{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T13:52:04Z","timestamp":1773237124401,"version":"3.50.1"},"reference-count":19,"publisher":"BMJ","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Occup Environ Med"],"published-print":{"date-parts":[[2010,2]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>We evaluated the utility of physical examination manoeuvres in the prediction of carpal tunnel syndrome (CTS) in a population-based research study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We studied a cohort of 1108 newly employed workers in several industries. Each worker completed a symptom questionnaire, a structured physical examination and nerve conduction study. For each hand, our CTS case definition required both median nerve conduction abnormality and symptoms classified as \u201cclassic\u201d or \u201cprobable\u201d on a hand diagram. We calculated the positive predictive values and likelihood ratios for physical examination manoeuvres in subjects with and without symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The prevalence of CTS in our cohort was 1.2% for the right hand and 1.0% for the left hand. The likelihood ratios of a positive test for physical provocative tests ranged from 2.0 to 3.3, and those of a negative test from 0.3 to 0.9. The post-test probability of positive testing was &lt;50% for all strategies tested.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our study found that physical examination, alone or in combination with symptoms, was not predictive of CTS in a working population. We suggest using specific symptoms as a first-level screening tool, and nerve conduction study as a confirmatory test, as a case definition strategy in research settings.<\/jats:p><\/jats:sec>","DOI":"10.1136\/oem.2009.047431","type":"journal-article","created":{"date-parts":[[2009,10,24]],"date-time":"2009-10-24T00:12:58Z","timestamp":1256343178000},"page":"133-135","source":"Crossref","is-referenced-by-count":18,"title":["Diagnostic strategies using physical examination are minimally useful in defining carpal tunnel syndrome in population-based research studies: Table 1"],"prefix":"10.1136","volume":"67","author":[{"given":"A","family":"Descatha","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A-M","family":"Dale","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Franzblau","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Coomes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B","family":"Evanoff","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2009,10,22]]},"reference":[{"key":"2024052300150591000_67.2.133.1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.2.153"},{"key":"2024052300150591000_67.2.133.2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.88.10.1447"},{"issue":"Suppl 1","key":"2024052300150591000_67.2.133.3","doi-asserted-by":"crossref","first-page":"1","DOI":"10.5271\/sjweh.637","article-title":"Criteria document for evaluating the work-relatedness of upper-extremity musculoskeletal disorders","volume":"27","author":"Sluiter","year":"2001","journal-title":"Scand J Work Environ Health"},{"key":"2024052300150591000_67.2.133.4","doi-asserted-by":"publisher","DOI":"10.1136\/ard.61.12.1103"},{"key":"2024052300150591000_67.2.133.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2007.10.006"},{"key":"2024052300150591000_67.2.133.6","doi-asserted-by":"publisher","DOI":"10.1007\/s10926-008-9139-y"},{"key":"2024052300150591000_67.2.133.7","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0b013e3181845fb1"},{"key":"2024052300150591000_67.2.133.8","doi-asserted-by":"publisher","DOI":"10.1007\/BF01076738"},{"key":"2024052300150591000_67.2.133.9","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0b013e3181645425"},{"key":"2024052300150591000_67.2.133.10","unstructured":"Haynes RB Sackett DL Guyatt GH . 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