Published Researches

Explore our collection of verified and published researches.

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Md. Atiquzzaman

Assistant Professor


Bangla Version of the Boston Carpal Tunnel Questionnaire: Translation, Cross-Cultural Adaptation, Validation and Reliability Assessment

Background: Self-reported instruments are outstanding predictor of symptom severity and functional status, hence represent a patient’s view and capture the full extent of disability. The Boston Carpal Tunnel Questionnaire (BCTQ) is a patient reported self-assessment tool for the peoples with Carpal Tunnel Syndrome (CTS). Objective: Our intension was to develop a reliable, validated and culturally adapted Bangla version of original BCTQ (B-BCTQ). Materials and Methods: The B-BCTQ was succeeded following a structured process that included translation, verification, compromise assessment, reverse translation, feedback, and final correction. B-BCTQ reliability and validity were conducted in 48 CTS patients. The reliability was evaluated by performing internal consistency and test–retest analyses. Its validity was assessed by comparing the B-BCTQ with the Physical functioning subscale (PF-10) of Short Form health Survey (SF-36) scale. Results: Cronbach’s alpha was 0.89 for symptom severity scale (SSS) and 0.86 for functional status scale (FSS). Also, Intra-class Correlation Coefficients (ICCs) were calculated as 0.86 for SSS and 0.91 for FSS. Pearson correlation (0.80 for SSS and 0.83 for FSS) analysis demonstrated that the B-BCTQ score was significantly correlated with the PF-10 of SF-36. All of the items were statistically significant (P<0.001). Conclusion: The B-BCTQ is successfully adapted. The study findings support the previous English version indicating its validity and reliability.

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Dr. Md. Israt Hasan

Assistant Professor


Translation, cross-cultural adaptation and validation of English start back screening tool into Bangla for patients with low back pain

This study was intended to translate and culturally adapt the STarT back screening tool to produce an equivalent Bangla version. Total 58 patients with low back pain completed the newly developed Bangla version of STarT back screening tool and Bangla version of Ronald Morris Disability Questionnaire seven days apart. Reliability was assessed by internal consistency (Chronbach’s alpha for overall score 0.81 and for spychosocial subscale was 0.76) and test-retest reliability (intraclass correlation coefficient for overall score was 0.78 and for spychosocial subscale was 0.71). Reliability of Bangla version of STarT back screening tool was very good. Pearson’s correlation coefficient was carried out on the Bangla version of STarT back screening tool and Bangla version of RMDQ to assess construct validity (overall score was 0.88 and spychosocial subscale score was 0.83) which indicate a strong correlation between them. This study shows that the Bangla version of STarT back screening tool is a reliable, valid and culturally adapted responsive screening tool for the patients with low back pain.

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Dr. Md. Israt Hasan

Assistant Professor


Bangla Version of the Boston Carpal Tunnel Questionnaire: Translation, Cross-Cultural Adaptation, Validation and Reliability Assessment

Background: Self-reported instruments are outstanding predictor of symptom severity and functional status, hence represent a patient’s view and capture the full extent of disability. The Boston Carpal Tunnel Questionnaire (BCTQ) is a patient reported self-assessment tool for the peoples with Carpal Tunnel Syndrome (CTS). Objective: Our intension was to develop a reliable, validated and culturally adapted Bangla version of original BCTQ (B-BCTQ). Materials and Methods: The B-BCTQ was succeeded following a structured process that included translation, verification, compromise assessment, reverse translation, feedback, and final correction. B-BCTQ reliability and validity were conducted in 48 CTS patients. The reliability was evaluated by performing internal consistency and test–retest analyses. Its validity was assessed by comparing the B-BCTQ with the Physical functioning subscale (PF-10) of Short Form health Survey (SF-36) scale. Results: Cronbach’s alpha was 0.89 for symptom severity scale (SSS) and 0.86 for functional status scale (FSS). Also, Intra-class Correlation Coefficients (ICCs) were calculated as 0.86 for SSS and 0.91 for FSS. Pearson correlation (0.80 for SSS and 0.83 for FSS) analysis demonstrated that the B-BCTQ score was significantly correlated with the PF-10 of SF-36. All of the items were statistically significant (P<0.001). Conclusion: The B-BCTQ is successfully adapted. The study findings support the previous English version indicating its validity and reliability.

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Dr. Md. Israt Hasan

Assistant Professor


Reliability and validity of the Bangla version of the knee injury and osteoarthritis outcome score

Background: Patient self-assessed outcome scores for musculoskeletal conditions are limited in Bangladesh, especially for knee osteoarthritis. Therefore, a reliable outcome measure like the widely used knee injury and osteoarthritis outcome score (KOOS) for Bangladeshi population is necessary. The aim was to assess the validity and reliability of the Bangla version of KOOS. Methods: Following Beaton et al. forward-backwards method, an expert committee translated and adapted the original English version of KOOS with slight modifications for the Bangladeshi Bangla-speaking population. The psychometric testing assessed the questionnaire's reliability using internal consistency (Cronbach’s alpha) and test-retest reliability (Intraclass correlation coefficients). The questionnaire was compared to validated Bangla versions of the Short-Form 36 health survey (SF-36) and the Western Ontario and McMaster Universities Arthritis Index (WOMAC) to establish construct validity. Results: This study involved 150 patients with knee osteoarthritis. Bangla KOOS was found to have good internal consistency (0.77-0.88) and high test-retest reliability (0.86-0.99). Construct validity was established by comparing Bangla KOOS with the WOMAC and SF-36. The Bangla KOOS sub-scores showed negative correlations with WOMAC domains (ρ = −0.41 to −0.93) and positive correlations with SF-36 domains (ρ = 0.26 to 0.68). Conclusions: Findings showed that the Bangla KOOS is a reliable and valid measure for evaluating outcomes in Bangladeshi patients with knee osteoarthritis. It is a dependable and valid outcome measure tailored to the local language

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Dr. Md. Israt Hasan

Assistant Professor


Transverse mini-incision for carpal tunnel release

Background: Carpal tunnel syndrome is a commonly prevalent entrapment neuropathy characterized by median nerve compression within the carpal tunnel. The aim of this study was to compare the outcomes of transverse mini-incision and traditional mini-palm incision for carpal tunnel release. Methods: A non-randomized interventional study was done at Kurmitola General Hospital, Dhaka and US Bangla Medical College Hospital, Narayangonj between January 2019 and December 2021. Forty-two patients diagnosed with idiopathic carpal tunnel syndrome were allocated to the transverse mini-incision group (n=20) and traditional mini-palm incision group (n=22). Results: Patients operated with transverse mini-incision returned to their work significantly earlier (mean 10.3 days) than patients operated with traditional mini-palm incision (mean 18.7 days). No significant difference was found between transverse mini-incision group and traditional mini-palm incision group as determined by the McGill pain score improvement (P=0.16), the Bangla version of the Boston carpal tunnel questionnaire symptom severity score (P=0.61) and functional severity score (P=0.43). Conclusion: Transverse mini-incision is comparable to the traditional mini-palm incision in terms of pain, other symptoms, and functional outcome. However, patients in transverse mini-incision group could return earlier to work.

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Dr. Md. Israt Hasan

Assistant Professor


3D printing technology in the management of carpal tunnel syndrome: A case report

A 35-year-old individual with carpal tunnel syndrome presented with tingling and numbness in the left thumb, index, and middle finger. A 3D printed CTS splint was crafted to immobilize the affected wrist joint, aiding pharmacotherapy. At six weeks, evaluations included the Boston Carpal Tunnel Questionnaire (BCTQ), Visual Analogue Scale (VAS) for pain, and Evaluation of Satisfaction with assistive Technology (QUEST) version 2.0.9. Substantial improvements were observed in Bangla-BCTQ scores (symptom severity scale: 3.68 vs. 1.27; functional status scale: 2.74 vs. 1.31), VAS (70 vs. 30), and QUEST scores. 3D printing technology may contribute to better personalized musculoskeletal care enhancing quality of life.

