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

被引:34
作者
Jimenez-del-Barrio, Sandra [1 ]
Cadellans-Arroniz, Aida [2 ]
Ceballos-Laita, Luis [1 ]
Estebanez-de-Miguel, Elena [3 ]
Lopez-de-Celis, Carles [2 ,4 ]
Bueno-Gracia, Elena [2 ,3 ]
Perez-Bellmunt, Albert [2 ]
机构
[1] Univ Valladolid, Fac Hlth Sci, Dept Surg Ophthalmol Otorhinolaryngol & Physiothe, Clin Res Hlth Sci Group, Calle Univ S-N, Soria 42002, Spain
[2] Univ Int Catalunya, Fac Med & Hlth Sci, Physiotherapy Dept, Barcelona 08195, Spain
[3] Univ Zaragoza, Dept Physiatrist & Nursery, Fac Hlth Sci, Calle Domingo Miral S-N, Zaragoza 50009, Spain
[4] Jordi Gol I Gurina Univ Inst Res Primary Hlth Car, Barcelona, Spain
关键词
Carpal tunnel syndrome; Manual therapy; Median nerve; Neuropathies; Meta-analysis; CONSERVATIVE TREATMENT; GLIDING EXERCISES; LASER THERAPY; MOBILIZATION; EFFICACY; LIGAMENT; PLACEBO; TENDON;
D O I
10.1007/s00264-021-05272-2
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
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.
引用
收藏
页码:301 / 312
页数:12
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