Evaluation of the effectiveness of various methods of physiotherapy in the treatment of carpal tunel syndrome

The impact of the ten weeks treatment with use: Arm 1. Manual therapy and Neuromobilisation - First Group [Functional massage of the descending part of the trapezius (duration 3 min.). The 20 therapeutic sessions were performed twice a week.] [Mobilization techniques described by Shacklock were used. Three series with 10 repetitions were used. The duration of one mobilisation was 15 s with a rest period of 10 s. Gliding and tension mobilisations of the median nerve were performed in the median neurodynamic test position (median neurodynamic test 1 – NM 1) with support. One-direction proximal and distal slider mobilisations and one-direction proximal and distal tension mobilisations were performed. The standard approach was to perform three series of 60 repetitions of glide and tension mobilisations. The duration of the inter-series intervals was 15s. The 20 therapeutic sessions were performed twice a week]. Arm 2. Laser and Ultrasound - Second group [Laser therapy was performed using a contact method at three points on the palmar surface of the wrist in the transverse ligament area. Each procedure started with a red laser (using a R650/50 probe) emitting 658 nm light at 50 mW; the duration of biostimulation was 1 min 40s. The dose was 5J. Next, an infrared laser (with a IR810/400 probe) emitting 808 nm light at 400 mW was used; the duration of the biostimulation was 1 min. The dose was 24J. Thus, each point was stimulated for two minutes 40 s. The entire procedure was eight minutes long. 20 laser sessions were performed twice a week]. [Ultrasound therapy was used to treat the palmar surface of the hand in the transverse ligament area. The following parameters were used: frequency 1 MHz, intensity 1.0 W/ cm squared and impulse mode with a pulse width factor of 75%. Each procedure was 15 minutes long. 20 laser sessions were performed twice a week] on Sensory conduction, Motor conduction, Motor latency and other electrophysical modalities.