Comparison of ultrasound and ketoprofen phonophoresis in the treatment of carpal tunnel syndrome

Yıldız, Necmettin; Atalay, Nilgün Şimşir; Güngen, Gonca Ödemiş; Sanal, Engin; Akkaya, Nuray; Topuz, Oya

doi:10.3233/bmr-2011-0273

Cited by 50 publications

(55 citation statements)

References 26 publications

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“…3 Multiple studies have examined methods for improving the specificity and sensitivity of NCT and EMG, whereas others have examined different modalities such as ultrasonography and magnetic resonance imaging (MRI). 11,[29][30][31][32] Ultrasound has recently been used, allowing the technician to demonstrate flattening of the median nerve within the carpal tunnel. Some studies have supported its use to indicate surgery when there are persisting pain and dysesthesia despite conservative measures and a normal NCT and EMG.…”

Section: Discussionmentioning

confidence: 99%

Motor Examination in the Diagnosis of Carpal Tunnel Syndrome

et al. 2017

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The relative importance and use of motor evaluation to diagnose carpal tunnel syndrome (CTS) is not clear. Because the ulnar nerve is not affected in CTS, we evaluated comparing the strength of the median-nerve innervated muscles to the ulnar innervated muscles in the same patient, through manual muscle testing (MMT) and a handheld dynamometer. Our purpose was to evaluate whether this method, which takes into account patient-dependent factors that would affect both groups of muscles equally, can provide better assessment of CTS. A retrospective case-control review of MMT and dynamometer-measured strength for CTS was performed. The study was performed retrospectively but prior to surgery or other treatment. There were 28 cases (CTS) and 14 controls (without CTS). Positive nerve conduction tests defined cases. MMT of the thenar musculature was found to be unreliable as a test for CTS. Comparisons to ulnar nerve innervated muscle strength did not improve sensitivity or specificity of the MMT examination. Use of the dynamometer improved sensitivity and specificity of motor testing in CTS over MMT. Motor evaluation is important for the diagnosis of CTS, but further study is warranted, specifically to define the method of motor evaluation and delineate the subgroup of patients (predominantly thenar motor presentation) that would benefit most from motor testing and motor-focused treatment.

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Section: Discussionmentioning

confidence: 99%

Motor Examination in the Diagnosis of Carpal Tunnel Syndrome

et al. 2017

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“…PP with NSAIDs has been reported to treat pain and inflammation in many musculoskeletal conditions such as carpal tunnel syndrome, myofascial pain, neck pain, impingement, muscle injury, and knee OA (10,(13)(14)(15)(16)(17)(18). Advantages of this method include noninvasiveness, minimal risk of adverse effects associated with systemic administration of NSAIDs, and the combined therapeutic effects of both US and NSAIDs.…”

Section: Discussionmentioning

confidence: 99%

“…The PP therapy is used predominantly in musculoskeletal disorders such as myofascial pain syndrome, knee OA, carpal tunnel syndrome, epicondylitis, impingement, and tenosynovitis (10,(13)(14)(15)(16)(17)(18). Despite extensive clinical trials of PP, questions remain regarding treatment effectiveness (10,(13)(14)(15)(16)(17)(18)(19)(20)(21). There are no FP guidelines recommending PP and capsaicin in the treatment of knee OA.…”

Section: Introductionmentioning

confidence: 99%

Diz Osteoartritinde Kapsaisin Fonoforezin Etkisi ve Birinci Basamakta Erken Kullanılabilirliği: Randomize Kontrollü Bir Çalısma