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Dr. Muhibbur Rahman Rafe

Junior Consultant


Low-Level Laser Therapy for Thumb Carpometacarpal Joint Osteoarthritis: A Randomized Controlled Tria

Background and aim Low-level laser therapy (LLLT) is considered a promising non-invasive treatment option for osteoarthritis (OA). The current study aimed to evaluate the effectiveness of LLLT on patients with OA of the first carpometacarpal joint (CMC1) of the thumb. Methods An open-level, prospective, randomized controlled trial was conducted in the Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, for one year. Initially, 120 patients were approached for the study. Among them, 112 eligible patients were randomly divided into two groups: the intervention group received LLLT in addition to conservative treatment, while the control group received conservative treatment alone for four weeks. Pain and functional capability (motor) improvement were assessed on a weekly follow-up basis by using various parameters such as the visual analogue scale (VAS), Ritchie articular index (tenderness scale), grip strength, key pinch strength, Dreiser functional index, and CMC1 palmer abduction. Eventually, 90 patients completed the follow-ups and were included in the analysis. Results The majority of patients diagnosed with CMC1 joint OA were in their fifties. At baseline, patients of both intervention and control groups were indifferent in terms of demography, pain intensity, motor responses, and duration of suffering. After four weeks of treatment, results indicated an overall improvement in both groups. However, the reduction of pain and increase in functional capability were not found statistically significant (p-value: ≥0.5). Conclusion LLLT with conventional treatment was not found significantly more effective enough than conventional treatment alone, but more well-designed clinical trials with larger sample sizes are needed to reach a definitive conclusion.

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Dr. Fatema Newaz

Assistant Professor


Rehabilitation Approaches of a Bangladeshi Boy With Ataxia Telangectasia: A Case Report

Ataxia-Telangiectasia (AT) is a rare form of neurodegenerative disorder of hereditary origin. In Bangladesh we don’t have any epidemiological study. Till today there is no gold standard of the diagnosis, further to its wide clinical heterogeneity, it often leads physicians to an incorrect or missed diagnosis. So is the importance of the insight into this disease. We report a 10 years old male child who presented with history of difficulty in posture and walking associated with frequent fever, delayed slurred speech and abnormal eye movements. Physical examination revealed delayed milestones of development involving neck control, sitting, walking, unsteady supported swaying gait and speech language dysfunctions. MRI of brain showed cerebellar atrophy and a raised serum Alfafeto protein level. The child was diagnosed as a case of AT and was presented in a clinical meeting at Bangabandhu Sheikh Mujib Medical University for discussions and further managements including medical rehab. We offered him a course of combined rehabilitation therapy program and discharged home.

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Dr. Fatema Newaz

Assistant Professor


Outcome of Transcutaneous Electrical Nerve Stimulation (TENS) device for patients with chronic non-specific low back pain

ackground : Transcutaneous electrical nerve stimulation (TENS) was introduced more than 30 years ago as an adjunct to the pharmacological management of pain. Objective : This controlled trial examined the benefit of TENS on patients with chronic non-specific low back pain. Methods : This randomized controlled clinical trial was conducted in the department of Physical Medicine and Rehabilitation of Bangabandhu Sheikh Mujib Medical University, Dhaka over a period of 6 months from March,2013 to August,2013. One hundred and ten (n=110) participants were treated. 55 patients were treated with NSAID+ADL, consider as Group-A (treatment as usual control group) and 55 patients were treated with NSAID+ADL+TENS, consider as Group-B (experimental group). Result : The mean age was found 39.1 ± 1.34 years in Group-A and 41.3 ± 2.80 years in Group-B.. Mean duration of pain was found 23.20 ± 2.34 months in Group-A and 21.00 ± 1.50 months in Group-B. Subjective pain intensity, Visual analogue score, tenderness index improved in both groups after at the end of 3rd week and at the end of 6th week, which was statistically significant but in between two groups there is no statistically significant difference. Conclusion :These results suggested that TENS specifically could not have an effect in reducing pain and improving quality of life in chronic non specific low back pain patients but as number of patients were small no firm conclusion could be drawn

