Tratamiento conservador en pacientes con síndrome del túnel carpiano con intensidad leve o moderada. Revisión sistemática

Jiménez‐del‐Barrio, Sandra; Bueno-Gracía, Elena; Hidalgo-García, César; Miguel, Elena Estébanez de; Moreno, José Miguel Tricás; Marco, S. Rodríguez; Ceballos‐Laita, Luis

doi:10.1016/j.nrl.2016.05.018

Cited by 37 publications

(21 citation statements)

References 38 publications

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“…However, severe symptoms could be present without electrophysiological abnormalities. In a systematic review [13], the effectiveness of the conservative treatment in patients with mild and/or moderate CTS was showed. The use of manual therapy, electrotherapy and pharmacological treatments (the most common techniques nowadays) was described, but no conclusion was given as to which of them was more effective.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Conservative Treatment According to Severity and Systemic Disease in Carpal Tunnel Syndrome: A Systematic Review

Hernández-Secorún

Montaña-Cortés

Hidalgo-García

et al. 2021

IJERPH

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(1) Background: Carpal tunnel syndrome (CTS) is the most common peripheral neuropathy in the upper extremity. Conservative treatment has been effective for mild and moderate idiopathic CTS. However, severe CTS and systemic conditions were an exclusion criterion from the studies. The aim of this study is to review the effectiveness of conservative treatment in patients with CTS regardless of the level of severity and the presence or not of systemic diseases in the last ten years. (2) Methods: Randomized controlled clinical trials that compared the effect of conservative treatment on the Boston questionnaire and pain were selected. PubMed, PEDro, Scopus, Cochrane, and Web of Science databases were used. PRISMA statement checklist was performed. (3) Results: 876 studies were recorded, 29 were selected. Pharmacology, Electrotherapy and Manual Therapy had benefits for CTS. Electrotherapy and manual therapy could be effective for severe CTS patients with a systemic condition in the short term, but there was a low percentage of these patients included in the studies. (4) Conclusion: Some pharmacological treatments, manual therapy and electrotherapy have shown benefits for handling CTS, although the most effective combination of techniques is unknown. It would be necessary to include patients with systemic conditions in the selection criteria for future studies.

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Section: Introductionmentioning

confidence: 99%

Effectiveness of Conservative Treatment According to Severity and Systemic Disease in Carpal Tunnel Syndrome: A Systematic Review

Hernández-Secorún

Montaña-Cortés

Hidalgo-García

et al. 2021

IJERPH

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“…Various systematic revisions have indicated that manual therapy is beneficial in improving function and symptoms in patients with peripheral neuropathies [15][16][17]. In a study with rats, Zhu et al [4] observed the impact of these oscillations on diabetic neuropathy using mobilisations of the sciatic nerve.…”

Section: Introductionmentioning

confidence: 99%

Exercise and Manual Therapy for Diabetic Peripheral Neuropathy: A Systematic Review

et al. 2021

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(1) Background: Diabetic peripheral neuropathy (DPN) is one of the most common complications of diabetes mellitus (DM). Control of hyperglycaemia as well as surgical decompression are effective treatments for these patients. However, surgery is not indicated for all candidates. Manual therapy and physical exercise have been shown to be effective for peripheral neuropathies, and exercise for DM. The aim is to review the effectiveness of manual therapy and/or exercise in patients with DPN. (2) Methods: Randomised controlled clinical trials comparing the effects of manual therapy and/or exercise on pain, function and/or balance were selected. The search strategy was performed in PubMed, PEDro, Scopus, Cochrane and Web of Science databases. The PRISMA statement was followed. (3) Results: A total of 656 articles were registered, and 29 were selected. There was little consensus on DPN criteria selection. Aerobic, strength and balance exercises are beneficial for DPN. Sessions of 30–60 min, three times per week for 8 weeks seems to be the most used dose. Manual therapy is effective in the short term. A combination of both modalities was more beneficial than alone in one study. (4) Conclusions: Exercise and manual therapy are beneficial for patients with DPN. More studies should be carried out for analysing the potential effect of combining manual therapy and exercise.

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Section: Introductionmentioning

confidence: 99%

“…Entrapment neuropathies are of various types, but the most common type is CTS. Clinical symptoms include pain, numbness and weakness in the hands and ankles [1,2]. Mechanisms involved in the pathophysiology of entrapment neuropathies include mechanical compression and nerve ischemia [3].…”

Section: Introductionmentioning

confidence: 99%

“…Almost half of work-related injuries involve CTS, the results of which cause interruption to work. Conservative methods should be applied in mild to moderate cases, while surgery is recommended for severe cases [1,2]. Kinesiotaping (KT) is an elastic bandage that lifts up the skin, relieving compression to increase blood and lymphatic flow and reduce pain in the muscle and joint injuries [4].…”

Section: Introductionmentioning

confidence: 99%

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Kinesiotaping in the management of carpal tunnel syndrome

Koca

2020

Ortadogu Tıp Derg

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Aim: Kinesiotaping (KT) is a non-invasive method used for the treatment of pain and muscle dysfunction. In this study we assess the effect of KT on carpal tunnel syndrome (CTS). Material and Method: A total of 56 patients diagnosed with CTS were randomly selected and KT applicated two times for a period of three days. Results were evaluated before and after the application using the Boston carpal tunnel questionnaire, the visual analog scale (VAS) and the Duruöz hand index. Results: The mean age of the patients included in the study was 42.9±11.7 years, with 41 being female (73.2%) and 15 male (26.8%). A majority of the KT applications (83.2%) were done on the right hand of the patients, 8.9% were on the left hand, and 1.8% were bilateral. There was a statistical difference, according to Paired-samples t test of VAS, Boston carpal tunnel questionnaire and Duruöz hand index. (p = 0.00/p=0.000/p= 0.011). Moreover, in terms of gender, the Boston function severity score (FSS) after application was statistically higher in the female participants compared to the male participants (p = 0.047). Conclusion: Following the application of KT, pain intensity was reduced, hand function and daily activities were improved for the patients with CTS. Greater improvement was observed after the application with KT in the male patients compared to the female patients.

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Tratamiento conservador en pacientes con síndrome del túnel carpiano con intensidad leve o moderada. Revisión sistemática

Cited by 37 publications

References 38 publications

Effectiveness of Conservative Treatment According to Severity and Systemic Disease in Carpal Tunnel Syndrome: A Systematic Review

Effectiveness of Conservative Treatment According to Severity and Systemic Disease in Carpal Tunnel Syndrome: A Systematic Review

Exercise and Manual Therapy for Diabetic Peripheral Neuropathy: A Systematic Review

Kinesiotaping in the management of carpal tunnel syndrome

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