A COMPARISON OF MANUAL THERAPY AND EXTRACORPOREAL SHOCKWAVE THERAPY IN PATIENTS WITH CARPAL TUNNEL SYNDROME

Türk Fizyoterapi ve Rehabilitasyon Dergisi Pub Date : 2022-11-23 DOI:10.21653/tjpr.1034102

Neslihan Torun, A. Tuncer

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Abstract

Purpose: To investigate the short-term effects on pain, symptom severity, and functionality of different physiotherapy methods applied to patients with carpal tunnel syndrome, and to evaluate the advantages of these over each other. Methods: A total of 75 patients (69 females, 6 males) aged 25-60 years were separated into 3 groups. The patients in Group 1 were given a home exercise program including median nerve and tendon gliding exercises. Group 2 received the same home program plus manual therapy (MT) including soft tissue and joint mobilisation. Group 3 received the same home program plus extracorporeal shockwave therapy (ESWT). Pain severity was evaluated with a Visual Analog Scale. Symptom severity and levels of functionality were evaluated with the Boston Carpal Tunnel Syndrome Questionnaire and the Cochin Hand Function Questionnaire. All the patients were evaluated before and after treatment. Results: In both the MT and ESWT groups, a statistically significant difference was determined in the resting and active pain levels after treatment (p0.05). The pain values of both groups were significantly lower than those of the home exercise program control group (p

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手疗与体外冲击波治疗腕管综合征的比较

目的:探讨不同物理治疗方法对腕管综合征患者疼痛、症状严重程度和功能的短期影响，并评价不同物理治疗方法的优越性。方法:75例25 ~ 60岁患者(女69例，男6例)分为3组。第一组患者进行了包括正中神经和肌腱滑动运动在内的家庭锻炼计划。第二组接受相同的家庭计划加手工治疗(MT)，包括软组织和关节活动。第三组接受相同的家庭方案加体外冲击波治疗(ESWT)。用视觉模拟量表评估疼痛严重程度。用波士顿腕管综合征问卷和科钦手功能问卷评估症状严重程度和功能水平。在治疗前后对所有患者进行评估。结果:MT组和ESWT组治疗后静息疼痛和活动疼痛水平差异均有统计学意义(p0.05)。两组患者的疼痛值均显著低于家庭运动项目对照组(p

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Türk Fizyoterapi ve Rehabilitasyon Dergisi

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