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Dr. Fatema Newaz

Assistant Professor


Pattern of Musculoskeletal Disorders in Adult Diabetics patient

Diabetes mellitus is associated with several musculoskeletal (MSK) disorders. Due to increased incidence and life expectancy causes increased prevalence and clinical importance of MSK alterations in diabetic subjects. It is difficult to índ out the direct relation with metabolic control. is study was conducted to explore the pattern of musculoskeletal disorders in the diabetic patients. A cross-sectional study was conducted from January' 2016 to June' 2016 at Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University, Dhaka with 190 cases divided in two groups. Patients aged 40-70 years with musculoskeletal disorder with diabetes mellitus (type 2) for íve years attending in the department of Physical Medicine and Rehabilitation were included in group A. Patients with MSK disorder without diabetes aged 40- 70 years were included in group B. Main Pattern of Musculoskeletal Disorders in Adult Diabetics patient Sharmin S1 , *Newaz F2 , Ahmed SM3 , Shahin A4 , Hasan MI5 , Rahman HH6 , Sadeque Z7 , Siddique N8 outcome measures were done by Chi square test and unpaired t test were calculated by using SPSS-20. Out of 190 patients, more than half (53.68%) patients were belonged to age 51- 60 years in group A and 49(51.58%) in group B. Majority (56.84%) patients were female in group A and 43(45.26%) in group B. Twenty three (24.21%) patients were house wives in group A and 25(26.32%) in group B. Fifty two (54.73%) patients had osteoarthritis of knee in group A and 26(27.36%) in group B. Twenty one (22.11%) patients had frozen shoulder in group A and 9(9.47%) in group B. Sixteen (16.84%) patients had Flexor tenosynovitis in group A and 04(4.21%) in group B. Fifteen (15.78%) patients had Fibromyalgia in group A and 05(5.26%) in group B. Twelve (12.63%) patients had Planter fascities in group A and 03(3.16%) in group B. Which were statistically signiícant (p<0.05) but other musculoskeletal disorders were not statistically signiícant (p>0.05) between two groups. More than half patients were belonged to age 51-60 years and female were predominate in both groups. Common musculoskeletal disorders in diabetic patients were osteoarthritis of knee, frozen shoulder, Flexor tenosynovitis, Fibromyalgia, Planter fascities, Rheumatoid arthritis, Carpel tunnel syndrome, Lumbar spondylosis, Cervicalspondylosis and DISH. is study will also be helpful for different organizations working in this area including physiatrist in their program for delivering a comprehensive treatment service. As a result patients were more beneíted.

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Dr. Fatema Newaz

Assistant Professor


Effects of intra-articular autologous mesenchymal stem cell injection under ultrasonogram guidance in patients with osteoarthritis knee

Mesenchymal stem cells therapy opened new perspective in the management of osteoarthritis. This study focuses on a randomized controlled trial pilot on 10 patients of osteoarthritis knees to evaluate the intra-articular injections of mesenchymal stem cells could improve the symptoms, functional limitation and regeneration of cartilage. Mesenchymal stem cells were obtained from peripheral blood after mobilization of blood cell with granulocyte colony stimulating factor by apheresis machine. Single dose of mesenchymal stem cells were injected into the affected joints, WOMAC questionnaires scale used to record pre and post-treatment improvement, cartilage thickness measured by high frequency ultrasonogram. Four patients were having Grade II and six were having Grade III osteoarthritis. Kellgren-Lawrence scale was used for radiological grading. Pain score were decreased at the end of 24th weeks from 14.8±2.2 to 4.1±1.3, Stiffness score decreased from 5.8±0.6 to 0.7±0.6, Physical function limitation score reduced from 46.7±6.5 to 20.3±2.5. There was minor improvement of range of motion and cartilage thickness changes. This study demonstrates that mesenchymal stem cells injections improves all parameters of knee osteoarthritis and minimal regeneration of damaged cartilage.

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Dr. Fatema Newaz

Assistant Professor


A Case of Adrenoleucodystrophy: Newer Challenge to Rehabilitation

Adrenoleucodystrophy is a rare, genetic demyelinating disorder. Early onset of disease have rapid progression and worse prognosis. It may be associated with adrenal insu!ciency. Not much treatment option as though rehabilitation is mainstream of management till death to reduce disability. We report the case of a 10-year-old boy with progressive weakness of all four limb and speech, swallowing di!culty, whose computerized tomography (CT) and Magnetic resonance imaging (MRI) scans showed unusually "orid bilateral abnormalities. MRI showed hyperintensities on parieto-occipital lobe through corpus callosum and some biochemical imbalance on serum. #e child was diagnosed as a case of Adrenoleukodystrophy and was presented in a clinical meeting for further managements including medical rehab. As this is a very rare case, it was a challenge to handle such type of patient with a course of combined rehabilitation program and discharged home.

