Effectiveness of Nerve Gliding Exercises on Carpal Tunnel Syndrome: A Systematic Review
| Autor: | Daniel Pecos-Martín, R. Ballestero-Pérez, Gustavo Plaza-Manzano, Tomás Gallego-Izquierdo, Alicia Urraca-Gesto, Natalia Romero-Franco, M.A. Atín-Arratibel, Flor Romo-Romo |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Wrist splint
030222 orthopedics medicine.medical_specialty business.industry CINAHL medicine.disease Carpal Tunnel Syndrome Exercise Therapy Median Nerve Clinical trial Physiotherapy Evidence Database 03 medical and health sciences Treatment Outcome 0302 clinical medicine Physical medicine and rehabilitation Standard care Web of knowledge medicine Physical therapy Humans Chiropractics Limited evidence Carpal tunnel syndrome business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Manipulative and Physiological Therapeutics. 40:50-59 |
| ISSN: | 0161-4754 |
| DOI: | 10.1016/j.jmpt.2016.10.004 |
| Popis: | Objective The objective of this study was to review the literature regarding the effectiveness of neural gliding exercises for the management of carpal tunnel syndrome (CTS). Methods A computer-based search was completed through May 2014 in PubMed, Physiotherapy Evidence Database (PEDro), Web of Knowledge, Cochrane Plus, and CINAHL. The following key words were included: nerve tissue , gliding, exercises , carpal tunnel syndrome , neural mobilization, and neurodynamic mobilization . Thirteen clinical trials met the inclusion/exclusion criteria, which were: nerve gliding exercise management of participants aged 18 years or older; clinical or electrophysiological diagnostics of CTS; no prior surgical treatment; and absence of systemic diseases, degenerative joint diseases, musculoskeletal affectations in upper limbs or spine, or pregnancy. All studies were independently appraised using the PEDro scale. Results The majority of studies reported improvements in pain, pressure pain threshold, and function of CTS patients after nerve gliding, combined or not with additional therapies. When comparing nerve gliding with other therapies, 2 studies reported better results from standard care and 1 from use of a wrist splint, whereas 3 studies reported greater and earlier pain relief and function after nerve gliding in comparison with conservative techniques, such as ultrasound and wrist splint. However, 6 of the 13 studies had a quality of 5 of 11 or less according to the PEDro scale. Conclusion Limited evidence is available on the effectiveness of neural gliding. Standard conservative care seems to be the most appropriate option for pain relief, although neural gliding might be a complementary option to accelerate recovery of function. More high-quality research is still necessary to determine its effectiveness and the subgroups of patients who may respond better to this treatment. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect