Effect of different physical therapy modalities on post-operative recovery following transverse carpal ligament release: A randomized controlled trial

Sawan, Salah A.; Mahmoud, Hayam; Hussien, Maha M.

doi:10.3233/ppr-130024

Cited by 9 publications

(3 citation statements)

References 18 publications

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“…Nerve and tendon gliding exercises alone or plus laser or ultrasound therapy were evaluated. There was a significant improvement after treatment in all groups, and combined groups showed significant improvement compared to the exercise therapy group (89). According to the GRADE approach, the overall quality of evidence in this field was moderated (76,90).…”

Section: Physiotherapy and Exercise Therapymentioning

confidence: 99%

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Non-Surgical Management and Post-Surgical Rehabilitation of Carpal Tunnel Syndrome: An Algorithmic Approach and Practical Guideline

et al. 2020

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: One of the most common forms of entrapment neuropathy is Carpal Tunnel Syndrome (CTS). There are various treatment options for CTS. However, there are no clear and structured guidelines. This review classified the existing treatments and developed an algorithm to help physicians to choose the best option for their patients. Treatment options were summarized in three sections: non-surgical management of CTS, post-operative management of CTS, and practical open carpal tunnel release post-op protocol. The physicians can prescribe multiple treatment options to CTS patients. Corticosteroid in oral or injectable form has strong evidence in pain control and functional improvement in the short term. Shockwave therapy and nocturnal wrist splints display moderate therapeutic effects. Post carpal tunnel release rehabilitation can be started a few days after the operation.

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Section: Physiotherapy and Exercise Therapymentioning

confidence: 99%

“…Investigators reported improvement in pinch strength with ultrasound, laser, and exercise therapy. (89).…”

Section: Physiotherapy and Exercise Therapymentioning

confidence: 99%

Non-Surgical Management and Post-Surgical Rehabilitation of Carpal Tunnel Syndrome: An Algorithmic Approach and Practical Guideline

et al. 2020

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“…Dari 8 artikel, terdapat 5 artikel yang menjelaskan dosis latihan yang diberikan kepada kelompok intervensi. Dalam penelitian yang dilakukan oleh Atya & Mansour (2011), Sawan et al (2013), Incebiyik et al (2015), Kamel et al (2017), dan Abdolrazaghi et al (2021, penerapan nerve dan tendon gliding exercise dapat diberikan dengan frekuensi 3-5 kali perhari/perminggu dengan 10 kali pengulangan setiap sesi dan tahan selama 5-7 detik di setiap posisinya. Dari keseluruhan artikel menyatakan kondisi yang cocok untuk diberikan nerve dan tendon gliding exercise adalah CTS ringan, sedang, dan pasca operasi pada pergelangan tangan, dengan keluhan mati rasa, kesemutan, nyeri dan kelemahan otot pada tangan.…”

Section: Hasil Penelitianunclassified

Pemberian Nerve dan Tendon Gliding Exercise efektif terhadap penurunan keluhan pada Pasien Carpal Tunnel Syndrome (CTS): A critical review

Nasrullah,

Pristianto,

Zam Zami

et al. 2023

J. Phys. Ther.

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Latar Belakang: Tangan jika digunakan secara berlebihan dan berlangsung lama dapat mengakibatkan terjadinya keluhan. Salah satu kondisi yang bisa terjadi adalah CARPAL TUNNEL SYNDROME Â (CTS). CTS merupakan kumpulan indikasi serta ciri penyakit yang diakibatkan oleh terjepitnya saraf median di terowongan karpal pada pergelangan tangan. CTS ini ditandai dengan indikasi mati rasa, nyeri, serta kelemahan pada tangan akibat penekanan pada saraf medianus. Salah satu modalitas yang bisa diberikan pada pasien dengan CTS adalah nerve dan tendon gliding exercise. Tujuan: Untuk mengetahui tingkat efektivitas penggunaan nerve dan tendon gliding exercise dalam menurunkan keluhan bagi pasien CTS. Metode: Melakukan critical review pada delapan artikel Randomized Controlled Trial (RCT) terpilih, dengan ketentuan artikel Quartile 1 sampai 3. Hasil: Nerve dan tendon gliding exercise cocok digunakan pada kondisi CTS ringan, sedang dan pasca operasi. Kesimpulan: Berdasarkan hasil studi critical review terhadap delapan artikel terpilih, pemberian nerve dan tendon gliding exercise efektif dalam menurunkan keluhan seperti nyeri, meningkatkan kekuatan otot dan meningkatkan aktivitas fungsional pada pasien CTS.

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Rehabilitation following carpal tunnel release

Peters

Page

Coppieters

et al. 2016

Cochrane Database of Systematic Reviews

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There is limited and, in general, low quality evidence for the benefit of the reviewed interventions. People who have undergone CTS surgery should be informed about the limited evidence of effectiveness of postoperative rehabilitation interventions. Until researchers provide results of more high-quality trials that assess the effectiveness and safety of various rehabilitation treatments, the decision to provide rehabilitation following CTS surgery should be based on the clinician's expertise, the patient's preferences and the context of the rehabilitation environment. It is important for researchers to identify patients who respond to a particular treatment and those who do not, and to undertake high-quality studies that evaluate the severity of iatrogenic symptoms from surgery, measure function and return-to-work rates, and control for confounding variables.

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Effect of different physical therapy modalities on post-operative recovery following transverse carpal ligament release: A randomized controlled trial

Cited by 9 publications

References 18 publications

Non-Surgical Management and Post-Surgical Rehabilitation of Carpal Tunnel Syndrome: An Algorithmic Approach and Practical Guideline

Non-Surgical Management and Post-Surgical Rehabilitation of Carpal Tunnel Syndrome: An Algorithmic Approach and Practical Guideline

Pemberian Nerve dan Tendon Gliding Exercise efektif terhadap penurunan keluhan pada Pasien Carpal Tunnel Syndrome (CTS): A critical review

Rehabilitation following carpal tunnel release

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