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Dr. Fatema Newaz

Assistant Professor


Effect of Constraint-Induced Movement Therapy and Mirror Therapy on The Patients with Subacute Stroke in Bangladesh

Background: Subacute stroke is a health-related problem that spans a period from two days to two weeks. A marked disability results from stroke causes remarkable burden on family and society. Objective: To find out the effectiveness of constraint-induced movement therapy (CIMT) and combined mirror therapy on patients with subacute stroke. Comparison of effectiveness in between combined therapy and CIMT. Materials and Methods: Eighteen patients with subacute stroke were enrolled and randomly divided into three groups: CIMT combined with mirror therapy group, CIMT only group, and control group. Two weeks of CIMT for 6 hours a day with or without mirror therapy for 30 minutes a day were performed under supervision. All groups received conventional occupational therapy for 40 minutes a day for the same period. The CIMT-only group and control group also received additional self-exercise to substitute for mirror therapy. Results: We performed the Fugl-Meyer assessment, which was 32.67±21.70 pre-treatment and 37.00±21.06 post-treatment with a p-value of 0.011, MRC muscle grading pre-treatment 3.01±2.78 and 3.21±1.35 post-treatment with a p-value of 0.107, and Modified Barthel Index pre-treatment 29.56±27.43 and 28.33±26.71 post-treatment with a p-value of 0.104. After two weeks of treatment, we had found that CIMT along with mirror therapy, had more impact on subacute stroke patients. Conclusion: Disability limitation following stroke should focused more. Among various treatment facilities CIMT shown promising result along with exercise and mirror therapy. Care-giver’s education, tele-rehabilitation facility, supervision.

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Dr. Fatema Newaz

Assistant Professor


Correlation of Pain, Physical Function and Radiography With Osteoarthritis of The knee

Background: Osteoarthritis (OA) of the knee is a major public health issue. It is important to have a clear understanding about the relationship between clinical features (Pain, functional impairment) and radiographic findings to select appropriate treatment option. Objectives: To investigate the relationship between pain, loss of physical function, and radiographic findings in OA of the knee joint. Materials and Methods: A cross sectional study on 90 patients aged 40 years and above with OA of the knee joint selected randomly. Severity of the knee pain and functional impairment were measured using the Bangla version of WOMAC (Western Ontario and McMaster Universities Osteoarthritis index). Radiograph of the knee joint were assessed with the KellgrenLawrence grading scale. Results: The mean of the age, BMI (body mass index) and duration of pain was respectively 54.2 (± 9.5) years, 26.0 (± 3.4) kg/m2 and 3.6 (± 2.8) years. Male female ratio was 1:1.6. 55% of the patients had the Visual Analogue Scale (VAS) score of 1-3. The Pain and physical function were associated with OA of the knee where the mean physical function score was 45.1 ± 4.2 in patients who had pain score of >10. However pain and physical function was not associated with the radiographic findings of the OA of the knee. Conclusion: The treatment planning for the OA of the knee should be based on clinical presentation rather than radiographic findings.

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Dr. Md. Israt Hasan

Assistant Professor


Rehabilitation Infrastructure and Services in a Tertiary Hospital in Bangladesh

Background: Rehabilitation Medicine is the focal point on the refurbishment of the health and function, and reintegration of the patient into the community. Since inception, department of Physical Medicine and Rehabilitation (PMR) is dispensing state of the art services despite its fewer resources. Objective: To anticipate a brief recapitulation of the infrastructure of Rehabilitation medicine and its' services as well as demographic data and, disease pattern among the patients dealt by it in a Tertiary Hospital. Materials and Methods: This is a retrospective study executed in the department of PMR of Kurmitola General Hospital, Dhaka from January 2019 to December 2019. Results: Currently 4 Rehabilitation Physicians (Physiatrist) and 3 Physical Therapists, are involved in indoor, outdoor and, specialized PMR services with 4 indoor beds. Total thirty four thousands seven hundred thirty six (n=34,736) patients were studied who received our services, among them 35.62% were male and 64.38% were female. 16% of patients were under 20 years of age, about 61% of patients belong to 2nd, 3rd, 4th, 5th decades and 23% were above 60 years of age. Nonspecific Low Back Pain (NSLBP) were 23.80%, 8.29% Neck pain, cervical spondylosis11.15%, lumbar spondylosis 11.52%, frozen shoulder 9.83%, PLID 7.39%, osteoarthritis 9.15%, facial palsy 0.53%, rheumatoid arthritis 4.47%, seronegative spondyloarthopathy 1.26%, Guillain-Barre` Syndrome (GBS) 0.15%, planter fasciitis 4.68%, 2.10 % postsurgical/post-traumatic stiffness and others were 5.13%. Conclusion: It is time demand to build more infrastructures country wide to improve physical medicine and rehabilitation services for the country people.

