Carpal Tunnel Syndrome
Conditions
Brief summary
This observational study aims to evaluate serum Growth Differentiation Factor-15 (GDF-15) levels in patients with idiopathic carpal tunnel syndrome compared with asymptomatic controls. The study will also assess the associations between serum GDF-15 levels and clinical and electrophysiological characteristics of carpal tunnel syndrome.
Detailed description
This is a single-center observational study including patients with idiopathic carpal tunnel syndrome and asymptomatic controls. Serum GDF-15 levels will be evaluated and their associations with clinical and electrophysiological characteristics will be assessed.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18-65 years. * Written informed consent. * For the patient group: idiopathic carpal tunnel syndrome confirmed by clinical and electrophysiological evaluation. * For the control group: asymptomatic individuals without a previous diagnosis of carpal tunnel syndrome and without clinical signs of carpal tunnel syndrome.
Exclusion criteria
* Diabetes mellitus. * Hypothyroidism. * Rheumatoid arthritis or other inflammatory rheumatic diseases. * Pregnancy. * Cervical radiculopathy or polyneuropathy. * Previous carpal tunnel or wrist surgery. * History of wrist trauma or fracture. * Corticosteroid injection into the carpal tunnel within the previous 3 months. * Malignancy. * Chronic kidney or liver disease. * Active infection or autoimmune disease. * Serious systemic conditions that may affect serum GDF-15 levels.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Serum Growth Differentiation Factor-15 (GDF-15) Concentration | At baseline | Serum Growth Differentiation Factor-15 (GDF-15) concentration will be quantitatively measured from serum samples using a sandwich enzyme-linked immunosorbent assay (ELISA). GDF-15 concentration will be reported in picograms per milliliter (pg/mL). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Correlation Between Serum GDF-15 Concentration and Boston Carpal Tunnel Questionnaire Symptom Severity Scale Score | At baseline | The correlation between serum Growth Differentiation Factor-15 (GDF-15) concentration, measured in pg/mL using ELISA, and symptom severity will be assessed using the Symptom Severity Scale of the Boston Carpal Tunnel Questionnaire (BCTQ). The Symptom Severity Scale consists of 11 items scored from 1 to 5, with a final score ranging from 1 to 5. Higher scores indicate greater symptom severity. |
| Correlation Between Serum GDF-15 Concentration and Boston Carpal Tunnel Questionnaire Functional Status Scale Score | At baseline | The correlation between serum Growth Differentiation Factor-15 (GDF-15) concentration, measured in pg/mL using ELISA, and functional status will be assessed using the Functional Status Scale of the Boston Carpal Tunnel Questionnaire (BCTQ). The Functional Status Scale consists of 8 items scored from 1 to 5, with a final score ranging from 1 to 5. Higher scores indicate greater functional impairment. |
| Correlation of Serum GDF-15 With Hand Grip Strength | At baseline | Correlation between serum GDF-15 (pg/mL) and hand grip strength measured in kilograms (kg) using a Jamar hand dynamometer. |
| Serum GDF-15 Concentration According to Electrophysiological Severity of Carpal Tunnel Syndrome | At baseline | Serum GDF-15 concentration (pg/mL) will be compared among mild, moderate, and severe carpal tunnel syndrome groups classified by nerve conduction studies. |
| Correlation of Serum GDF-15 With Pain Severity | At baseline | Correlation between serum GDF-15 concentration (pg/mL) and pain severity assessed using a 0-10 Visual Analog Scale (VAS), where 0 indicates no pain and 10 indicates the worst imaginable pain. Higher scores indicate greater pain severity. |
| Correlation of Serum GDF-15 With Numbness Severity | At baseline | Correlation between serum GDF-15 concentration (pg/mL) and numbness severity assessed using a 0-10 Visual Analog Scale (VAS), where 0 indicates no numbness and 10 indicates the worst imaginable numbness. Higher scores indicate greater numbness severity. |