Effects of mirror therapy on pain, sensitivity and functionality in patients with unilateral carpal tunnel syndrome. Randomised control trial.

IF 2.1 4区医学 Q1 REHABILITATION

Disability and Rehabilitation Pub Date : 2024-10-01 Epub Date: 2023-11-10 DOI:10.1080/09638288.2023.2280705

Elena Muñoz-Gómez, Marta Aguilar-Rodríguez, Marta Inglés, Sara Mollà-Casanova, Núria Sempere-Rubio, Pilar Serra-Añó

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引用次数: 0

Abstract

Purpose: To investigate the effects of mirror therapy (MT) and therapeutic exercise (TE) with the unaffected hand, on pain, sensitivity and functionality in individuals with unilateral carpal tunnel syndrome (CTS).

Material and methods: A randomized controlled trial was carried out. Thirty-nine adults with unilateral CTS were included and randomly allocated to a six-week training programme based on MT (n = 20) or TE (n = 19). Visual Analogue Scale, Semmes-Weinstein monofilament test, Two-point discrimination (2PD), Disabilities of the Arm, Shoulder and Hand (DASH) and Boston Carpal Tunnel Questionnaire (BCTQ) were assessed before (T0) and after the intervention (T1), and at one-month follow-up (T2).

Results: At T1, MT and TE showed significant improvements in pain (p = 0.001 and p = 0.03, respectively), however, only MT maintained the achieved effects at T2 (p = 0.01). In addition, 2PD significantly improved in MT in the first (p = 0.04) and fourth fingers (p = 0.02) at T1. The DASH score decreased at T1 in MT (p < 0.001) and TE (p = 0.01). Additionally, the BCTQ score improved in MT (p < 0.001), and TE (p < 0.001) at T1. The effects were maintained at T2 for DASH and BCTQ scores.

Conclusions: Training of the unaffected hand resulted in a significant improvement of the affected hand in both groups; nevertheless, MT achieved a longer duration of the effects.

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镜像疗法对单侧腕管综合征患者疼痛、敏感性和功能的影响。随机对照试验。

目的：研究镜像疗法（MT）和治疗性运动（TE）对单侧腕管综合征（CTS）患者疼痛、敏感性和功能的影响。材料与方法：采用随机对照试验。39名患有单侧CTS的成年人被纳入并随机分配到基于MT的为期6周的训练计划中（n = 20）或TE（n = 19）。在干预前（T0）和干预后（T1）以及一个月的随访（T2）评估视觉模拟量表、Semmes-Weinstein单丝测试、两点辨别（2PD）、手臂、肩膀和手的残疾（DASH）和波士顿腕管问卷（BCTQ）。结果：在T1时，MT和TE显示疼痛有显著改善（p = 0.001和p = 然而，只有MT在T2（p = 0.01）。此外，2PD在MT中的第一次显著改善（p = 0.04）和第四指（p = 0.02）。MT患者的DASH评分在T1时下降（p p = 此外，MT的BCTQ评分也有所提高（p p 结论：在两组中，对未受影响的手进行训练可显著改善受影响的双手；尽管如此，MT的效果持续时间更长。

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

Disability and Rehabilitation 医学-康复医学

CiteScore

5.00

自引率

9.10%

发文量

415

审稿时长

3-6 weeks

期刊介绍： Disability and Rehabilitation along with Disability and Rehabilitation: Assistive Technology are international multidisciplinary journals which seek to encourage a better understanding of all aspects of disability and to promote rehabilitation science, practice and policy aspects of the rehabilitation process.