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Potencial premotor del nervio mediano registrado en el segundo lumbrical y su evolución natural en pacientes con síndrome del túnel del carpo
dc.rights.license | Reconocimiento 4.0 Internacional |
dc.contributor.advisor | Mendoza Pulido, Juan Camilo |
dc.contributor.author | Duarte Ramirez, Sebastián Camilo |
dc.contributor.author | Rosas Jaimes, Jaime Andrés |
dc.date.accessioned | 2022-07-28T13:31:24Z |
dc.date.available | 2022-07-28T13:31:24Z |
dc.date.issued | 2022 |
dc.identifier.uri | https://repositorio.unal.edu.co/handle/unal/81756 |
dc.description | ilustraciones, graficas |
dc.description.abstract | En el presente trabajo de investigación se describen las características (valores de referencia, exactitud diagnóstica y correlaciones con otras pruebas electrofisiológicas) de la respuesta electrofisiológica conocida como potencial premotor del nervio mediano registrado en el segundo lumbrical (PMP-2L), se realizó un estudio descriptivo observacional transversal en pacientes remitidos al laboratorio de electrofisiología clínica de un centro de referencia de la ciudad de Bogotá, Colombia (Centro De Investigación En Fisiatría y Electrodiagnóstico CIFEL) para confirmación electrofisiológica de síndrome de túnel del carpo (STC); Durante 8 meses se recolectó una muestra total de 190 pacientes, al realizar el análisis de correlación de la clasificación de Rempel con el PMP-2L no se demostró correlación posterior al análisis post hoc, por otro lado se encontró una asociación débil y positiva con el Factor 2 del Boston Carpal Tunnel Questionnaire (F2- BCTQ), al realizar la correlación del PMP-2L y las pruebas convencionales para evaluación del nervio mediano se encontraron correlaciones positivas con significancia estadística, al realizar la evaluación de promedios del PMP-2L según los grupos Padua, posterior a un análisis posthoc se demostró diferencias significativas en el grupo Padua 0 y los demás grupos (p<0.01). Se usaron 3 definiciones operativas al momento de definir valores de corte de latencia y amplitud del PMP-2L (Padua 0, Padua 0 y Rempel> 1; Padua 0 y CSI<1.0) con resultados de latencia en 1.8ms y 1.9ms; y de límite inferior amplitud del PMP-2L en 29.6 uV, 29.7uV y 30.6uV. Se logró describir las características de la respuesta electrofisiológica PMP-2L en población colombiana con sospecha clínica de STC, dentro de ellos los límites de normalidad para amplitud y latencia al inicio del potencial, y correlaciones con las pruebas electrofisiológicas más usadas en la práctica de electrofisiología del Departamento de Medicina Física y Rehabilitación de la Universidad Nacional. (Texto tomado de la fuente) |
dc.description.abstract | This research paper describes the characteristics (reference values, diagnostic accuracy and correlations with other electrophysiological tests) of the electrophysiological response known as median nerve premotor potential recorded in the second lumbrical (PMP-2L).A cross-sectional observational descriptive study was performed in patients referred to the clinical electrophysiology laboratory of a reference center in the city of Bogota, Colombia (Centro De Investigación en Fisiatría y Electrodiagnóstico CIFEL) for electrophysiological confirmation of carpal tunnel syndrome (CTS); A total sample of 190 patients was collected for 8 months, a correlation analysis of the Rempel classification with the PMP-2L was performed, and no correlation was demonstrated after a post hoc analysis, at the same time we found a weak and positive association with Factor 2 of the Boston Carpal Tunnel Questionnaire (F2-BCTQ) , besides performing the correlation of the PMP-2L and conventional tests for evaluation of the median nerve were we found positive correlations with statistical significance. When evaluating averages of PMP-2L according to the Padua groups, after post-hoc analysis, significant differences were demonstrated in the Padua 0 group and the other groups (p<0.01). Three operational definitions were used when defining PMP-2L latency and amplitude cut-off values (Padua 0, Padua 0, and Rempel> 1; Padua 0 and CSI<1.0) with cut off values for onset latency in 1.8ms and 1.9ms; and lower limit for PMP-2L amplitude 29.6 uV, 29.7uV and 30.6uV. In this study we describe the characteristics of the electrophysiological response PMP-2L in Colombian population with clinical suspicion of STC, within them the normal limits for amplitude and onset, and correlations with the electrophysiological tests most used in the electrophysiology practice of the Department of Physical Medicine and Rehabilitation of the National University. |
dc.format.extent | 57 páginas |
dc.format.mimetype | application/pdf |
dc.language.iso | spa |
dc.publisher | Universidad Nacional de Colombia |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ |
dc.subject.ddc | 610 - Medicina y salud::616 - Enfermedades |
dc.subject.other | Síndrome del Túnel Carpiano |
dc.subject.other | Carpal Tunnel Syndrome |
dc.subject.other | Electrodiagnóstico |
dc.subject.other | Electrodiagnosis |
dc.title | Potencial premotor del nervio mediano registrado en el segundo lumbrical y su evolución natural en pacientes con síndrome del túnel del carpo |
dc.type | Trabajo de grado - Especialidad Médica |
dc.type.driver | info:eu-repo/semantics/masterThesis |
dc.type.version | info:eu-repo/semantics/acceptedVersion |
dc.publisher.program | Bogotá - Medicina - Especialidad en Medicina Física y Rehabilitación |
dc.description.degreelevel | Especialidades Médicas |
dc.description.degreename | Especialista en Medicina Física y Rehabilitación |
dc.description.researcharea | CIFEL |
dc.identifier.instname | Universidad Nacional de Colombia |
dc.identifier.reponame | Repositorio Institucional Universidad Nacional de Colombia |
dc.identifier.repourl | https://repositorio.unal.edu.co/ |
dc.publisher.department | Departamento de Medicina Física y Rehabilitacion |
dc.publisher.faculty | Facultad de Medicina |
dc.publisher.place | Bogotá, Colombia |
dc.publisher.branch | Universidad Nacional de Colombia - Sede Bogotá |
dc.relation.indexed | RedCol |
dc.relation.indexed | LaReferencia |
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dc.rights.accessrights | info:eu-repo/semantics/openAccess |
dc.subject.proposal | Potencial premotor |
dc.subject.proposal | Electrodiagnóstico |
dc.subject.proposal | Síndrome de túnel del carpo |
dc.subject.proposal | Premotor action potential |
dc.subject.proposal | Electrodiagnosis |
dc.subject.proposal | Carpal Tunnel Syndrome |
dc.title.translated | Premotor potential of the median nerve recorded in the second lumbrical and its natural history in patients with carpal tunnel syndrome |
dc.type.coar | http://purl.org/coar/resource_type/c_bdcc |
dc.type.coarversion | http://purl.org/coar/version/c_ab4af688f83e57aa |
dc.type.content | Text |
dc.type.redcol | http://purl.org/redcol/resource_type/TM |
oaire.accessrights | http://purl.org/coar/access_right/c_abf2 |
dcterms.audience.professionaldevelopment | Estudiantes |
dcterms.audience.professionaldevelopment | Investigadores |
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