Carpal Tunnel Syndrome, Exercise
Conditions
Keywords
Carpal tunnel syndrome, home exercise, pregnant women
Brief summary
The purpose of our study is to evaluate the effectiveness of the home exercise program in patients who develop Carpal tunnel syndrome (CTS).
Detailed description
Materials and Method: Thirty-three patients with CTS (mild to moderate) were included to randomized, single-blind, controlled clinical trial. Based on EMG results and clinical examination, patient group was divided two part as mild and moderate CTS (group 1) and normal (group 2). The Sick Boston Carpal Tunnel Syndrome Questionnaire form was filled in face-to-face method. Cases in this study: Patients who had pain and numbness problems at the hands of the Bezmiâlem Vakif University Polyclinic for Women and Obstetrics were then directed to the Bezmiâlem Vakif University Physical Therapy Rehabilitation Policlinic. After the examination and clinical testing of each patient (Tinel test, Phalen's test, Reverse Phalen's and Durkan's Carpal Compression test), the patients were directed to Bezmiâlem Vakif University Neurology Policlinic. Based on electromyography (EMG) results and clinical examination, the group was classified as mild and moderate CTS (group 1) and normal (group 2). A disease exercise form was distributed for all patients to do exercises.
Interventions
BEHAVIORALTendon and Nerve Gliding Exercises
Tendon and Nerve Gliding Exercises: The tendon slip exercises used in this study were performed in five different positions, namely flexion, flat, hook, punch, table top and flat punch positions. Nerve-gliding exercises were performed by moving the fingers and wrists in six different positions, focusing on the median nerve consisting of all the disease grip, finger lengthening, wrist extension, thumb extension, forearm supination and gentle gentle gait. Instructions were given to make 10 sets of exercises in 3 sets, written and verbal, in order to have e exercises for all patient's tendons and nerves shifting exercises. Brochures were also provided explaining the exercises.
Sponsors
Bezmialem Vakif University
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Provocation tests during the examination and physical examination to match the median nerve distribution those who have symptoms of numbness, tingling, weakness and pain in the hands that have lasted at least 1 month. * Patients with confirmed mild-moderate idiopathic CTS on EMG.
Exclusion criteria
* Previously undergone carpal tunnel surgery * Gestational diabetes mellitus, * Eclampsia, preeclampsia * Thyroid disorders * Arthropathies * Hand or wrist trauma * Bilateral fractures * Severe cts * Atrial fibrillation * Cervical radiculopathy * Peripheral neuropathy * Thoracic outlet syndrome * Diabetes mellitus * Hypothyroidism * Hyperthyroidism * Rheumatologic disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sick Boston Carpal Tunnel Syndrome Questionnaire | Patients were evaluated before treatment and 1 month after the birth. | It is a test consisting of two parts evaluating symptom severity (BSSS) and functional capacity (BFCS). BSSS consists of 11 questions for symptoms. In each question there are five different answers with scores between 1 and 5. The average score is obtained by dividing the total score by the number of questions. High score indicates severe symptom. BFCS consists of 8 questions for functional capacity. Again, there are five different answers in each question, ranging from 1 to 5. The average score is obtained by dividing the total score by the number of questions. The high score indicates that the functional capacity decreases. The questionnaire has been validated and tested for Turkish society (15). The questionnaire has been validated and tested for Turkish society (16). |
Outcome results
None listed