Prognostic value of ultrasound and ENMG in predicting the results of treatment of tunnel compressive and post-traumatic neuropathies
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Видавець
Wiadomości Lekarskie Medical Advances, 2024
Анотація
Опис
Aim: Explore how demographics affect neuropathy treatment outcomes; track ultrasound and ENMG changes; compare treatment efficacies; and develop
predictive models using ultrasound and ENMG for tunnel compressive and post-traumatic neuropathies.
Material and Methods: A retrospective cohort design. A sample size of 200 patients consisting of 100 with tunnel compressive and 100 post-traumatic
neuropathies selected through a convenient sampling technique was used. Data analysis was done using SPSS 25 version.
Results: Current study analyzes demographic, clinical, ultrasound, and electromyography characteristics of 200 patients with tunnel compressive and
post-traumatic neuropathies. It found older mean ages and higher hypertension in the tunnel compressive group. Minor differences in nerve ultrasound and
electromyography parameters indicated slight variations in nerve function between the groups. Treatment outcomes showed 55% improvement overall, slightly
favoring the post-traumatic group. Ultrasound and electromyography parameters like W-CSA (82% sensitivity) and SNAP (85% sensitivity) demonstrated
high effectiveness in predicting treatment responses. SCV (95% specificity) and R-CSA (91% specificity) accurately identified patients unlikely to benefit from
treatment, with SCV and DSL showing high predictive values (86.7% and 84.2%, respectively), enhancing treatment precision.
Conclusions: Current study compare s tunnel compressive and post-traumatic neuropathies, revealing slight but significant differences in demographics,
clinical features, and responses to treatment, aiding in personalized therapeutic strategies.
Тип публікації
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Тип текстової публікації
Стаття
ISSN
ISSN 0043-5147
Ключові слова
Prognostic value of ultrasound and ENMG in predicting the results of treatment of tunnel compressive and post-traumatic neuropathies, evaluation of ENMG, validation of prognostic models, monitoring of therapeutic intervention, choice of treatment method, surgical treatment of neuropathies
Бібліографічний опис
Myhovych VV, Smolank SV. Prognostic value of ultrasound and ENMG in predicting the results of treatment of tunnel compressive and post-traumatic neuropathies. Wiadomosci Lekarskie. 2024; Tom LXXVІІ, ISSUE 10: 1833-1841.