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INFLUENCE OF SELECTED PHYSICAL EXERCISES TO IMPROVE OUTCOMES IN PATIENTS OPERATED FOR CARPAL TUNNEL SYNDROME IN OWN MATERIAL

100%

Deskur Z., Deskur A., Zawadzki M.

Central European Journal of Sport Sciences and Medicine

2014

vol. 8

issue 4

47-51

The purpose of this study was to evaluate the influence of selected physical exercises on the improved results of treatment of patients operated for carpal tunnel syndrome. Hands were examined in 112 patients treated for carpal tunnel syndrome, aged 33 to 80 years. All individuals underwent open surgery procedure. Patients were divided into group I, in which the exercise was carried out under the supervision of the authors of this study and group II, in which exercises were not performed. Measurements were performed on all patients before surgery (initial) and 6 weeks after (final). Symptoms were studied according to Whitley and Mc Donnell, and they included night pain, sensory disturbance, thenar muscle weakness, Tinel’s sign and Phalen’s maneuver, the bottle syndrome and the opponens pollicis muscle activity. In the treatment of enhancing gliding exercise (automobilization) and neuromobilization. Stabilizing exercises included automobilization (nerve gliding) and neuromobilization. Wrist and hand stabilizing exercises were used and the correct settings in the carpo-metacarpal joints during work and physical activity were taught. The results were statistically analyzed using Chi-squared test. It was found that in patients with carpal tunnel syndrome the best way to eliminate or reduce symptoms of hands mobility disorders comes primarily with surgical treatment, followed by rehabilitation treatment using gliding and neuromobilization exercises.

Effectiveness of physiotherapy in carpal tunnel syndrome (CTS)

88%

Bobowik P. Ż.

2019

vol. 33

issue 2

47-58

Introduction Carpal Tunnel Syndrome (CTS) is one of the most common peripheral upper limb’s neuropathy. It can affect up to 4% of the human population. There is not one specific CTS’s reason. Predisposing factors include: injuries and overloading of the wrists, frequently repetitions of the same activities, pregnancy and acromegaly. The ENG and USG are gold standards in the diagnosis of CTS. CTS treatment includes surgical and physiotherapeutic conservative treatment. Physiotherapists uses manual therapy techniques, neuromobilization, fascial manipulation, osteopathy and other kinds of physical therapy Material and methods A systematic review of the literature was based on publications from the last 5 years. Articles concerned the physiotherapy of people with carpal tunnel syndrome (CTS). Publications from the PubMed and ScienceDirect scientific databases have been analyzed. The inclusion and exclusion criteria were introduced and based on an analysis of the titles and abstracts related to carpal tunnel syndrome (CTS). Results Out of over 28,000 CTS articles, 8 were selected to meet all inclusion and exclusion criteria. The publications concerned physiotherapeutic treatment in the conservative treatment of CTS. The analyzed publications examined the effectiveness of wrist manual therapy, median nerve mobilization, kinesiotaping, soft tissue therapy and fascial manipulations as well as other physiotherapy treatments. Conclusions The reviewed publications show that physiotherapeutic procedures bring significant benefits and improve CTS symptoms within the hand. The development of physiotherapy and research on rehabilitation in the carpal tunnel syndrome (CTS) allow for more effective conservative treatment. This increases the chance of avoiding or delaying surgical intervention.

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1 Advances in Rehabilitation

1 Central European Journal of Sport Sciences and Medicine

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1 Bobowik P. Ż.

1 Deskur A.

1 Deskur Z.

1 Zawadzki M.

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INFLUENCE OF SELECTED PHYSICAL EXERCISES TO IMPROVE OUTCOMES IN PATIENTS OPERATED FOR CARPAL TUNNEL SYNDROME IN OWN MATERIAL

Effectiveness of physiotherapy in carpal tunnel syndrome (CTS)