{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:25:20Z","timestamp":1740147920206,"version":"3.37.3"},"reference-count":16,"publisher":"Universidad Nacional de Colombia","issue":"4","license":[{"start":{"date-parts":[[2017,7,1]],"date-time":"2017-07-01T00:00:00Z","timestamp":1498867200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. salud p\u00fablica"],"abstract":"<jats:p>Objetivo Determinar la confiabilidad entre dos observadores y el cambio m\u00ednimo detectable de los estudios de neuroconducci\u00f3n para diagnosticar el s\u00edndrome de t\u00fanel carpiano.M\u00e9todos Se estudiaron 69 pacientes remitidos para estudio electrofisiol\u00f3gico por sospecha de s\u00edndrome de t\u00fanel carpiano. A los pacientes, se les realizaron dos ex\u00e1menes,dos d\u00edas diferentes, por dos evaluadores. Se evaluaron las latencias sensitivas y motoras de los nervios mediano y cubital; todos fueron clasificados como negativos, incipientes, leves, moderados, severos o extremos. Se calcul\u00f3 la variaci\u00f3n relativa entre ensayos, el coeficiente de correlaci\u00f3n intraclase, el \u00edndice de kappa, el l\u00edmite de acuerdo y el cambio m\u00ednimo detectable.Resultados La variaci\u00f3n relativa entre ensayos de la latencia motora del nervio mediano fue de -6,8 % a 15,9 % con coeficiente de correlaci\u00f3n intraclase de 0,98 para la diferencia con la latencia del nervio cubital. El cambio m\u00ednimo detectable fue de 0,4ms. La variaci\u00f3n relativa entre ensayos de la latencia sensitiva del nervio mediano fue -5,0 % a 11 % con coeficiente de correlaci\u00f3n intraclase de 0,95 para la diferencia con el nervio cubital. El cambio m\u00ednimo detectable fue de 0,2ms. La clasificaci\u00f3n ele trofisiol\u00f3gica coincidi\u00f3 en 93 % de los casos, \u00edndice de kappa de 0,89.Conclusiones Las latencias sensitivas y motoras del nervio mediano as\u00ed como la diferencia de estas con el nervio cubital son medidas confiables. El cambio m\u00ednimo detectable obtenido en nuestro estudio le sirve al cl\u00ednico para establecer si los cambios de las latencias en estudios consecutivos o despu\u00e9s del tratamiento son significativos.<\/jats:p>","DOI":"10.15446\/rsap.v19n4.64307","type":"journal-article","created":{"date-parts":[[2018,4,9]],"date-time":"2018-04-09T21:18:37Z","timestamp":1523308717000},"page":"506-510","source":"Crossref","is-referenced-by-count":0,"title":["Confiabilidad de los estudios de neuroconducci\u00f3n en el s\u00edndrome de t\u00fanel carpiano"],"prefix":"10.15446","volume":"19","author":[{"given":"\u00c1ngela P.","family":"L\u00f3pez-Monsalve","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana M.","family":"Rodr\u00edguez-Lozano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7427-3576","authenticated-orcid":false,"given":"Fernando","family":"Ortiz-Corredor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"6146","published-online":{"date-parts":[[2017,7,1]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Mondelli M, Giannini F, Giacchi M. Carpal tunnel syndrome incidence in a general population. Neurology. 2002;58(2):289-94.","DOI":"10.1212\/WNL.58.2.289"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"de Krom MC, Knipschild PG, Kester AD, Thijs CT, Boekkooi PF, Spaans F. Carpal tunnel syndrome: prevalence in the general population. J Clin Epidemiol. 1992;45(4):373-6.","DOI":"10.1016\/0895-4356(92)90038-O"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Padua L, Lo Monaco M, Padua R, Gregori B, Tonali P. Neurophysiological classification of carpal tunnel syndrome: assessment of 600 symptomatic hands. Ital J Neurol Sci. 1997;18(3):145-50.","DOI":"10.1007\/BF02048482"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Salerno DF, Werner RA, Albers JW, Becker MP, Armstrong TJ, Franzblau A. Reliability of nerve conduction studies among active workers. Muscle Nerve. 1999;22(10):1372-9.","DOI":"10.1002\/(SICI)1097-4598(199910)22:10<1372::AID-MUS6>3.0.CO;2-S"},{"key":"ref5","unstructured":"Kohara N, Kimura J, Kaji R, Goto Y, Ishii J, Takiguchi M, et al. F-wave latency serves as the most reproducible measure in nerve conduction studies of diabetic polyneuropathy: multicentre analysis in healthy subjects and patients with diabetic"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"polyneuropathy. Diabetologia. 2000;43(7):915-21.","DOI":"10.1007\/s001250051469"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1(8476):307-10.","DOI":"10.1016\/S0140-6736(86)90837-8"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"Ortiz-Corredor F, Lopez-Monsalve A. [Using neurophysiological reference values as an approach to carpal tunnel syndrome diagnosis]. Rev. Salud Publica (Bogota). 2009;11(5):794-801.","DOI":"10.1590\/S0124-00642009000500012"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"Lew HL, Wang L, Robinson LR. Test-retest reliability of combined sensory index: implications for diagnosing carpal tunnel syndrome. Muscle Nerve. 2000;23(8):1261-4.","DOI":"10.1002\/1097-4598(200008)23:8<1261::AID-MUS16>3.0.CO;2-M"},{"key":"ref10","doi-asserted-by":"crossref","unstructured":"Salerno DF, Franzblau A, Werner RA, Bromberg MB, Armstrong TJ, Albers JW. Median and ulnar nerve conduction studies among workers: normative values. Muscle Nerve. 1998;21(8):999-1005.","DOI":"10.1002\/(SICI)1097-4598(199808)21:8<999::AID-MUS3>3.0.CO;2-0"},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"Atroshi I, Gummesson C, Johnsson R, Ornstein E. Diagnostic properties of nerve conduction tests in population-based carpal tunnel syndrome. BMC Musculoskelet Disord. 2003;4:9.","DOI":"10.1186\/1471-2474-4-9"},{"key":"ref12","doi-asserted-by":"crossref","unstructured":"Preston DC, Ross MH, Kothari MJ, Plotkin GM, Venkatesh S, Logigian EL. The median-ulnar latency difference studies are comparable in mild carpal tunnel syndrome. Muscle Nerve. 1994;17(12):1469-71.","DOI":"10.1002\/mus.880171219"},{"key":"ref13","doi-asserted-by":"crossref","unstructured":"Uncini A, Di Muzio A, Awad J, Manente G, Tafuro M, Gambi D. Sensitivity of three median-to-ulnar comparative tests in diagnosis of mild carpal tunnel syndrome. Muscle Nerve. 1993;16(12):1366-73.","DOI":"10.1002\/mus.880161215"},{"key":"ref14","doi-asserted-by":"crossref","unstructured":"Uncini A, Lange DJ, Solomon M, Soliven B, Meer J, Lovelace RE. Ring finger testing in carpal tunnel syndrome: a comparative study of diagnostic utility. Muscle Nerve. 1989;12(9):735-41.","DOI":"10.1002\/mus.880120906"},{"key":"ref15","unstructured":"Jablecki CK, Andary MT, Floeter MK, Miller RG, Quartly CA, Vennix MJ, et al. Practice parameter: Electrodiagnostic studies in carpal tunnel syndrome. Report of the American Association of Electrodiagnostic Medicine, American Academy of"},{"key":"ref16","doi-asserted-by":"crossref","unstructured":"Neurology, and the American Academy of Physical Medicine and Rehabilitation. 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