CPR for CTS

CPR for diagnosing Carpal Tunnel Syndrome

1. Shaking hands relieves symptoms
2. Wrist-ratio greater than .67
3. Symptom Severity Scale score > 1.9
4. Decreased sensation in 1st digit
5. Age > 45 years old

Greater or equal to 5 present: 90% probability

Greater or equal to 4 present: 70% probability

Greater or qual to 3 present: 62% probability

Wainner RS, Fritz JM, Irrgang JJ, et al. Developement of a Clinical Prediction Rule for the Diagnoses of Carpal Tunnel Syndrome. Arch Phys Med Rehabil 2005; 86:609-18.