Effectiveness of hand therapy interventions in primary management of carpal tunnel syndrome: a systematic review

Muller, M.; Tsui, Deborah; Schnurr, Ronda; Biddulph-Deisroth, Lori; Hard, Julie; MacDermid, Joy C.

doi:10.1197/j.jht.2004.02.009

Cited by 143 publications

(111 citation statements)

References 68 publications

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“…KT have several benefits relying upon the amount of stretch applied to the tape during application through providing a positional stimulus through the skin, appropriate arrangement to fascial tissues, creating more space by lifting fascia and soft tissue above area of pain/ inflammation, providing sensory stimulation, assisting or constraining movementand to aid in the removal of edema through directing exudates toward a lymph channel [24].It is theorized to have several functions as reestablishing correct muscle function, diminishing congestion by enhancingthe blood flow and lymphatic fluid, decreasing pain by stimulating neurological system, adjusting misaligned joints and provides immediate sensorimotor feedback regarding functional abilities [25]. It was suggested that pain relief by means of KT use due to pain modulation via the gate control theory [26] because in light of the fact, it has been suggested that that tape stimulates neuromuscular pathways by increasing afferent feedback all through increase mechanical receptors release to spinal cord so block pain [27].…”

Section: Discussionmentioning

confidence: 99%

Comparison of Kinesiotaping Versus Low Level Laser Therapy for Carpal Tunnel Syndrome in Postmastectomy Lymphedema for Postmenopausal Women

Nagib¹,

Karkousha²,

Aly³

2017

IJPR

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Background: Lymphedema is the most common complication of lymph node dissection for cancer treatment.Purpose of the study: was to compare the effect of kinesiotaping versus low level laser therapy intervention in treating carpal tunnel syndrome in postmastectomy lymphedema for postmenopausal women.Methods: Thirty females were recruited from the surgical department at National Cancer Institute, Cairo, Egypt, their mean ages 55.55± 2.350 years. They were randomized into two equal groups; both groups were received complex physiotherapy in addition to intermittent pneumatic compression at 50 mmHg as part of a congestive drainage treatment protocol three times per week for three months for lymphedema, also they were received strengthening and stretching exercises for wrist muscles and ligaments three times per week while group (A) received kinesio tape application for carpal tunnel syndrome and group (B) low level laser therapy, each patient received 24 treatment sessions at a rate of two sessions/week. Measurements were conducted before starting the treatment as a first record and at the end of treatment after three months as a second record for limb size, grip strength and Boston Questionnaire for carpal tunnel syndrome.Results: Finding showed that there was significant differences pre and post treatment in both groups for limb size, grip strength and Boston Questionnaire scores while also there was no significant difference between both groups post treatment.Conclusion: Both kinesiotaping and Low Level Laser Therapy are effective in treating carpal tunnel syndrome in postmastectomy lymphedema for postmenopausal women.

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Section: Discussionmentioning

confidence: 99%

Comparison of Kinesiotaping Versus Low Level Laser Therapy for Carpal Tunnel Syndrome in Postmastectomy Lymphedema for Postmenopausal Women

Nagib¹,

Karkousha²,

Aly³

2017

IJPR

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“…This tool has been used in a number of systematic reviews involving rehabilitation and has shown high reliability. 19,25,33,46 Many critical appraisal tools have few items, like the Jadad scale, and may lack relevance to interventions in which the provider is involved in rehabilitation. In addition, the evaluation criteria are explicit and clear.…”

Section: Methodological Quality Evaluationmentioning

confidence: 99%

The Effect of Therapeutic Exercise and Mobilization on Patients With Shoulder Dysfunction: A Systematic Review With Meta-analysis

Brudvig¹,

Kulkarni²,

Shah³

2011

J Orthop Sports Phys Ther

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Shoulder dysfunction is the second most common musculoskeletal problem seen in physical therapy 42 and affects approximately 16% to 21% of the population. 22,43 It is a leading cause of sick days among young adults, 21 and its prevalence in persons 65 years and older is 34%. 24 The direct cost for the treatment of shoulder dysfunction in the United States exceeds $7 billion annually. 30 There are numerous underlying musculoskeletal causes of shoulder dysfunction. These include tendinopathy, bursitis, rotator cuff tear, adhesive capsulitis, avascular necrosis, shoulder impingement syndrome, glenohumeral osteoarthritis, and trauma from injury. Shoulder dysfunction results in a variety of impairments such as pain, stiffness, weakness, postural deviations, and altered glenohumeral rhythm. These impairments, in turn, lead to limitation of activities of daily living such as reaching, lifting, overhead movements, carrying, pushing, pulling, grooming, and sleep.Common approaches to treating individuals with shoulder dysfunction are corticosteroid injections, nonsteroidal anti-inflammatory drugs, manipulation under general anesthesia, arthroscopic surgery, and physical therapy intervention, including therapeutic exercises, manual therapy, and various modalities. Prior studies have shown that medical and surgical interventions are not superior to physical therapy interventions for patients with shoulder dysfunction. 11,15,42 Therapeutic exercise is defined as "the systematic performance or execution of T T STUDY DESIGN: Systematic review with metaanalysis. T T OBJECTIVE:To pool and summarize the published research evidence examining if the combination of therapeutic exercise and joint mobilization is more beneficial than therapeutic exercise alone in patients with shoulder dysfunction. T T BACKGROUND:Therapeutic exercise is an effective intervention for patients with shoulder dysfunction, which is often supplemented by joint mobilization techniques. Numerous studies have examined the effects of the combination of therapeutic exercise and joint mobilization on patients with shoulder dysfunction. T T METHODS:Six databases were searched for randomized controlled trials. All the randomized controlled trials published in English that have studied the effectiveness of therapeutic exercise and joint mobilization on adults with either clinically or radiographically confirmed shoulder dysfunction resulting in pain, restriction of range of motion (ROM), and/or limitation in function, were included in this review. Effect size was calculated in the form of standardized mean difference and 95% confidence interval (CI) for each variable, then combined to represent weighted standardized mean differences (WSMDs) and 95% CIs. T T RESULTS:Seven studies that met the inclusion criteria were identified, with a total of 290 participants. The WSMDs and CIs, which combined the results of all the studies for a particular variable, revealed equivocal results for all variables. The resulting WSMD (95% CI) for each of the variables was 0.2 (-0.68, 1...

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“…14 Chiropractic treatment, one of several conservative treatments available for hand-wrist pain, has been studied in detail in a younger population and found to offer some benefit, especially to people who react to treatment involving NSAIDs. 15,16,17,18 The chiropractic treatment paradigm views diseases as having their origins in pathomechanical or pathophysi-…”

Section: Introductionmentioning

confidence: 99%

Chiropractic treatment of hand and wrist pain in older people: systematic protocol development. Part 1: informant interviews

Hulbert

Printon

Osterbauer

et al. 2005

Journal of Chiropractic Medicine

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Effectiveness of hand therapy interventions in primary management of carpal tunnel syndrome: a systematic review

Cited by 143 publications

References 68 publications

Comparison of Kinesiotaping Versus Low Level Laser Therapy for Carpal Tunnel Syndrome in Postmastectomy Lymphedema for Postmenopausal Women

Comparison of Kinesiotaping Versus Low Level Laser Therapy for Carpal Tunnel Syndrome in Postmastectomy Lymphedema for Postmenopausal Women

The Effect of Therapeutic Exercise and Mobilization on Patients With Shoulder Dysfunction: A Systematic Review With Meta-analysis

Chiropractic treatment of hand and wrist pain in older people: systematic protocol development. Part 1: informant interviews

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