Efficacy of Manual Therapy Interventions on Symptoms Severity and Functional Status in Patients with Carpal Tunnel Syndrome

Abstract

Carpal Tunnel Syndrome (CTS) represents the most common compressive mono-neuropathy of the upper limbs and leads to significant disability. Aim: This study aimed to evaluate the efficacy of manual therapy interventions on symptoms severity and functional status in patients with CT. Design: A pretest and post-test quasi-experimental research design was used. Setting: This study was conducted in Outpatient Clinic of Neurology, allied to Zagazig University Hospitals. Sample: A Purposive sample of 50 adult patients with diagnosis of mild to moderate CTS. Tools: A Structured Interview Questionnaire for Patients with Carpel Tunnel Syndrome, Boston Carpal Tunnel Questionnaire (BCTQ), and Patient-Rated Wrist Evaluation (PRWE) Questionnaire. Results: There was significant improvement in symptoms severity and functional status post-manual therapy interventions with mean scores 58.18 ± 15.0 & 33.9 ± 10.21 respectively at p-value <0.001. There was a highly statistically significant difference regarding patient-rated wrist evaluation at pre-and post-manual therapy interventions with mean scores 70.17 ± 11.97&30.92 ± 9.13 respectively at p-value < 0.001. Conclusion: According to the study findings, it can be concluded that application of manual therapy interventions for patients with CTS had a statistically significant effect on enlightening symptoms severity, improving functional status, wrist pain, and functional disability in activities of daily living, which supported the proposed hypotheses. Recommendations: c Additional research on larger probability sample is recommended to compare different combinations of manual therapy interventions in management of CTS.

The application of cluster nursing to prevent bacterial pneumonia in stroke patients in neurology department

“…The A2DS2 score considers 5 dimensions: age, gender, atrial fibrillation, swallowing disorders, and National Institute of Health Stroke Scale (NIHSS) score. [12,13] For example, when a patient is ≥ 65 years old, has atrial fibrillation, and is male, it is recorded as 1 point; Swallowing disorder is recorded as 2 points; The NIHSS score of 5 to 15 is recorded as 3 points, and a score of ≥ 16 is recorded as 5 points. The risk of stroke associated pneumonia is directly proportional to the score (0–10 points).…”