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Long-term patient observation after conservative treatment of carpal tunnel syndrome: a summary of two randomised controlled trials

BACKGROUND: Physiotherapy of carpal tunnel syndrome (CTS) involves manual therapy based on neurodynamic techniques. Until now, two randomized controlled trials have shown that immediately after therapy, CTS patients who received neurodynamic techniques had significant improvement in nerve conduction...

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Autores principales: Wolny, Tomasz, Linek, Pawel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PeerJ Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6844241/
https://www.ncbi.nlm.nih.gov/pubmed/31720121
http://dx.doi.org/10.7717/peerj.8012
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author Wolny, Tomasz
Linek, Pawel
author_facet Wolny, Tomasz
Linek, Pawel
author_sort Wolny, Tomasz
collection PubMed
description BACKGROUND: Physiotherapy of carpal tunnel syndrome (CTS) involves manual therapy based on neurodynamic techniques. Until now, two randomized controlled trials have shown that immediately after therapy, CTS patients who received neurodynamic techniques had significant improvement in nerve conduction, pain, symptom severity (SSS), functional state (FSS), muscle strength (MS) and two-point discrimination (2PD). However, long-term effects seem to be more important, as they are the only ones that can significantly improve the patient’s health and influence economic and social costs. Thus, the objective of this study was to evaluate the long-term (six months) effects of neurodynamic techniques in the conservative treatment of CTS patients. METHODS: Carpal tunnel syndrome patients (107) from two previously published randomised clinical trials were observed for six months after the treatment based on neurodynamic techniques. RESULTS: The sensory conduction velocity, motor conduction velocity, and motor latency were not subject to statistically significant changes within six months after therapy (p > 0.05). In both groups, there was further pain reduction (p < 0.05). In Group B, the symptom severity improved significantly (p < 0.05), while the functional status in both groups remained unchanged (p > 0.05). In both groups, there was muscle strength improvement (p < 0.05). Two-point discrimination remained unchanged six months after the therapy. CONCLUSION: The use of manual therapy based on neurodynamic techniques maintains the beneficial effects 6 months after therapy in CTS patients.
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spelling pubmed-68442412019-11-12 Long-term patient observation after conservative treatment of carpal tunnel syndrome: a summary of two randomised controlled trials Wolny, Tomasz Linek, Pawel PeerJ Anatomy and Physiology BACKGROUND: Physiotherapy of carpal tunnel syndrome (CTS) involves manual therapy based on neurodynamic techniques. Until now, two randomized controlled trials have shown that immediately after therapy, CTS patients who received neurodynamic techniques had significant improvement in nerve conduction, pain, symptom severity (SSS), functional state (FSS), muscle strength (MS) and two-point discrimination (2PD). However, long-term effects seem to be more important, as they are the only ones that can significantly improve the patient’s health and influence economic and social costs. Thus, the objective of this study was to evaluate the long-term (six months) effects of neurodynamic techniques in the conservative treatment of CTS patients. METHODS: Carpal tunnel syndrome patients (107) from two previously published randomised clinical trials were observed for six months after the treatment based on neurodynamic techniques. RESULTS: The sensory conduction velocity, motor conduction velocity, and motor latency were not subject to statistically significant changes within six months after therapy (p > 0.05). In both groups, there was further pain reduction (p < 0.05). In Group B, the symptom severity improved significantly (p < 0.05), while the functional status in both groups remained unchanged (p > 0.05). In both groups, there was muscle strength improvement (p < 0.05). Two-point discrimination remained unchanged six months after the therapy. CONCLUSION: The use of manual therapy based on neurodynamic techniques maintains the beneficial effects 6 months after therapy in CTS patients. PeerJ Inc. 2019-11-08 /pmc/articles/PMC6844241/ /pubmed/31720121 http://dx.doi.org/10.7717/peerj.8012 Text en ©2019 Wolny and Linek https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, reproduction and adaptation in any medium and for any purpose provided that it is properly attributed. For attribution, the original author(s), title, publication source (PeerJ) and either DOI or URL of the article must be cited.
spellingShingle Anatomy and Physiology
Wolny, Tomasz
Linek, Pawel
Long-term patient observation after conservative treatment of carpal tunnel syndrome: a summary of two randomised controlled trials
title Long-term patient observation after conservative treatment of carpal tunnel syndrome: a summary of two randomised controlled trials
title_full Long-term patient observation after conservative treatment of carpal tunnel syndrome: a summary of two randomised controlled trials
title_fullStr Long-term patient observation after conservative treatment of carpal tunnel syndrome: a summary of two randomised controlled trials
title_full_unstemmed Long-term patient observation after conservative treatment of carpal tunnel syndrome: a summary of two randomised controlled trials
title_short Long-term patient observation after conservative treatment of carpal tunnel syndrome: a summary of two randomised controlled trials
title_sort long-term patient observation after conservative treatment of carpal tunnel syndrome: a summary of two randomised controlled trials
topic Anatomy and Physiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6844241/
https://www.ncbi.nlm.nih.gov/pubmed/31720121
http://dx.doi.org/10.7717/peerj.8012
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