The Utilization of Joint Mobilization As Part of a Comprehensive Program to Manage Carpal Tunnel Syndrome: A Systematic Review

Sault, Josiah D.; Jayaseelan, Dhinakar J.; Mischke, John J; Post, Andrew A.

doi:10.1016/j.jmpt.2020.02.001

Cited by 5 publications

(2 citation statements)

References 66 publications

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“…The results of this meta-analysis are consistent with the previous systematic reviews that showed positive effects after manual therapy treatment on symptoms and function in patients with CTS [21,29,[31][32][33]. In these reviews, the intervention included all conservative treatments, whereas in this meta-analysis, the effect of manual therapy interventions in isolation was analyzed.…”

Section: Discussionsupporting

confidence: 86%

The effectiveness of manual therapy on pain, physical function, and nerve conduction studies in carpal tunnel syndrome patients: a systematic review and meta-analysis

Jiménez‐del‐Barrio

Cadellans-Arróniz

Ceballos‐Laita

et al. 2021

International Orthopaedics (SICOT)

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Aim of the study Systematic review and meta-analysis to assess the effectiveness of manual therapy in improving carpal tunnel syndrome (CTS) symptoms, physical function, and nerve conduction studies. Method MEDLINE, Web of Science, SCOPUS, Cochrane Library, TRIP database, and PEDro databases were searched from the inception to September 2021. PICO search strategy was used to identify randomized controlled trials applying manual therapy on patients with CTS. Eligible studies and data extraction were conducted independently by two reviewers. Methodology quality and risk of bias were assessed by PEDro scale. Outcomes assessed were pain intensity, physical function, and nerve conduction studies. Results Eighty-one potential studies were identified and six studies involving 401 patients were finally included. Pain intensity immediately after treatment showed a pooled standard mean difference (SMD) of − 2.13 with 95% confidence interval (CI) (− 2.39, − 1.86). Physical function with Boston Carpal Tunnel Syndrome Questionnaire (BCTS-Q) showed a pooled SMD of − 1.67 with 95% CI (− 1.92, − 1.43) on symptoms severity, and a SMD of − 0.89 with 95% CI (− 1.08, − 0.70) on functional status. Nerve conduction studies showed a SMD of − 0.19 with 95% CI (− 0.40, − 0.02) on motor conduction and a SMD of − 1.15 with 95% CI (− 1.36, − 0.93) on sensory conduction. Conclusions This study highlights the effectiveness of manual therapy techniques based on soft tissue and neurodynamic mobilizations, in isolation, on pain, physical function, and nerve conduction studies in patients with CTS.

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Section: Discussionsupporting

confidence: 86%

The effectiveness of manual therapy on pain, physical function, and nerve conduction studies in carpal tunnel syndrome patients: a systematic review and meta-analysis

Jiménez‐del‐Barrio

Cadellans-Arróniz

Ceballos‐Laita

et al. 2021

International Orthopaedics (SICOT)

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show abstract

“…Manual therapy can im- prove the local range of motion and mechanosensitivity, reduce spinal cord hyperexcitability, and facilitate modu- lation of the central nervous system pain processing [ 82 ]. In various studies, groups that integrated joint mobili- zation performed better than the control group in pain reduction, subjective symptoms, and functional status [ 83 , 84 ] but no difference was found in 2-point discrimi- nation [ 85 ]. Cadaveric studies discovered that neuro- dynamic techniques are effective on fluid dispersion in the median nerve at the level of the carpal tunnel, with no difference between sliding and tensioning [ 86 ].…”

Section: Conservative Treatmentmentioning

confidence: 99%

Carpal tunnel syndrome conservative treatment: a literature review

Wielemborek¹,

Kapica-Topczewska²,

Pogorzelski³

et al. 2022

ppn

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Purpose Carpal tunnel syndrome (CTS) is the most common compression neuropathy, which is associated with a significant psy- chosocial and economic burden. In this paper, the literature on the current knowledge about the physiology and pathology of peri- pheral nerves during the course of CTS is reviewed, with a focus on currently used treatment options and the rationale for their use. Epidemiology, risk factors, etiology, clinical features and conservative treatment have been searched for, with all full-text, English language articles being included in the study. This paper aims to present the recent findings on CTS treatment while also suggesting a direction for further clinical trials. Views The search in PubMed and Google Scholar Databases revealed 229 articles of which 71 met the research criteria. The evi- dence regarding standard treatment methods of conservative CTS treatment is presented. CTS is a relatively common condition, which affects women more often than men. It is a multifactorial disease, and its clinical presentation mostly consists of symptoms distal to the entrapment site, including numbness, tingling, weakness and pain. Electrodiagnostic studies are considered to be the gold standard in CTS diagnosis. The conservative treatment methods reviewed are acupuncture, extracorporeal shock wave the- rapy, hydrodissection, kinesiotaping, corticosteroid injection, low level laser therapy, splints, platelet-rich plasma injection, manual therapy, ultrasound and phonophoresis. Conclusions Based on the current body of knowledge, we conclude that the conservative CTS treatment is very safe, but the effec- tiveness of reviewed methods differs. The first promising results presented by various studies motivate the need for further research on novel treatment methods.

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The effectiveness of mobilization with movement on patients with mild and moderate carpal tunnel syndrome: A single-blinded, randomized controlled study

Ceylan¹,

Büyükturan²,

Aykanat³

et al. 2023

Journal of Hand Therapy

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The Utilization of Joint Mobilization As Part of a Comprehensive Program to Manage Carpal Tunnel Syndrome: A Systematic Review

Cited by 5 publications

References 66 publications

The effectiveness of manual therapy on pain, physical function, and nerve conduction studies in carpal tunnel syndrome patients: a systematic review and meta-analysis

The effectiveness of manual therapy on pain, physical function, and nerve conduction studies in carpal tunnel syndrome patients: a systematic review and meta-analysis

Carpal tunnel syndrome conservative treatment: a literature review

The effectiveness of mobilization with movement on patients with mild and moderate carpal tunnel syndrome: A single-blinded, randomized controlled study

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