The long-term effect of neurodynamics vs exercise therapy on pain and function in people with carpal tunnel syndrome: A randomized parallel-group clinical trial
| Autor: | Hayat Hamzeh, Mohammad Madi, Alia A. Alghwiri, Ziad M. Hawamdeh |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty Pain Physical Therapy Sports Therapy and Rehabilitation law.invention 03 medical and health sciences Grip strength 0302 clinical medicine Quality of life Randomized controlled trial law Dash Medicine Humans Range of Motion Articular Carpal tunnel syndrome business.industry Rehabilitation medicine.disease Carpal Tunnel Syndrome Exercise Therapy Clinical trial Treatment Outcome Physical therapy Quality of Life Manual therapy 0305 other medical science business Range of motion 030217 neurology & neurosurgery |
| Zdroj: | Journal of hand therapy : official journal of the American Society of Hand Therapists. 34(4) |
| ISSN: | 1545-004X |
| Popis: | Carpal tunnel syndrome (CTS) is a common disorder that limits function and quality of life. Little evidence is available on the long-term effect of neurodynamics and exercise therapy.This study aimed to examine the long-term effect of neurodynamic techniques vs exercise therapy in managing patients with CTS.Parallel group randomized clinical trial.Of 57 patients screened, 51 were randomly assigned to either receiving four sessions of neurodynamics and exercise or home exercise therapy alone as a control. Blinded assessment was performed before treatment allocation, at treatment completion, and 6 months posttreatment. Outcome measures included Symptom Severity Scale (SSS), Functional Status Scale (FSS), Shortened version of the Disabilities of the Arm, Shoulder, and Hand (DASH), Numerical Pain Rating Scale, grip strength and range of motion.Data from 41 individuals (52 hands) were analyzed. The neurodynamics group demonstrated significant improvement in all outcome measures at 1 and 6 months (P .05). Mean difference in SSS was 1.4 (95% CI= 0.9-1.4) at 1 month and 1.6 (95% CI = 0.9-2.2) at 6 months. Mean difference in FSS was 0.9 (95% CI = 0.4-1.4) at 1 month and 1.4 (95% CI = 0.7-2.0) at 6 months. Significant between-group differences were found in pain score at 1 month (-1.93) and in FSS (-0.5) and Shortened version of DASH (-12.6) at 6 months (P .05). No patient needed surgery 1 year after treatment.Although both treatments led to positive outcomes, neurodynamics therapy was superior in improving function and strength and in decreasing pain. |
| Databáze: | OpenAIRE |
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