ABSTRACT
OBJECTIVE: This study was a follow-up evaluation of carpal tunnel syndrome (CTS) subjects based on objective and subjective measures utilizing a conservative treatment method. It was hypothesized that the CTS individuals would maintain their improvements over the course of a 6-mo period after treatments. DESIGN: The design used was a case control study in which the improvements of the CTS subjects were compared within themselves and with a matched comparison group. The treatments were performed at a private chiropractic clinic, and the objective and subjective measures were independently taken in an industrial engineering laboratory. All CTS subjects were volunteers from a random sample. Forty-three individuals were evaluated at the pretreatment period and in the 6-mo follow-up. Only 22 subjects returned for reevaluation. The treatment duration was not controlled. RESULTS: The results indicate that CTS subjects had maintained improvements in most of the objective measures and pain and distress ratings over the pretreatment level (p < .05) at 6 mo post-treatment. When compared to a matched comparison group, CTS-treated subjects demonstrated no significant differences (p < .05) in grip strength (for females), pinch strength, forearm pronation and supination forces, assembly task performance and pain and distress scores. CONCLUSION: The results of statistical analyses indicate that CTS subjects can be treated and achieve a significant recovery to within normal comparative levels of non-CTS subjects in most subjective and objective measures.
Subject(s)
Carpal Tunnel Syndrome/therapy , Chiropractic/methods , Adult , Anthropometry , Carpal Tunnel Syndrome/physiopathology , Carpal Tunnel Syndrome/rehabilitation , Case-Control Studies , Electromyography , Female , Humans , Male , Muscle Contraction , Range of Motion, ArticularABSTRACT
This study was designed to assess the efficacy of a proposed new and unique program relative to treatment and troubleshooting for diagnostic causes of carpal tunnel syndrome (CTS). Objective measures of anthropometry, strength, range of motion, muscle activity, and task performance, together with subjective ratings of pain were observed in a group of individuals diagnosed with CTS. These measures were compared to a control population showing no symptoms of CTS prior to undergoing treatment and following completion of the treatment program. Results indicate that individuals with CTS had significantly lower values on some strength, range of motion, and slower task performance than did the control group. Ratings of pain and distress were also significantly higher than the controls, and in the literature the CTS group's values approached levels of chronic pain. Analysis of posttreatment cases revealed statistically significant improvements in several strength measures of up to 25% over pretreatment values. Significant improvement was also shown in several range of motion measures of up to 22%. Finally, a significant reduction of 15% in pain and distress ratings was demonstrated in the posttreatment cases.
