و </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">DSL</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"> بین دو دست راست و چپ وجود نداشت(</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar"">بهترتیب<span style="letter-spacing:-.2pt"> 0/378=</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="letter-spacing:-.2pt">P</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""> و<span style="color:black"><span style="letter-spacing:-.2pt"> 0/233=</span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black"><span style="letter-spacing:-.2pt">P</span></span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar"">). <span style="color:black">همبستگی مثبت معنی</span></span></span><span lang="AR-BH" style="line-height:90%"><span style="font-family:"B Zar"">‎</span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">داری بین سن با </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">DML</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"> و </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">DSL</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"> بعد از عمل برقرار بود (به</span></span></span><span lang="AR-BH" style="line-height:90%"><span style="font-family:"B Zar"">‎</span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">ترتیب 0/001=</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">P</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">، 0/475=</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">r</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"> و 0/024=</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">P</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">، 0/341=</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">r</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">). </span></span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">ارتباط معنی</span></span></span><span lang="AR-BH" style="line-height:90%"><span style="font-family:"B Zar"">‎</span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">داری بین </span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">یافته</span></span></span><span lang="AR-BH" style="line-height:90%"><span style="font-family:"B Zar"">‎</span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">های الکترودیاگنوستیک بعد از عمل با </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">Boston score</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">، </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">DASH score</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"> و </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">Grip score</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"> مشاهده نشد نشد(بهترتیب </span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="letter-spacing:-.2pt">{0/931=</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="letter-spacing:-.2pt">P</span></span></span> <span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">sss :</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"> ،</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""> <span style="letter-spacing:-.2pt">0/629=</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="letter-spacing:-.2pt">P</span></span></span> <span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">fss:</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="letter-spacing:-.2pt">} و 0/169=</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="letter-spacing:-.2pt">P</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"> و</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="letter-spacing:-.2pt"> 0/1000=</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="letter-spacing:-.2pt">P</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">).</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.2pt">استنتاج:</span></span></span></span> <span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">یافته</span></span></span><span lang="AR-BH" style="line-height:90%"><span style="font-family:"B Zar"">‎</span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">های الکترودیاگنوستیک بعد از عمل جراحی آزادسازی تونل کارپ به</span></span></span><span lang="AR-BH" style="line-height:90%"><span style="font-family:"B Zar"">‎</span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">طور معنی</span></span></span><span lang="AR-BH" style="line-height:90%"><span style="font-family:"B Zar"">‎</span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">داری بهبود یافته بود، اما ارتباط مشخصی</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"> با شدت علائم بالینی بیماران وجود نداشت؛ از اینرو جهت ارزیابی پیامد درمان، مجموع علائم بالینی بیماران و یافته</span></span></span><span lang="AR-BH" style="line-height:90%"><span style="font-family:"B Zar"">‎</span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">های الکترودیاگنوستیک در کنار هم ارزشمند تلقی میشوند.</span></span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span></span></span></span></span></span></span></span></span><br>
<div><strong> </strong> <span style="font-size:12pt"><span style="line-height:150%"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:150%"><span style="letter-spacing:-.2pt"></span></span></span></b></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:135%"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:135%"><span style="font-family:"Arial","sans-serif""><span style="letter-spacing:-.2pt">Background and purpose:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:135%">Carpal tunnel syndrome (CTS) is one of the most common neuropathies caused by entrapment of the median nerve in the wrist. The purpose of this </span></span><span style="font-size:10.0pt"><span style="line-height:135%">study was to evaluate the </span></span><span style="font-size:10.0pt"><span style="line-height:135%">electrodiagnostic changes before and after carpal tunnel release (CTR).</span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:135%"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:135%"><span style="font-family:"Arial","sans-serif"">Materials and methods:</span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="line-height:135%">The present </span></span><span style="font-size:10.0pt"><span style="line-height:135%">descriptive</span></span><span style="font-size:10.0pt"><span style="line-height:135%"> study was conducted in 24 patients (38 hands) with CTS in order to evaluate the electrodiagnostic changes before and 12 months after CTR and to investigate the relationship between electrodiagnostic changes and Boston score, DASH score, and Grip and Pinch strength. Data were analyzed using SPSS V20.</span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:135%"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:135%"><span style="font-family:"Arial","sans-serif"">Results:</span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="line-height:135%">Electrodiagnostic study showed that the mean distal motor latency (DML) significantly decreased from 6.7 ±2.12 <span style="background:white">ms</span> to 4.70 ±0.61 ms (P=0.0001) and the mean distal sensory latency (DSL) significantly improved (from 4.98 ±1.06 ms to 4.54 ±0.75 ms, P=0.012). Findings showed no significant differences in mean DML and DSL between right and left hands (P=0.378, P=0.233). There was a significant positive correlation between age and DML and DSL after CTR (r=0.475, P=0.001, and r=0.341, P=0.024, respectively). No significant correlation was observed between postoperative electrodiagnostic findings and Boston score, DASH score, and Grip score ({sss: P=0.931, fss: P=0.629}, P=0.169, P=0.1000, respectively).</span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:135%"><span style="vertical-align:top"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:135%"><span style="font-family:"Arial","sans-serif"">Conclusion:</span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:135%">Postoperative electrodiagnostic findings significantly improved, but there was no clear association between EMG NCV and the severity of postoperative clinical symptoms. Therefore, in order to evaluate the <span style="letter-spacing:-.1pt">outcome of <st1:stockticker w:st="on">CTR</st1:stockticker>, combination of clinical symptoms with electrodiagnostic findings is considered valuable.</span></span></span><i><span style="font-size:10.0pt"><span style="line-height:135%"><span style="letter-spacing:-.1pt"></span></span></span></i></span></span></span></span><br>
</div>
سندرم تونل کارپ, عصب مدین, جراحی آزادسازی تونل کارپ, مطالعات الکترودیاگنوستیک
carpal tunnel syndrome, median nerve, carpal tunnel release, electrodiagnostic study
134
142
http://jmums.mazums.ac.ir/browse.php?a_code=A-10-14298-1&slc_lang=fa&sid=1
Mehran
Razavipour
مهران
رضوی پور
m.razavipour@mazums.ac.ir
1003194753284600149364
1003194753284600149364
No
Associate Professor, Department of Orthopedic Surgery, Orthopedic Research Center, Mazandaran University of Medical Sciences, Sari, Iran
دانشیار، گروه ارتوپدی، مرکز تحقیقات ارتوپدی، دانشگاه علوم پزشکی مازندران، ساری، ایران
, Salman
Ghaffari
سلمان
غفاری
sghaffari@mazums.ac.ir
1003194753284600149365
1003194753284600149365
No
Associate Professor, Department of Orthopedic Surgery, Orthopedic Research Center, Mazandaran University of Medical Sciences, Sari, Iran
دانشیار، گروه ارتوپدی، مرکز تحقیقات ارتوپدی، دانشگاه علوم پزشکی مازندران، ساری، ایران
Sajad
Rezaei
سجاد
رضایی
sjdrezaie@gmail.com
1003194753284600149366
1003194753284600149366
No
Physical Medicine and Rehabilitation Physician, Sari, Iran
متخصص طب فیزیکی و توانبخشی، ساری، ایران
Bahare
Ghoreishi
بهاره
قریشی
Bahar.qoreyshi@yahoo.com
1003194753284600149367
1003194753284600149367
Yes
Medical Student, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran
دانشجوی پزشکی، کمیته تحقیقات دانشجویی، دانشگاه علوم پزشکی مازندران، ساری، ایران