EXERCISE AND MOBILISATION INTERVENTIONS FOR CARPAL TUNNEL SYNDROME PDF

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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Exercise and mobilisation interventions for carpal tunnel syndrome.

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.

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 interventios, global rating of improvement, satisfaction with treatment, within three months post-treatment.

Only two studies measured adverse effects, so more data cagpal required before any firm conclusions on the safety of exercise and mobilisation interventions can be made.

Topics Discussed in This Paper. Exercise and mobilisation interventions for carpal tunnel syndrome. There is limited and very low quality evidence of benefit for all of a diverse collection of exercise and mobilisation interventions for CTS. Platelet-rich plasma ultrasound-guided injection in the treatment of carpal tunnel syndrome: JohnsonBritta L.

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. This paper has been referenced on Twitter 14 times over the past 90 days. Ergonomic positioning or equipment for treating carpal tunnel syndrome.

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Exercise and mobilisation interventions for carpal tunnel syndrome – Trip Database

Non-surgical treatment, including exercises and mobilisation, has been offered to people experiencing mild to moderate symptoms arising from carpal tunnel syndrome CTS.

Two review authors mlbilisation assessed searches and selected trials for inclusion, extracted data and assessed risk of bias of the included studies. Ultrasound-guided hydrodissection decreases gliding resistance of the median nerve within the carpal tunnel. However, the effectiveness and duration of benefit from exercises and mobilisation for this condition remain unknown.

Therapeutic ultrasound for carpal tunnel syndrome. From This Paper Figures, tables, and topics from this paper.

Exercise and mobilisation interventions for carpal tunnel syndrome.

Showing of 37 extracted citations. BakerJoel M. CarlsonMaureen G.

Nigel L Ashworth Clinical evidence References Publications referenced by this paper. 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 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.

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.

Citations Publications citing this paper. Conservative intervenitons management of carpal tunnel syndrome. Skip to search form Skip to main content.

Until more high quality randomised controlled trials assessing intervenrions 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 people with CTS should be based on the clinician’s expertise in being able to deliver these treatments and patient’s preferences.

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Analysing data and undertaking meta-analyses. Carpal Tunnel Syndrome Search for additional papers on this topic.

Showing of 32 references. Kerry M DwanDouglas G. Randomised or quasi-randomised controlled trials comparing exercise or mobilisation interventions with no treatment, placebo or another exercse intervention in people with CTS. However, the effectiveness and duration of benefit from exercises and mobilisation for this condition remain unknown. The risk of bias of the included studies was low wyndrome 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.

Sixteen studies randomising participants with CTS were included in the review. However, a unit of analysis error occurred in this trial, as the correlation between wrists in participants with bilateral CTS was not accounted for.

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 finding on median and ulnar nerve distal sensory latency assessment at the end of treatment than wrists receiving splint plus activity modification alone RR 1.

Effectiveness of Physical Therapy and Electrophysical Modalities. Mobilization of the Nervous System. However, of these, only three fully reported outcome data sufficient for inclusion in the review. We collected data on adverse events from included studies. Comparison of protocols and registry entries to published reports for randomised controlled trials.