PMID- 32151499 OWN - NLM STAT- MEDLINE DCOM- 20210825 LR - 20210825 IS - 1545-004X (Electronic) IS - 0894-1130 (Linking) VI - 33 IP - 4 DP - 2020 Oct-Dec TI - Using Carpal Tunnel Questionnaire in clinical practice: A systematic review of its measurement properties. PG - 493-506 LID - S0894-1130(20)30010-7 [pii] LID - 10.1016/j.jht.2019.12.011 [doi] AB - INTRODUCTION: Carpal Tunnel Questionnaire (CTQ) is widely used for assessing condition-specific impairments in individuals with carpal tunnel syndrome (CTS) or for assessing outcomes after carpal tunnel surgery (carpal tunnel release [CTR]). A systematic review of its measurement properties can greatly facilitate its evidence-based use in clinical practice. The purpose of this study was to systematically locate, appraise, and synthesize the evidence concerning the reliability, responsiveness, validity, minimal detectable change (MDC), and minimal clinically important difference (MCID) for the CTQ and its scales. STUDY DESIGN: This is a systematic review of measurement properties. METHODS: Using predefined keywords, PubMed, CINAHL, PsychInfo, and ProQuest were searched to locate primary studies that assessed measurement properties of the CTQ. The methodological quality of the included studies was assessed using a standardized tool. Data concerning the measurement properties were extracted and synthesized. The pooled estimates for the indices of test-retest reliability, standard error of measurement, responsiveness, MDC, and MCID were calculated from the included studies. RESULTS: A total of 34 articles were deemed eligible and included in this review. The methodological quality of these 34 studies was generally good. Most studies suggested that the CTQ and its scales had good test-retest reliability and internal consistency. However, few studies found that the Symptom Severity Scale had more than one factor. The responsiveness of the CTQ and its scales was excellent across the studies. The pooled estimates for the MDC(90) and MCID for Symptom Severity Scale/Functional Status Scale were 0.72/0.79 and 1.05/1.13, respectively. DISCUSSION: The results of this review support the use of CTQ and its scales in assessing conditions-specific impairments in individuals with CTS or after CTR. However, an effort should be made to review and modify the content of the symptom severity scale due to multiple reports challenging its unidimensional structure. CONCLUSIONS: The totality of evidence emerging from this systematic review suggests that the CTQ and its scales provide reliable and valid estimate of impairments resulting from CTS or after CTR. CI - Copyright (c) 2020 Hanley & Belfus. Published by Elsevier Inc. All rights reserved. FAU - Mehta, Saurabh P AU - Mehta SP AD - School of Physical Therapy, Marshall University, Huntington, WV, USA; Department of Orthopedic Surgery, Joan C. Edwards School of Medicine, Marshall University, Huntington, WV, USA. Electronic address: mehtas@marshall.edu. FAU - Weinstock-Zlotnick, Gwen AU - Weinstock-Zlotnick G AD - Department of Hand Therapy, Hospital for Special Surgery, New York, NY, USA. FAU - Akland, Kayla L AU - Akland KL AD - Fleming County Hospital Rehabilitation, Flemingsburg, KY, USA. FAU - Hanna, Margaret M AU - Hanna MM AD - OrthoCarolina, Charlotte, NC, USA. FAU - Workman, Kayla J AU - Workman KJ AD - EmergeOrtho Physical Therapy, Jacksonville, NC, USA. LA - eng PT - Journal Article PT - Systematic Review DEP - 20200307 PL - United States TA - J Hand Ther JT - Journal of hand therapy : official journal of the American Society of Hand Therapists JID - 8806591 SB - IM MH - Carpal Tunnel Syndrome/diagnosis/*physiopathology MH - *Disability Evaluation MH - Humans MH - Minimal Clinically Important Difference MH - Reproducibility of Results MH - *Surveys and Questionnaires OTO - NOTNLM OT - Carpal tunnel syndrome OT - Minimal detectable change OT - Psychometric property OT - Reliability OT - Systematic review EDAT- 2020/03/11 06:00 MHDA- 2021/08/26 06:00 CRDT- 2020/03/11 06:00 PHST- 2019/07/14 00:00 [received] PHST- 2019/12/09 00:00 [revised] PHST- 2019/12/31 00:00 [accepted] PHST- 2020/03/11 06:00 [pubmed] PHST- 2021/08/26 06:00 [medline] PHST- 2020/03/11 06:00 [entrez] AID - S0894-1130(20)30010-7 [pii] AID - 10.1016/j.jht.2019.12.011 [doi] PST - ppublish SO - J Hand Ther. 2020 Oct-Dec;33(4):493-506. doi: 10.1016/j.jht.2019.12.011. Epub 2020 Mar 7.