{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T15:59:08Z","timestamp":1762271948806},"reference-count":17,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2015,11,23]],"date-time":"2015-11-23T00:00:00Z","timestamp":1448236800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Can. J. Neurol. Sci."],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic><jats:bold>Objectives:<\/jats:bold><\/jats:italic> 1) Assess which electrodiagnostic studies Canadian clinicians use to aid in the diagnosis of carpal tunnel syndrome (CTS). 2) Assess whether Canadian clinicians follow the American Association of Neuromuscular &amp; Electrodiagnostic Medicine\/American Academy of Neurology\/American Academy of Physical Medicine and Rehabilitation Practice Parameter for Electrodiagnostic Studies in CTS. 3) Assess how Canadian clinicians manage CTS once a diagnosis has been established. <jats:italic><jats:bold>Methods:<\/jats:bold><\/jats:italic> In this prospective observational study, an electronic survey was sent to all members of the Canadian Neuromuscular Group (CNMG) and the Canadian Association of Physical Medicine and Rehabilitation (CAPM&amp;R) Neuromuscular Special Interest Group. Questions addressed which electrodiagnostic tests were being routinely used for the diagnosis of carpal tunnel syndrome. Management recommendations for CTS was also explored. <jats:italic><jats:bold>Results:<\/jats:bold><\/jats:italic> Of the 70 individuals who completed the survey, fourteen different nerve conduction study techniques were reported. Overall, 36\/70 (51%) of participants followed the AANEM\/AAN\/AAPM&amp;R Practice Parameter. The standard followed by the fewest of our respondents with 64% compliance (45\/70) was the use of a standard distance of 13 to 14 cm with respect to the median sensory nerve conduction study. Regarding management, 99% would recommend splinting in the case of mild CTS. In moderate CTS, splinting was recommended by 91% of clinicians and 68% would also consider referral for surgery. In severe CTS, most recommended surgery (93%). <jats:italic><jats:bold>Conclusions:<\/jats:bold><\/jats:italic> There is considerable variability in terms of which electrodiagnostic tests Canadian clinicians perform for CTS. Canadian clinicians are encouraged to adhere to the AANEM\/AAN\/AAPM&amp;R Practice Parameter for Electrodiagnostic Studies in CTS.<\/jats:p>","DOI":"10.1017\/cjn.2015.323","type":"journal-article","created":{"date-parts":[[2015,11,23]],"date-time":"2015-11-23T09:05:31Z","timestamp":1448269531000},"page":"178-182","source":"Crossref","is-referenced-by-count":7,"title":["Electrodiagnostic Testing and Treatment for Carpal Tunnel Syndrome in Canada"],"prefix":"10.1017","volume":"43","author":[{"given":"Rodney","family":"Li Pi Shan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Nicolle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming","family":"Chan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nigel","family":"Ashworth","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris","family":"White","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Winston","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"Dukelow","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2015,11,23]]},"reference":[{"key":"S0317167115003236_ref1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.88.10.1447"},{"key":"S0317167115003236_ref9","volume-title":"Electrodiagnosis in diseases of nerve and muscle principles and practice","author":"Kimura","year":"2001"},{"key":"S0317167115003236_ref12","doi-asserted-by":"publisher","DOI":"10.1002\/mus.1091"},{"key":"S0317167115003236_ref11","unstructured":"http:\/\/en.wikipedia.org\/wiki\/List_of_Canadian_provinces_and_territories_by_population."},{"key":"S0317167115003236_ref2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.2.153"},{"key":"S0317167115003236_ref17","first-page":"CD003905","article-title":"Surgical treatment options for carpal tunnel syndrome","author":"Scholten","year":"2007","journal-title":"Cochrane Database Syst Rev"},{"key":"S0317167115003236_ref13","doi-asserted-by":"publisher","DOI":"10.1002\/mus.21556"},{"key":"S0317167115003236_ref5","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-112-5-321"},{"key":"S0317167115003236_ref6","first-page":"1392","article-title":"Literature review of the usefulness of nerve conduction studies and electromyography for the evaluation of patients with carpal tunnel syndrome","volume":"16","author":"Jablecki","year":"1993","journal-title":"AAEM Quality Assurance Committee. Muscle Nerve"},{"key":"S0317167115003236_ref3","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.43.11.2406"},{"key":"S0317167115003236_ref16","first-page":"CD010003","article-title":"Splinting for carpal tunnel syndrome","volume":"7","author":"Page","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"S0317167115003236_ref8","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.58.11.1589"},{"key":"S0317167115003236_ref7","doi-asserted-by":"publisher","DOI":"10.1002\/mus.10185"},{"key":"S0317167115003236_ref14","article-title":"Carpal tunnel syndrome","author":"Ashworth","year":"2010","journal-title":"BMJ Clin Evid (Online)"},{"key":"S0317167115003236_ref15","first-page":"CD001554","article-title":"Local corticosteroid injection for carpal tunnel syndrome","author":"Marshall","year":"2007","journal-title":"Cochrane Database Syst Rev"},{"key":"S0317167115003236_ref10","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-4598(199712)20:12<1477::AID-MUS1>3.0.CO;2-5"},{"key":"S0317167115003236_ref4","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.47.8.870"}],"container-title":["Canadian Journal of Neurological Sciences \/ Journal Canadien des Sciences Neurologiques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0317167115003236","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,20]],"date-time":"2019-04-20T00:40:12Z","timestamp":1555720812000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0317167115003236\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,11,23]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2016,1]]}},"alternative-id":["S0317167115003236"],"URL":"https:\/\/doi.org\/10.1017\/cjn.2015.323","relation":{},"ISSN":["0317-1671","2057-0155"],"issn-type":[{"value":"0317-1671","type":"print"},{"value":"2057-0155","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,11,23]]}}}