ارزش تشخيصي تست فالن و سرعت هدايت عصبي در سندرم تونل كارپل‌

We study the effect of education and its expenditures, especially in higher education, on poverty and income inequality. Using the Keynesian approach it is shown that education, from the theoretical point of view, lowers poverty and income inequality l

Introduction: Carpal tunnel syndrome (CTS) is a prevalent disorder in women 30 to 60 years old, which is due to compression of median nerve ill hand wrist tunnel. As this syndrome is prevalent, diagnostic power of clinical tests are undefined and electrodiagnostic tests are not accessible widely. This study was conducted to determine the diagnostic power of Phalenʹ s test in comparison with NCY. Methods: 93 patients (overall 97 hands) entered this case-control study. The Phalenʹs test was performed for all the patients, then definite diagnosis was made by elecrrodiaguostic tests, and diagnostic power Phalenʹs test was defined. Data were analysed using Chi-square statistical test by Minitab software. Results: 75 (7502%) of participants were female. Mean age of patients group was 39.1 years old and mean age of control group was 39.4%years old. The scnsitiviry of Phalenʹ s test was 85.3 % and its spccifity was 88.5%. Tinelʹ s test was studied too, that its sensitivity and specifity were 57% and 68%, respectively . Conclusion: This study shows that positive clinical tests approve the diagnosis of CTS, and as note to results of Phalen ʹs test, negative test is valuable too, but negative Tincl ʹs test can not rule out CTS. So, the Phalenʹs test is valuable to rule out or rule in the diagnosis of CTS hut we can not rely on it for certain diagnosis of CTS and for definite diagnosis, elecrrodiagnosric lest are recommended.