NERVE

Boston Carpal Tunnel Questionnaire

BCTQ is a patient reported outcome measure for use in carpal tunnel syndrome patients. The score consists of two subscales – the Symptom Severity scale (11 items) and the Functional Status scale (8 items). Each is rated from 1 to 5, with higher scores for higher disability. The mean of each subscale is then reported (maximum of 5).

The minimal clinically important differences [MCIDs] of the Symptom Severity and Functional Status scales are estimated to be 0.8 and 0.5 respectively.

References:

• Levine DW, Simmons BP, Koris MJ, Daltroy LH, Hohl GG, Fossel AH, Katz JN. A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome. J Bone Joint Surg Am. 1993;75(11):158-92.
• Leite JC, Jerosch-Herold C, Song F. A systematic review of the psychometric properties of the Boston Carpal Tunnel Questionnaire. BMC Musculoskelet Disord. 2006 Oct 20;7:78. doi: 10.1186/1471-2474-7-78. PMID: 17054773; PMCID: PMC1624826

Brachial Plexus Outcome Measure

BPOM is developed for the assessment of children with birth brachial plexus palsy. The Activity scale of the BPOM is based on the examiner's assessment of 11 upper limb movements, each scored from 1 (cannot complete task) to 5 (normal movement pattern). The Self-Evaluation scale of the BPOM can be used in older children to assess their satisfaction with the limb function and cosmesis.

References:

Ho ES, Curtis CG, Clarke HM. The brachial plexus outcome measure: development, internal consistency, and construct validity. J Hand Ther. 2012 Oct-Dec;25(4):406-16. doi: 10.1016/j.jht.2012.05.002. Epub 2012 Jul 20. PMID: 22818900.

Patient Rated Ulnar Nerve Evaluation

The PRUNE is a 20 item scale that evaluates four domains – Pain (6 items), Symptoms (4 items), Specific Activities (6 items) and Usual Activities (4 items). Each item is scored from zero to 10, with higher scores for higher disability. The Total score (out of 100) is calculated by dividing the grand total of all items by 2

References:

MacDermid JC, Grewal R. Development and validation of the patient-rated ulnar nerve evaluation. BMC Musculoskelet Disord. 2013 Apr 26;14:146. doi: 10.1186/1471-2474-14-146. PMID: 23617407; PMCID: PMC3660194