Treatment of Carpal Tunnel Syndrome with Nerve and Tendon Gliding Exercises

Akalin, Elif; El, Özlem; Peker, Özlen; Şenocak, Özlem; Tamci, Şebnem; Gülbahar, Selmin; Çakmur, Raif; Öncel, Semih

doi:10.1097/00002060-200202000-00006

Cited by 172 publications

(158 citation statements)

References 24 publications

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“…Last, a small randomised study did not evidence any significant difference between the association between nerve and tendon gliding exercises (aimed at restoring the maximum excursion of the median nerve and of the carpal tunnel tendons) and the use of wrist splints as compared to splinting alone in terms of symptoms or function improvement after 8 weeks from the end of treatment [34].…”

Section: Hand and Wrist Splintingmentioning

confidence: 93%

Diagnosis, treatment and follow-up of the carpal tunnel syndrome: a review

et al. 2010

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The carpal tunnel syndrome is a compressive neuropathy with high incidence rates, and its correct diagnosis, treatment and follow-up may lead to significant benefits in healthcare, social and economic terms. In this review, based on systematic review databases and guidelines, we summarise the appropriate indications for the diagnosis, treatment and follow-up, accompanied, whenever possible, by the levels of evidence and strength of recommendations.

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Section: Hand and Wrist Splintingmentioning

confidence: 93%

Diagnosis, treatment and follow-up of the carpal tunnel syndrome: a review

et al. 2010

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“…One review showed good results for splinting, ultrasound, nerve gliding exercises, carpal bone mobilization, magnetic therapy, and yoga for people with carpal tunnel syndrome (8). Combined therapy may be more effective than the use of any single modality (8)(9)(10). However, a recent guideline produced by the American Academy of Orthopedic Surgeons assigned lower grades of evidence to most of these treatments (11).…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Carpal Bone Mobilization Accompanied by Night Splinting in Idiopathic Carpal Tunnel Syndrome

Gunay¹,

Alp²

2015

Turk J Phys Med Rehab

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Objective: The aim of this study was to investigate the effectiveness of carpal bone mobilization (CBM) and night splinting and to compare it with night splinting as a control group in the treatment of Carpal Tunnel Syndrome (CTS). Methods: In the single-blind (assessor) prospective randomised controlled trial, a total of 40 patients with mild to moderate CTS were diagnosed by electroneuromyography (ENMG). In Group 1 (n=20), patients received CBM three times a week, total of 10 times, and used neutral volar wrist splint at night for 3 weeks. Patients in Group 2 (n=20) used only neutral volar wrist splint at night for 3 weeks. All of the patients were assessed at baseline and at the 3 rd month with respect to pain intensity using a numerical rating scale (0-10), handgrip and pinchgrip strength, functional status and symptom severity using the Boston Carpal Tunnel Questionnarie (BCTQ), and ENMG measurements. Results: There were improvements in all of the clinical variables, distal sensory latancy, and sensory nerve action potentials of the median nerve in Group 1. In Group 2, there was improvement in only BCTQ symptom severity and night/day pain intensity at the 3 rd month. Improvement in pinchgrip strength and BCTQ functional status were superior in Group 1 when compared to Group 2 at the 3 rd month. Conclusion: Both of the treatment modalities may be recommended for symptomatic relief. However, CBM combined with splinting may be a better choice for functional and strength amelioration as a non-invasive alternative treatment modality in CTS.

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“…In fact, several authors have stated that the exercises utilized were chosen solely on those used in previous studies. 1,3,4,32,41 The use and description of neural mo-T T STUDY DESIGN: Controlled laboratory study using a single-group, within-subjects comparison.…”

mentioning

confidence: 99%