Ünal

Durmuş

2016

Konuralp Tıp Dergisi

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Bu çalışmanın amacı Kapsaisin fonoforezis ve kapsaisin jelin diz osteoartritinin tedavisinde ağrı, engellilik, fonsiyonalite, uyku kalitesi ve depresyon üzerine etkilerini değerlendirmektir. Gereç ve Yöntem: Yetmiş üç hasta 3 gruba ayrıldı. Tüm gruplara egsersiz tedavisi uygulandı. Egsersize ek olarak birinci gruba (n = 24) kapsaisin fonoforezis, ikinci guruba (n = 24) kapsaisin jel uygulandı. Tedaviler haftada 3 gün, 6 hafta uygulandı. Hastalar ağrı için görsel analog skala, engellilik için Western Ontario ve McMaster Universite Osteoartrit Indeksi, fonksiyon için 50 m yürüme zamanı, depresyon için Beck Depresyon Skalası ve uyku kalitesi için Pittsburgh Uyku Kalite indeksi ile değerlendirildi. Değerlendirilmeler tedavi sonrası ve 1 aylık izlemde yapıldı. Bulgular: Tüm guruplar tüm parametrelerde iyileşme gösterdi. Ağrı skor sonuçları grup 1 de daha iyi idi. Bu iyilik bir ay izleminde hala devam ediyordu. Grup 1 ve 2 arasında engellilik, fonksiyon, depresyon ve uyku kalitesi açısından fark bulunmadı. Sonuç: Kapsaisin fonoferezis ağrıyı azaltmada egsersiz ve kapsaicin jele göre daha etkilidir. Kapsaisin jelin haftada sadece 3 defa kullanılmasına rağmen fonksiyon, engellilik ve uyku kalitesi üzerine capsaisin fonoferesiz kadar etkili olduğu ve aynı zamanda egsersizin uyku kaliesi ve fonksiyon üzerine etkisini artırdığı gösterildi. Bu sonuç özellikle birinci basamakta kapsaicin jel kullanımını teşvik etmektedir.

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“…В іншому рандомізованому клінічному дослідженні за допомогою біопсії післяопераційного біоматеріалу (артропластика колінних суглобів) підтверджено вплив ультразвуку на ефективність транспорту кетопрофену в навколосуглобові тканини та синовіальну рідину [13]. Не менш ефективною ця комбінація була в лікуванні стенозуючого тендовагініту, латерального епікондиліту та синдрому субакроміального конфлікту [19,20,21,22].…”

Section: використання місцевих форм кетопрофену та його поєднання з фunclassified

Efficiency of the combination of physical therapy modalities with topical nonsteroidal anti-inflammatory drugs for treatment of pain in rheumatology

Kapeltsova

Dolynna

Shkolina

et al. 2018

PMJUA

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Pain is the most common syndrome in rheumatology. NSAIDs are often used in its treatment. But they have limitations associated with side effects. An advantage of topical drugs and physical factors (electrophoresis, phonophoresis) combination is the use of low doses of the drug and a decrease in time, to achieve a therapeutic effect, reduce the risk of adverse reactions, increase the concentration of the drug in the inflammation focus, prolonged action (creating a drug depot in tissues). Ketoprofen gel (“Artrocol gel”) is one of the representatives of this pharmacological group. Physicochemical properties help ketoprofen to penetrate easily through the skin and create a therapeutic concentration in the underlying tissues. Objective. To assess the effectiveness of ketoprofen gel (“Arthrocol gel”) electrophonophoresis in the treatment of pain in rheumatological patients. Materials and methods. The study was carried out on the basis of Physiotherapy Department of Vinnytsia Regional Clinical Hospital named after M. I. Pirogov. All patients treated according to the unified clinical protocols were divided into experimental group (EG) and control group (CG). Patients of EG (98 persons) underwent electrophonophoresis with ketoprofen gel once a day for a week. In CG (43 persons) ketoprofen gel was used without electrophonophoresis. The intensity of the pain syndrome is monitored using a visual analog scale (VAS) of Huskisson at rest and during movement. A week later, the patient and the doctor evaluated satisfaction with the results of treatment on the scale: not effective, insufficient, satisfactory, good, excellent. Results. There was a persistent decrease in the intensity of pain syndrome in patients of both groups. The VAS scores were lower in the EG starting from the 3rd day of treatment. The intensity of the acute pain syndrome after 1-week treatment at rest (t = 4.71, p < 0.001) and during the movement (t = 3.84, p < 0.001) more decrease in EG. Satisfaction with the results of treatment was higher in EG.

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Comparison of ultrasound and ketoprofen phonophoresis in the treatment of carpal tunnel syndrome

Abstract: Ketoprofen PH as adjuvant therapy on splinting is effective with respect to reduction of pain. Adding US therapy to the splinting is not superior to the splinting alone in patients with CTS.

Cited by 50 publications

References 26 publications

Motor Examination in the Diagnosis of Carpal Tunnel Syndrome

Motor Examination in the Diagnosis of Carpal Tunnel Syndrome

Diz Osteoartritinde Kapsaisin Fonoforezin Etkisi ve Birinci Basamakta Erken Kullanılabilirliği: Randomize Kontrollü Bir Çalısma

Efficiency of the combination of physical therapy modalities with topical nonsteroidal anti-inflammatory drugs for treatment of pain in rheumatology

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