A relief maneuver in carpal tunnel syndrome

Manente, G.; Torrieri, Filomena; Pineto, Filippo; Uncini, Antonino

doi:10.1002/(sici)1097-4598(199911)22:11<1587::aid-mus15>3.0.co;2-m

Cited by 16 publications

(3 citation statements)

References 8 publications

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“…In the same systematic review, two studies evaluated the efficacy and significant benefit of manual therapy on patients with CTS (13,19). In Tal Akabi et al (13), trial effects of two manual therapy techniques, CBM and median nerve mobilization, were investigated in patients with CTS.…”

Section: Discussionmentioning

confidence: 99%

“…However, no statistically significant difference was observed in the effectiveness of two interventions. Manente et al (19) suggested a similar opinion and added that therapeutic effectiveness is related to specific manipulation techniques. This present study comprised 20 patients in each group, and it demonstrated the functional and strength ameliorating effects of CBM in addition to the literature.…”

Section: Discussionmentioning

confidence: 99%

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

Gunay¹,

Alp²

2014

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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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

Gunay¹,

Alp²

2014

Turk J Phys Med Rehab

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“…The prevalence of CTS is 9.2% in women and 0.6% in men [2]. The severity of CTS ranges from mild to severe; in mild CTS, focal disturbance to myelin is the dominant factor and indeed paranodal demyelination has been documented [3].…”

Section: Introductionmentioning

confidence: 99%

Electrophysiological assessment of hand elevation test in the diagnosis of carpal tunnel syndrome

Younes

Elattar

2013

Egypt Rheumatol Rehabil

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An innovative hand brace for carpal tunnel syndrome: A randomized controlled trial

et al. 2001

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We developed a hand brace and studied its efficacy and tolerability in patients with carpal tunnel syndrome (CTS). We randomized 83 subjects into a treated group, which wore the hand brace at night for 4 weeks, and a control group, which received no treatment. The primary efficacy measure was change in the Boston Carpal Tunnel Questionnaire (BCTQ) score. Secondary measures were Subjects' Global Impression of Change Questionnaire (SGICQ), median distal motor latency, sensory conduction velocity and amplitude, and neurophysiological class of severity. The treated group showed a reduction in BCTQ symptomatic score (from 2.75 to 1.54 at 4 weeks; P < 0.001) and functional score (from 1.89 to 1.48; P < 0.001). There were no significant changes in the control subjects. SGICQ documented improvement in all treated subjects (P = 0.006). No significant difference was found in electrophysiological measurements, but overall neurophysiological classification shifted to less severe classes in the treated group (P < 0.05). Thus, the study demonstrates that this hand brace is highly efficient in relieving symptoms and functional loss in CTS.

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A relief maneuver in carpal tunnel syndrome

Cited by 16 publications

References 8 publications

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

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

Electrophysiological assessment of hand elevation test in the diagnosis of carpal tunnel syndrome

An innovative hand brace for carpal tunnel syndrome: A randomized controlled trial

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