RESUMEN
Background: Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy, with a reported annual incidence per 100,000 persons ranging from 324 to 524 among women and 135 to 303 among men There are several treatment options which they can be broadly categorised into surgical and non-surgical. The various nonsurgical methods include: use of hand brace, splinting of the wrist, ultrasonic therapy, laser therapy, oral steroids, non-steroid anti-inflammatory drugs (NSAIDs), oral vitamin B6, local injection of corticosteroids, transcutaneous electrical nerve stimulation. There are a limited number of studies on the effectiveness of kinesiotaping in CTS. The purpose of this study was to evaluate the therapeutic efficacy of ultrasound treatment combined with nerve and tendon gliding exercises and kinesiotaping and to compare the two regimens. Materials and methods: In the present study a convenience sample of 20 individuals between 25 to 55 years suffering from mild to moderate carpel tunnel syndrome were randomly and evenly divided into 2 groups : Group A ( Tendon and Nerve gliding exercises ) & Group B ( Kinesio taping). Group A received Ultrasound over the area of carpel tunnel along with tendon and nerve gliding exercises 5 times a week for 2 weeks. Group B received Ultrasound 5 times a week over the carpel tunnel area along with kinesiotaping with 5 day interval for 2 weeks. At the end of 2 weeks the outcome measures which included VAS, Boston CTS Questionnaire assessed in both the groups and the data was statistically analysed. Results: Intragroup analysis of both groups pre and post intervention showed statistically significant values for both the outcome measures VAS and BCTS Questionnaire ( p value< 0.05). Intergroup analysis also showed statistically significant values for outcome measures inferring that Group B was better than Group A (p value< 0.05). Conclusion: The study concluded that both kinesiotaping along with Ultrasound as well as tendon and nerve gliding exercises with ultrasound are effective in reducing pain and improving functional activities in patients with Carpel Tunnel Syndrome. Kinesiotaping with Ultrasound is more effective than tendon and nerve gliding exercise
RESUMEN
Objective To observe the effect of electroacupuncture and nerve and tendon gliding exercises on mild to moderate carpal tunnel syndrome.Methods Forty patients with mild to moderate carpal tunnel syndrome were randomly divided into an observation group and a control group,each of 20.Both groups were given neurotrophic drugs.The observation group was additionally provided with electroacupuncture and nerve and tendon gliding exercises,while the control group was given routine health education for 4 weeks.The Boston carpal tunnel syndrome questionnaire (BCTQ),a visual analogue scale (VAS),thumb and middle finger to wrist motor conduction velocity (MCV),sensory nerve action potentials (SNAPs),median nerve distal motor latency (DML) and the amplitude of compound muscle action potential (CMAP) of the musculi abductor pollicis brevis were evaluated.Results There were no significant differences in any of the measurements between the two groups before the treatment.After four weeks of treatment,significantly better improvement was observed in the average SCV of the thumb and wrist,the SCV of the digitus medius and wrist,the SNAP of the thumb and wrist,the SNAP of the digitus medius and wrist,the DML of the nervus medianus and the CMAP of the abductor pollicis brevis in the observation group compared to before the treatment and compared to the control group.Moreover,there was a significant decrease in the observation group's average BCTQ symptom score and function score and in their VAS ratings.However,in the control group significant differences were only found in the average SCV of the thumb and wrist,the DML of the nervus medianus and in their VAS ratings.Conclusions Electroacupuncture and nerve and tendon gliding exercises can significantly relieve symptoms and restore hand function.They are worth applying in clinical practice.