OBJECTIVES To review the efficacy and safety of exercise and mobilisation interventions compared with no treatment, a placebo or another non-surgical. Page, M., O’Connor, D. A., Pitt, V. J., & Massy-Westropp, N. (). Exercise and mobilisation interventions for carpal tunnel syndrome (Review). Cochrane. Request PDF on ResearchGate | Exercise and mobilisation interventions for carpal tunnel syndrome (Review) | Background Non-surgical treatment, including .
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However, the effectiveness and duration of benefit from exercises and mobilisation for this condition remain unknown. Sixteen studies randomising participants with CTS were included in the review.
Topics Discussed in This Paper. BakerJoel M.
Ultrasound-guided hydrodissection decreases gliding resistance of the median nerve within the carpal tunnel. Platelet-rich plasma ultrasound-guided injection in the treatment of carpal tunnel syndrome: Effectiveness of Physical Therapy and Electrophysical Modalities.
Another very low-quality trial with 26 participants found that more CTS-affected wrists receiving nerve gliding exercises plus splint plus activity modification had no pathologic utnnel on median and ulnar nerve distal sensory latency assessment at the end of treatment than wrists receiving splint plus activity modification alone RR 1.
Exercise and mobilisation interventions for carpal tunnel syndrome.
Showing of 32 references. Analysing data and undertaking meta-analyses. The risk of bias of the included studies was low in some studies and unclear or high in other studies, with only three explicitly reporting that the allocation sequence was concealed, and four reporting blinding of participants.
Conservative therapeutic management of carpal tunnel syndrome. We collected data on adverse events from included studies. Carpal Tunnel Syndrome Search for additional papers on this topic. To review the efficacy and safety of exercise and mobilisation interventions compared with no treatment, a placebo or another non-surgical intervention in people with CTS. CarlsonMaureen G. Therapeutic ultrasound for carpal tunnel syndrome.
One very low quality trial with 14 participants found that all participants receiving either neurodynamic mobilisation or carpal bone mobilisation and none in the no treatment group reported overall improvement RR However, of these, only three fully reported outcome data sufficient for inclusion in the review.
Exercise and mobilisation interventions for carpal tunnel syndrome. Kerry M DwanDouglas G. A placebo-controlled clinical study. People with CTS who indicate a preference for exercise or mobilisation interventions should be informed of the limited evidence of effectiveness and safety of this intervention by their treatment provider. A Retrospective Analysis of Commercial Insurance. Non-surgical treatment, including exercises and mobilisation, has been offered to people experiencing mild to moderate symptoms arising from carpal tunnel syndrome CTS.
The studies were heterogeneous in terms of the interventions delivered, outcomes measured and timing of outcome assessment, therefore, we were unable to pool results across studies.
Only two studies measured adverse effects, so more data are required before any firm conclusions on the safety of exercise and mobilisation interventions can be made.
Comparison of protocols and registry entries to published reports for randomised controlled trials. Nigel L Ashworth Clinical evidence This paper has been referenced on Twitter 14 times over the past 90 days. Ergonomic positioning or equipment for treating carpal tunnel syndrome. References Publications referenced by this paper.
Exercise and mobilisation interventions for carpal tunnel syndrome. – Semantic Scholar
Until more high quality randomised controlled trials assessing the effectiveness and safety of various exercise and mobilisation interventions compared to other non-surgical interventions are undertaken, the decision to provide this type of non-surgical intervention to intreventions with CTS should be based on the clinician’s expertise in being able to deliver these treatments and patient’s preferences.
However, a unit of analysis error occurred in this trial, as the correlation between wrists in participants with bilateral CTS was not accounted for.
Randomised mobilisatioh quasi-randomised controlled trials comparing exercise or mobilisation interventions with no treatment, placebo or another non-surgical intervention in people with CTS.
Only four studies reported the primary outcome of interest, short-term overall improvement any measure in which patients indicate the intensity of their complaints compared to baseline, for example, global rating of improvement, satisfaction with treatment, within three months post-treatment. Two review authors independently assessed searches and selected trials for inclusion, extracted data and assessed risk of bias of the included studies.
Mobilization of the Nervous System. Skip to search form Skip to main tynnel. Citations Publications citing this paper.
Two compared a mobilisation regimen to a no treatment control, three compared one mobilisation intervention for example carpal bone mobilisation to another for example soft tissue mobilisationnine compared nerve mobilisation delivered as part of a multi-component intervention to another non-surgical intervention for example splint or therapeutic ultrasoundand three compared a mobilisation intervention other than nerve mobilisation for example yoga or chiropractic treatment to another non-surgical intervention.