RT - Journal Article T1 - Validity of current electrodiagnostictechniques in the diagnosis of carpal tunnel syndrome JF - MJIRI YR - 2014 JO - MJIRI VO - 28 IS - 1 UR - http://mjiri.iums.ac.ir/article-1-2318-en.html SP - 276 EP - 282 K1 - Carpal Tunnel Syndrome K1 - Electrodiagnosis K1 - ROC curve. AB -   Background : Determining the validity of current median sensory nerve conduction techniques for diagnosis of carpal tunnel syndrome (CTS).   Methods: Eighty five patients with clinical diagnosis of CTS were compared with the same number of healthy people. The validity of electrodiagnostic tests were compared in a case-control manner. These electrodiagnostictechniques included long-segment, short-segment, 2-segment and relative slowing studies as well as disto-proximal ratio. Receiver Operating Characteristic (ROC) curve employed for comparison, determining the optimal cut-off points for each test. Validity was evaluated with likelihood ratio.   Results: Likelihood ratio (LHR) for Radial-median sensory latency difference was ∞, while LHR for ulnar-median sensory latency difference was 16.9. Sensitivity of Two-segment method was 98.8% and mixed palm-wrist median Nerve Conduction Velocity (NCV) study showed a sensitivity and specificity of 97.6%, 83.5% respectively.   Conclusions : Radial-median latency difference study (optimal cut-off point ≥0.5) and study of wrist-segment NCV (optimal cut-off point LA eng UL http://mjiri.iums.ac.ir/article-1-2318-en.html M3 ER -