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Isfahan University of Medical Sciences
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| Document Type
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Latin Dissertation
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| Language of Document
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English
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| Record Number
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109837
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| Doc. No
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T17361
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| Call number
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WL520,R172u,2016
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| Main Entry
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Ramezanian, Hadiseh
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| Title & Author
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Ultrasonography predictive factors of response to local steroid injection in patients with carpal tunnel \ Hadiseh Ramezanian
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| College
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Schools, Medical
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| Date
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, 2016
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| Degree
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Speciality
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| field of study
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Physical Medicinen and Rehabilitation
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| Page No
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19 P.: tab
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| Note
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This is a research dissertation with project ID: 394227
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حدیثه رمضانیان
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| Abstract
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Objectives: To determine the predictive value of ultrasonography for results of local steroid injection in patients with carpal tunnel syndrome.Methods: This prospective cohort study was conducted during a 1-year period in outpatient clinics of rehabilitation and physical medicine including 35 patients with moderate and severe carpal tunnel syndrome who receive ultrasonography-guided local steroid injection. The Boston self-assessment questionnaire and electrodiagnosis parameters were recorded at baseline, 1 month and 3 months after therapy. We also recorded the baseline ultrasonography parameters to determine the predictors of outcome. Results: The sensory severity score and functional status scale along with electrodiagnosis parameters decreased significantly at 1 month (p<0.001) and remained unchanged after 3 months. Volar bulging was negatively associated with sensory nerve action potential latency (r=−0.392; p=0.020). Cross-sectional area of maximal swelling (r=0.409; p=0.015) Cross-sectional area at 2-cm of maximal swelling (r=0.563; p<0.001), Cross-sectional area at 12-cm of maximal swelling (r=0.521; p=0.001) correlated positively with compound muscle action potential amplitude while maximal swelling/12-cm maximal swelling ratio (r=−0.439; p=0.008) and maximal swelling/ 2-cm maximal swelling ratio (r=−0.342; p=0.045) correlated negatively. Cross-sectional area at 12-cm of maximal swelling also correlated positively with compound muscle action potential amplitude nerve conduction velocity (r=0.436; p=0.010).Conclusion: Volar bulging, cross-sectional area of maximal swelling, cross-sectional area of maximal swelling at 2-cm and cross-sectional area of maximal swelling at 12-cm are among the ultrasonographic predictors of response to local steroid injection in patients with carpal tunnel syndrome.
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| Descriptor
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Carpal Tunnel Syndrome
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Steroids
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Ultrasonography
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Forecasting
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| Added Entry
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Dehghan, Farnaz, Thesis advisor
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Haghighat, Shila, Thesis advisor
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http://elib.mui.ac.ir/site/catalogue/109837
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