The effectiveness of the median nerve neurodynamic mobilisation techniques in women with mild or moderate bilateral carpal tunnel syndrome: A single-blind clinical randomised trial.

IF 1 Q4 REHABILITATION
Hassan Beddaa, Bouchra Kably, Basma Marzouk, Ikrame Mouhi, Abdelghafour Marfak, Youness Azemmour, Ismail Bouzekraoui Alaoui, Nazha Birouk
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引用次数: 4

Abstract

Background: Carpal tunnel syndrome (CTS) is the most prevalent upper limb compression neuropathy. Surgical or nonsurgical treatment is recommended. Both mild and moderate CTS can be managed conservatively. Neurodynamic mobilisation techniques (NMTs) of the median nerve have not been widely studied, and conflicting findings exist.

Methods/design: Sixty-two female patients with mild or moderate bilateral CTS were assigned one wrist to the treatment group (TG) and the other to the control group (CG). Both groups underwent carpal bone mobilisation. The TG underwent NMTs while the CG received a placebo elbow mobilisation not targeting the median nerve. The Numerical Rating Pain Scale, JAMAR Plus Digital Hand dynamometer and Functional Status Scale (FSS) were used to assess pain, grip strength and functional status.

Discussion: Comparison of groups showed that NMTs at 5 weeks decreased pain intensity by 1.15 (p = 0.001) and by 2 (p ˂ 0.001) at 10 weeks. Difference in functional status was 0.45 at 5 weeks (p = 0.003) and 0.84 at 10 weeks (p = 0.003). The CG's grip strength improved by 0.59 (p = 0.05) after 5 weeks and 0.61 (p = 0.028) at 10 weeks. Both groups improved in all parameters over time.

Conclusion: When combined with carpal bone mobilisation, both NMTs and placebo elbow mobilisation seem to reduce pain intensity and improve grip strength and functional status. However, NMTs had better results in pain intensity and FSS.

Clinical implications: Women with mild or moderate bilateral CTS may benefit from NMTs as a conservative treatment option.

Trial registration: Pan African Clinical Trials Registry, PACTR202201807752672, https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=19340.

Abstract Image

中度或轻度双侧腕管综合征女性正中神经动力学活动技术的有效性:一项单盲临床随机试验
背景:腕管综合征(Carpal tunnel syndrome, CTS)是最常见的上肢压迫神经病变。建议手术或非手术治疗。轻、中度CTS均可保守治疗。正中神经的神经动力学活动技术(NMTs)尚未得到广泛的研究,并且存在相互矛盾的发现。方法/设计:62例轻中度双侧CTS女性患者将一只腕关节分为治疗组(TG),另一只腕关节分为对照组(CG)。两组均行腕骨活动。TG组接受NMTs,而CG组接受安慰剂肘部活动,但不针对正中神经。采用数值评定疼痛量表、JAMAR Plus数字手部测功仪和功能状态量表(FSS)评估疼痛、握力和功能状态。讨论:组间比较显示,nmt治疗在5周时疼痛强度降低1.15 (p = 0.001),在10周时疼痛强度降低2 (p小于0.001)。功能状态差异在5周时为0.45 (p = 0.003),在10周时为0.84 (p = 0.003)。5周后CG的握力提高了0.59 (p = 0.05), 10周时提高了0.61 (p = 0.028)。随着时间的推移,两组的所有参数都有所改善。结论:当与腕骨活动联合时,NMTs和安慰剂肘关节活动似乎都能减轻疼痛强度,改善握力和功能状态。然而,NMTs在疼痛强度和FSS方面有更好的效果。临床意义:患有轻度或中度双侧CTS的女性可能受益于nmt作为保守治疗的选择。试验注册:泛非临床试验注册中心,PACTR202201807752672, https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=19340。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.70
自引率
9.10%
发文量
35
审稿时长
30 weeks
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