Does sensory relearning improve tactile function after carpal tunnel decompression? A pragmatic, assessor-blinded, randomized clinical trial

Houghton, Julie; Miller, Leanne; Shepstone, Lee

doi:10.1177/1753193416657760

Cited by 11 publications

(6 citation statements)

References 26 publications

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“…Lack of superiority inef icacy of sensory re-learning when added to the standard physical therapy program, may be explained in view that the effect of sensory re-learning depends on the 'dose' and intervention duration which were too low for the study to become effective. This agreed with (Jerosch-Herold et al, 2016), who reported that somatosen-sory rehabilitation, especially sensory re-learning, needs short but regular practice in the ield of discriminatory tactile practices.…”

Section: Discussionsupporting

confidence: 88%

Efficacy of Sensory Rehabilitation on Pain and Hand Function in Patients with Median Nerve Entrapment

Elbalawy¹,

Fahmy²,

Elrewainy³

et al. 2020

ijrps

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A common Carpal tunnel syndrome (CTS) is aneuropathic entrapment for the upper limbs with middle-aged people being at higher risk. To study how sensory rehabilitation impacts pain and functional outcome of hand in carpal tunnel syndrome patients. Twenty females with CTS, aged 25-45 years were enrolled. They were allocated at random to two groups; Group I: provided for sensory rehabilitation in addition to a standard physical therapy program and Group II: received only the standard physical therapy program only. Pre and post-treatment assessment included Visual Analogue Scale (VAS) and the Boston Carpal Tunnel Syndrome Questionnaire (BCTQ). In both post-treatment groups, the decrease of mean VAS and BCTQ scores was statistically significant. No substantial difference between the two groups in the measured parameters pre or post treatment. Adding sensory rehabilitation has nearly the same efficacy as the standard physical therapy program alone in decreasing pain, enhancing hand function in mild and moderate patients with CTS.

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Section: Discussionsupporting

confidence: 88%

Efficacy of Sensory Rehabilitation on Pain and Hand Function in Patients with Median Nerve Entrapment

Elbalawy¹,

Fahmy²,

Elrewainy³

et al. 2020

ijrps

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“…A total of 29 duplicates were removed. After title and abstract screening, 645 studies moved on to full-text screening, with 553 studies excluded; 92 studies 13–104 were included for final analysis (Fig. 1).…”

Section: Resultsmentioning

confidence: 99%

Assessment of “Spin” in Published Plastic Surgery Randomized Controlled Trials with Statistically Non-significant Primary Outcomes – A Systematic Review

Yuan

et al. 2022

Plastic &Amp; Reconstructive Surgery

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Randomized controlled trials (RCTs) are considered the standard when determining the effectiveness of therapeutic interventions. 1 When the goal of an RCT is to show that one intervention or treatment is better than another, it is called a superiority trial. 2 Significant findings would demonstrate that intervention A is better than intervention B and nonsignificant findings could only be interpreted as intervention A not being superior to intervention B. In comparison, a noninferiority trial refers to an RCT that assesses whether an intervention is "not worse" than another within an acceptable margin of risk or benefit. 2 Significant findings would be interpreted as intervention A not being worse Background: "Spin" refers to a manipulation of language that implies benefit for an intervention when none may exist. Randomized controlled trials (RCTs) in other fields have been demonstrated to employ spin, which can mislead clinicians to use ineffective or unsafe interventions. This study's objective was to determine the strategies, severity, and extent of spin in plastic surgery RCTs with nonsignificant primary outcomes. Methods: A literature search of the top 15 plastic surgery journals using MEDLINE was performed (2000 through 2020). Parallel 1:1 RCTs with a clearly identified primary outcome showing statistically nonsignificant results (P > 0.05) were included. Screening, data extraction, and spin analysis were performed by two independent reviewers. The spin analysis was then independently assessed in duplicate by two plastic surgery residents with graduate-level training in clinical epidemiology. Results: From 3497 studies identified, 92 RCTs were included in this study. Spin strategies were identified in 78 RCTs (85%), including 64 abstracts (70%) and 77 main texts (84%). Severity of spin was rated moderate or high in 43 abstract conclusions (47%) and 42 main text conclusions (46%). The most identified spin strategy in the abstract was claiming equivalence for statistically nonsignificant results (26%); in the main text, focusing on another objective (24%). Conclusions: This study suggests that 85% of statistically nonsignificant RCTs in plastic surgery employ spin. Readers of plastic surgery research should be aware of strategies, whether intentional or unintentional, used to manipulate language in reports of statistically nonsignificant RCTs when applying research findings to clinical practice.