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Dr. Md. Israt Hasan

Assistant Professor


Translation, cross-cultural adaptation and validation of English start back screening tool into Bangla for patients with low back pain

This study was intended to translate and culturally adapt the STarT back screening tool to produce an equivalent Bangla version. Total 58 patients with low back pain completed the newly developed Bangla version of STarT back screening tool and Bangla version of Ronald Morris Disability Questionnaire seven days apart. Reliability was assessed by internal consistency (Chronbach’s alpha for overall score 0.81 and for spychosocial subscale was 0.76) and test-retest reliability (intraclass correlation coefficient for overall score was 0.78 and for spychosocial subscale was 0.71). Reliability of Bangla version of STarT back screening tool was very good. Pearson’s correlation coefficient was carried out on the Bangla version of STarT back screening tool and Bangla version of RMDQ to assess construct validity (overall score was 0.88 and spychosocial subscale score was 0.83) which indicate a strong correlation between them. This study shows that the Bangla version of STarT back screening tool is a reliable, valid and culturally adapted responsive screening tool for the patients with low back pain.

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Dr. Md. Israt Hasan

Assistant Professor


Transverse mini incision for carpal tunnel release

Background: Carpal tunnel syndrome is a commonly prevalent entrapment neuropathy characterized by median nerve compression within the carpal tunnel. The aim of this study was to compare the outcomes of transverse mini-incision and traditional mini-palm incision for carpal tunnel release. Methods: A non-randomized interventional study was done at Kurmitola General Hospital, Dhaka and US Bangla Medical College Hospital, Narayangonj between January 2019 and December 2021. Forty-two patients diagnosed with idiopathic carpal tunnel syndrome were allocated to the transverse mini-incision group (n=20) and traditional mini-palm incision group (n=22). Results: Patients operated with transverse mini-incision returned to their work significantly earlier (mean 10.3 days) than patients operated with traditional mini-palm incision (mean 18.7 days). No significant difference was found between transverse mini-incision group and traditional mini-palm incision group as determined by the McGill pain score improvement (P=0.16), the Bangla version of the Boston carpal tunnel questionnaire symptom severity score (P=0.61) and functional severity score (P=0.43). Conclusion: Transverse mini-incision is comparable to the traditional mini-palm incision in terms of pain, other symptoms, and functional outcome. However, patients in transverse mini-incision group could return earlier to work.

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Dr. Md. Israt Hasan

Assistant Professor


Bangla Version of the Boston Carpal Tunnel Questionnaire: Translation, Cross-Cultural Adaptation, Validation and Reliability Assessment.

Background: Self-reported instruments are outstanding predictor of symptom severity and functional status, hence represent a patient’s view and capture the full extent of disability. The Boston Carpal Tunnel Questionnaire (BCTQ) is a patient reported self-assessment tool for the peoples with Carpal Tunnel Syndrome (CTS). Objective: Our intension was to develop a reliable, validated and culturally adapted Bangla version of original BCTQ (B-BCTQ). Materials and Methods: The B-BCTQ was succeeded following a structured process that included translation, verification, compromise assessment, reverse translation, feedback, and final correction. B-BCTQ reliability and validity were conducted in 48 CTS patients. The reliability was evaluated by performing internal consistency and test–retest analyses. Its validity was assessed by comparing the B-BCTQ with the Physical functioning subscale (PF-10) of Short Form health Survey (SF-36) scale. Results: Cronbach’s alpha was 0.89 for symptom severity scale (SSS) and 0.86 for functional status scale (FSS). Also, Intra-class Correlation Coefficients (ICCs) were calculated as 0.86 for SSS and 0.91 for FSS. Pearson correlation (0.80 for SSS and 0.83 for FSS) analysis demonstrated that the B-BCTQ score was significantly correlated with the PF-10 of SF-36. All of the items were statistically significant (P<0.001). Conclusion: The B-BCTQ is successfully adapted. The study findings support the previous English version indicating its validity and reliability.

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