Effectiveness of Tendon and Nerve Gliding Exercises in the Treatment of Patients With Mild Idiopathic Carpal Tunnel Syndrome: A Randomized Controlled Trial

被引:7
作者
Abdolrazaghi, Hossein Ali [1 ]
Khansari, Mahmoud [1 ]
Mirshahi, Maryam [1 ,3 ]
Ahmadi Pishkuhi, Mahin [2 ]
机构
[1] Univ Tehran Med Sci, Sina Hosp, Dept Hand & Reconstruct Surg, Tehran, Iran
[2] Iran Univ Med Sci, Pars Hosp, Pars Adv & Minimally Invas Med Manners Res Ctr, Tehran, Iran
[3] Univ Tehran Med Sci, Sina Hosp, Imam Khomeini Ave,Hassan Abad Sq, Tehran 1136746911, Iran
来源
HAND-AMERICAN ASSOCIATION FOR HAND SURGERY | 2023年 / 18卷 / 02期
关键词
carpal tunnel syndrome; nerve gliding exercises; tendon gliding exercises; wrist splint; conservative treatment; MEDIAN NERVE; MANAGEMENT;
D O I
10.1177/15589447211006857
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
BackgroundThere is limited evidence regarding the efficacy of different treatment options in patients with carpal tunnel syndrome (CTS). This study aimed at assessing the effectiveness of nerve and tendon gliding exercises in the treatment of patients with mild CTS.MethodsThe current prospective, randomized trial with pretest-posttest design was conducted on 80 patients with mild CTS randomly assigned to 2 groups. The treatment group was instructed to perform gliding exercises in addition to the wrist splint use. The control group only used the wrist splint. All the patients were instructed to use the splint at night and during the day if required. Patients were evaluated in terms of clinical parameters (ie, grip and pinch strength). The severity of symptoms and functional status was also determined using the Boston Carpal Tunnel Syndrome Questionnaire. The subjects were followed up for 6 weeks.ResultsThere were no significant differences in all parameters between groups. The pretest-posttest analysis showed a statistically significant improvement in subjective and objective parameters in the treatment group. However, in the control group, only a significant improvement was observed in grip strength. Wrist splint use led to a significant change in the severity of symptoms only over the second week.ConclusionsBoth gliding exercise and wrist splint groups showed some improvement in the severity of symptoms and functional status scores. However, the gliding exercises did not offer additional benefit compared with wrist splint alone.
引用
收藏
页码:222 / 229
页数:8
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