Cutaneous sensory perception threshold in people with mild and moderate carpal tunnel syndrome

Authors: Tomasz Wolny, Katarzyna Michalak, Tomasz Buczek, Piotr Liniewski, Tomasz Sochacki, Paweł Linek

Published online:  26 August 2020

Abstract: There is no study comparing the sensory threshold in people with mild to moderate carpel tunnel syndrome (CTS) with the healthy population. Thus, the aim of this study was to assess cutaneous sensory perception threshold in people with mild and moderate CTS compared to the healthy population. The CTS diagnosis was made by a specialist based on the history of the interview, physical examination and nerve conduction study (NCS). Baseline ‘West-hand’ monofilaments (Semmes–Weinstein-type monofilaments) were used to assess cutaneous sensory perception threshold. The test was performed on the fingertips of the thumb, index finger and middle finger of both hands. Comparative analysis of cutaneous sensory perception threshold showed significantly worse results in the CTS group compared to healthy group (in each case p <0.001). There were also significant differences in cutaneous sensory perception threshold assessed using Semmes–Weinstein monofilaments in people with mild to moderate CTS compared to healthy peopleIn mild and moderate forms, CTS cutaneous sensory perception is diminished if we compared with healthy persons. Semmes–Weinstein monofilaments can be a useful diagnostic tool for assessing sensory threshold disorders in people with mild to moderate CTS.