349Conclusion
CTS is the most well-known and frequent form of median nerve entrapment, and
accounts for 90 % of all entrapment neuropathies. Patient reported outcome mea-
sures play an important role in the diagnosis, assessment of disease severity, as well
as in monitoring the response to management. Several questionnaires are available,
with a general good validity, reliability, as well as responsiveness. Implementation
in standard daily practice is highly recommended not only to assess the patients
clinically, but also to set up a treatment plan tailored to the patient’s condition.
Acknowledgement Special thanks to Dr. Kirstin Weyrich, Consultant Neurologist, Darent Valley
Hospital, Kent, England, for peer reviewing this chapter.
Appendix 1: Modifi ed Boston Carpal Tunnel Questionnaire
On a typical day during the past 2 weeks, have the hand or wrist symptoms caused you to
have difficulty doing any of the activities listed below? Please circle one number that best
describes your ability to do the activity.
Not
applicableCan
not do
itMild Moderate Severe
difficultyNo
difficultyActivityWriting 1 2 3 4 5
Buttoning of clothes 1 2 3 4 5
Holding a book while 1 2 3 4 5
reading
Gripping a telephone 1 2 3 4 5
receiver
Opening of jars 1 2 3 4 5
Household chores 1 2 3 4 5
Carrying of grocery 1 2 3 4 5
bags
Bathing and Dressing 1 2 3 4 5
Computer/Typing 1 2 3 4 5
Driving 1 2 3 4 5
El Miedany et al. Arthritis Rheumatism 2006; 54(9): S65013 PROMs for Carpal Tunnel Syndrome