Medical Rehabilitation Management of Carpal Tunnel Syndrome

Subadi, Imam; Hidayati, Hanik Badriyah; Fidiana, Fidiana; Sulastri, Nur

doi:10.21776/ub.jphv.2021.002.02.3

Cited by 3 publications

(2 citation statements)

References 27 publications

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“…The incidence of NSPS can be found in 1 out of every 6 patients with vascular lesions in the thalamus. Hyperexcitability of damaged thalamus or cortex neurons is considered to be one of the pathophysiological mechanisms underlying NSPS (3,4).…”

Section: Introductionmentioning

confidence: 99%

Effect of Mirror Therapy Through Functional Activities to Improve Movement as Central Post-Stroke Pain Treatment: A Case Report

Suaib¹,

Kurniawan²

2022

JPHV

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Background: Stroke patients generally have disorders related to decreased functionality, motor disturbances being the most common. One symptom of stroke is sudden weakness of one side of the body on the face, arms and legs. Central post-stroke pain is a condition of central neuropathic pain arising directly from lesions of the cerebrovascular central somatosensory nervous system. Mirror therapy is a non-pharmacological therapy in the form of imaging of the limbs, where a mirror medium is used to convey visual stimulation to the brain through observing body parts of patients who are not disabled while doing a series of movements. Mirror therapy helps in reducing disability in the limbs of stroke patients and as a treatment. for post-stroke central pain, thereby helping to improve functional limbs and shorten the rehabilitation period. Summary of case: A 54-year-old man with painful spastic left hand has been diagnosed with infarct stroke in the right thalamus 2 years ago. Mirror therapy has been done for two weeks, precisely six days per week with a duration about 30 minutes. Mirror therapy is done by using a mirror media that is placed on both arms and hands of the patient symmetrically and the patient observes the reflection of a healthy limb through flexion, extension, finger counts, and grasping objects. Visual Analogue Scale (VAS Score) is used to measure the level of pain before and after mirror therapy. After one month of mirror therapy the patient experienced an increase in motor function and decrease in pain scale. Conclusion: Mirror therapy is a promising non-pharmacological method in reducing disability and central pain after stroke.

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Section: Introductionmentioning

confidence: 99%

Effect of Mirror Therapy Through Functional Activities to Improve Movement as Central Post-Stroke Pain Treatment: A Case Report

Suaib¹,

Kurniawan²

2022

JPHV

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“…Studi telah menunjukkan hasil yang beragam, dan pertimbangan harus dilakukan untuk memahami apakah operasi CTS bermanfaat pada pasien usia lanjut (Subadi et al, 2021).…”

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Edukasi Latihan Fisioterapi Komunitas Dalam Mengurangi Carpal Tunnel Syndrome Pada Posyandu Anak Dan Lansia Di RW 3 Rampal Celaket

Syarif Hidayatullah,

Simon Panyonga,

Qonita Nabila

et al. 2023

ASPIRASI

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As older people age, their muscle strength typically declines, including the weakening of the thenar muscles over time which can lead to a blockage of the median nerve often known as carpal tunnel syndrome. This blockage causes pain that can radiate from the shoulder to the fingertips. This counseling is designed to provide older adults with knowledge and training on hand pain, including its symptoms and triggering factors. The counseling method uses presentations to explain information to the elderly with the aim of health promotion. In addition, there was a question and answer session and education on exercises that can be done at home. The counseling process went smoothly, the elderly could follow and understand the exercises taught to be done at home. This counseling has the potential to reduce pain in the elderly after they do the exercises at home. Counseling activities at the Children and Elderly Posyandu Rw.3 Rampal Celaket, Klojen District, Malang City helped increase the understanding of the elderly about pain in the hands caused by median nerve blockage.

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Effect of low level laser therapy versus pulsed ultrasound on postpartum carpal tunnel syndrome

Abd Elmonem,

Botla,

Abd Elrahman

et al. 2024

Fiz Pol

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Background. Carpal tunnel syndrome (CTS) is a major health issue that can impede postpartum women's activities and skills in both their personal and professional lives. Purpose. To compare the effectiveness of low-level laser therapy (LLLT) and pulsed ultrasound (US) in relieving postpartum CTS. Methods. Forty-eight women with mild to moderate CTS were divided into three groups. In addition to wrist exercises, Group (A) (n = 16) received LLLT, Group (B) (n = 16) received pulsed US, and Group (C) (n = 16) performed wrist exercises alone. For all groups, the treatment sessions were applied to the affected hand, 3 sessions weekly for four weeks. All postpartum women were evaluated pre- and post-treatment via a visual analogue scale (VAS) for pain intensity, the Boston Questionnaire of CTS (BCTS) for diagnosing CTS symptoms, electromyography for measuring motor conduction velocity (MCV), sensory conduction velocity (SCV), motor distal latency (MDL), and sensory peak latency (SPL), and a hand grip dynamometer for assessing hand grip strength. Results. All measured variables were significantly improved in the three groups post-treatment compared to pre-treatment. Between-groups comparison showed a highly significant decrease in the VAS, BCTS, and SPL and a significant increase of SCV and hand grip strength between groups A and C in favor of group A and between groups B and C in favor of group B, while the significant change in MDL and MCV was found between groups A and C only in favor of group A (p < 0.05), with no significant change in all outcome measures between groups A and B (P > 0.05). Conclusion. Either LLLT or pulsed US are useful modalities that can be used as an effective conservative therapy for alleviating postpartum CTS.

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Medical Rehabilitation Management of Carpal Tunnel Syndrome

Cited by 3 publications

References 27 publications

Effect of Mirror Therapy Through Functional Activities to Improve Movement as Central Post-Stroke Pain Treatment: A Case Report

Effect of Mirror Therapy Through Functional Activities to Improve Movement as Central Post-Stroke Pain Treatment: A Case Report

Edukasi Latihan Fisioterapi Komunitas Dalam Mengurangi Carpal Tunnel Syndrome Pada Posyandu Anak Dan Lansia Di RW 3 Rampal Celaket

Effect of low level laser therapy versus pulsed ultrasound on postpartum carpal tunnel syndrome

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