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“…52 Various outcome measures were found; these categorized according to the domains of the ICF. For body functions and structures, symptoms (paresthesia x Not applied x Zyluk 18 Applied Forward 19 Not applied Atroshi 20 x Applied x Huemer 21 Not applied Pomerance 22 Not applied x Atroshi 23 Not applied x Gordon 24 x Applied Faraj 25 Not applied x Nabhan 26 x Not applied x x x Eriji 27 x Not applied Uçar 28 Applied Larsen 29 Not applied Tarallo 30 Applied x x Ullah 31 Not applied Andreu 32 x Not applied Vanni 33 Applied x Peñas 34 Not applied SadatsuneI 35 Not applied Rojo-Manaute 36 Not applied x Acar 37 Not applied Gumustas 38 x Applied Cho 39 Applied x Herold 40 x x Not applied Peñas 41 x Applied x Logli 42 Not applied Peñas 43 Applied Peñas 44 Applied Boriani 45 Applied Kleermaeker 46 Applied Kanchanathepsak 47 Applied Oh 48 Applied Rimdeika 49 x Not applied Zhang 50 Applied Research for diagnostic methods (clinical and complementary)…”

Section: Discussionmentioning

confidence: 99%

Diagnostic criteria and outcome measures in randomized clinical trials on carpal tunnel syndrome: a systematic review

et al. 2023

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BACKGROUND: The diagnostic criteria for carpal tunnel syndrome (CTS) lack uniformity. Moreover, because CTS is a syndrome, there is no consensus as to which signs, symptoms, clinical and complementary tests are more reproducible and accurate for use in clinical research. This heterogeneity is reflected in clinical practice. Thus, establishing effective and comparable care protocols is difficult. OBJECTIVE: To identify the diagnostic criteria and outcome measures used in randomized clinical trials (RCTs) on CTS. DESING AND SETTING: Systematic review of randomized clinical trials carried out at the Federal University of São Paulo, São Paulo, Brazil. METHODS: We searched the Cochrane Library, PubMed, and Embase databases for RCTs with surgical intervention for CTS published between 2006 and 2019. Two investigators independently extracted relevant data on diagnosis and outcomes used in these studies. RESULTS: We identified 582 studies and 35 were systematically reviewed. The symptoms, paresthesia in the median nerve territory, nocturnal paresthesia, and special tests were the most widely used clinical diagnostic criteria. The most frequently assessed outcomes were symptoms of paresthesia in the median nerve territory and nocturnal paresthesia. CONCLUSION: The diagnostic criteria and outcome measures used in RCTs about CTS are heterogeneous, rendering comparison of studies difficult. Most studies use unstructured clinical criteria associated with ENMG for diagnosis. The Boston Questionnaire is the most frequently used main instrument to measure outcomes. REGISTRATION: PROSPERO (CRD42020150965-https://www.crd.york.ac.uk/prospero/display_record. php?RecordID=150965).

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Does sensory relearning improve tactile function after carpal tunnel decompression? A pragmatic, assessor-blinded, randomized clinical trial

Cited by 11 publications

References 26 publications

Efficacy of Sensory Rehabilitation on Pain and Hand Function in Patients with Median Nerve Entrapment

Efficacy of Sensory Rehabilitation on Pain and Hand Function in Patients with Median Nerve Entrapment

Assessment of “Spin” in Published Plastic Surgery Randomized Controlled Trials with Statistically Non-significant Primary Outcomes – A Systematic Review

Diagnostic criteria and outcome measures in randomized clinical trials on carpal tunnel syndrome: a systematic review

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