J Korean Med Sci.  2013 Jul;28(7):1095-1099. 10.3346/jkms.2013.28.7.1095.

Cross-Cultural Adaptation of the Korean Version of the Boston Carpal Tunnel Questionnaire: Its Clinical Evaluation in Patients with Carpal Tunnel Syndrome Following Local Corticosteroid Injection

• Park DJ
• Kang JH
• Lee JW
• Lee KE
• Wen L
• Kim TJ
• Park YW
• Nam TS
• Kim MS
• Lee SS

• KMID: 1777509
• DOI: http://doi.org/10.3346/jkms.2013.28.7.1095

Abstract

The aim of this study was to assess and validate the Korean version of the Boston Carpal Tunnel Questionnaire (K-BCTQ) in patients with carpal tunnel syndrome (CTS). After translation and cultural adaptation of the BCTQ to a Korean version, the K-BCTQ was administered to 54 patients with CTS; it was administered again after 2 weeks to assess reliability. Additionally, we administered K-DASH and EQ-5D to assess construct-validity. In a prospective study of responsiveness to clinical change, 29 of 54 patients were treated by ultrasonography-guided local corticosteroid injection therapy. The internal consistency of the K-BCTQ was high (Cronbach's alpha: 0.915) and the intra-class correlation coefficients were 0.931 for the symptom severity scale (P<0.001) and 0.844 for the functional severity scale (P<0.001). The construct-validity between the symptom severity scale and the K-DASH, and between the functional severity scale and the K-DASH were significantly correlated (both P<0.001). Clinical improvement was noted in 29 patients with injection therapy. The effect size of symptom severity was 0.67, and that of functional severity was 0.58. In conclusion, the K-BCTQ shows good reliability, construct-validity, and acceptable responsiveness after local corticosteroid injection therapy (Clinical trial number, KCT0000050).

Keyword

Carpal Tunnel Syndrome; Questionnaires; Validation Studies

MeSH Terms

Adrenal Cortex Hormones/*administration & dosage
Carpal Tunnel Syndrome/*drug therapy
Disability Evaluation
Humans
Injections
Outcome Assessment (Health Care)
Prospective Studies
*Questionnaires
Republic of Korea
Severity of Illness Index
Triamcinolone Acetonide/*administration & dosage
Ultrasonography
Adrenal Cortex Hormones
Triamcinolone Acetonide

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