![]() 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 15.00, 95% CI 1.02 to 220.92), though the precision of this effect estimate is very low. However, of these, only three fully reported outcome data sufficient for inclusion in the review. 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 example, global rating of improvement, satisfaction with treatment, within three months post-treatment). ![]() 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. The risk of bias of the included studies was low in 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. 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 mobilisation), nine compared nerve mobilisation delivered as part of a multi-component intervention to another non-surgical intervention (for example splint or therapeutic ultrasound), and three compared a mobilisation intervention other than nerve mobilisation (for example yoga or chiropractic treatment) to another non-surgical intervention. Sixteen studies randomising 741 participants with CTS were included in the review. ![]() More research is needed to investigate the effectiveness of exercises and mobilisation for people with carpal tunnel syndrome, especially the sustainability and long-term effects of this treatment. Based on the 16 studies identified, there is limited and very low quality evidence of benefit for all of a diverse collection of exercise and mobilisation interventions for improving symptoms, functional ability (for example hand grip strength), quality of life, and neurophysiologic parameters, and for minimising adverse effects and the need for surgery in people with carpal tunnel syndrome. While carpal tunnel syndrome can be treated with surgery, people with mild to moderate symptoms are sometimes offered non-surgical interventions such as exercises or mobilisation. The condition affects approximately three per cent of the population, more commonly women. In advanced cases the muscles of the hand can become weak. Carpal tunnel syndrome is a common condition where one of two main nerves in the wrist is compressed, resulting in pain to the hand, wrist and sometimes arm, numbness and tingling in the thumb, index and long finger.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |