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Comparison of Two Manual Therapy Programs, including Tendon Gliding Exercises as a Common Adjunct, While Managing the Participants with Chronic Carpal Tunnel Syndrome

BACKGROUND: Carpal tunnel syndrome (CTS) is the symptomatic compression neuropathy of the median nerve at the wrist level that may become a reason for upper limb disability, in the women and men population. OBJECTIVE: This study aimed to compare the efficacy of the neurodynamic technique (NT) and ca...

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Autores principales: Sheereen, Fauzia Javed, Sarkar, Bibhuti, Sahay, Pallavi, Shaphe, Mohammad Abu, Alghadir, Ahmad H., Iqbal, Amir, Ali, Taimul, Ahmad, Fuzail
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9200595/
https://www.ncbi.nlm.nih.gov/pubmed/35719196
http://dx.doi.org/10.1155/2022/1975803
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author Sheereen, Fauzia Javed
Sarkar, Bibhuti
Sahay, Pallavi
Shaphe, Mohammad Abu
Alghadir, Ahmad H.
Iqbal, Amir
Ali, Taimul
Ahmad, Fuzail
author_facet Sheereen, Fauzia Javed
Sarkar, Bibhuti
Sahay, Pallavi
Shaphe, Mohammad Abu
Alghadir, Ahmad H.
Iqbal, Amir
Ali, Taimul
Ahmad, Fuzail
author_sort Sheereen, Fauzia Javed
collection PubMed
description BACKGROUND: Carpal tunnel syndrome (CTS) is the symptomatic compression neuropathy of the median nerve at the wrist level that may become a reason for upper limb disability, in the women and men population. OBJECTIVE: This study aimed to compare the efficacy of the neurodynamic technique (NT) and carpal bone mobilization technique (CBMT) incorporated with tendon gliding exercises (TGE) as an effect-enhancing adjunct while managing the participants with chronic CTS. METHODS: The study followed a two-arm parallel-group randomized comparative design. Thirty participants (aged 30–59 years) with chronic CTS were recruited randomly to both the NT and CBMT groups. In addition to the TGE (a common adjunct), NT and CBMT were performed in the NT and CBMT groups, respectively, for three weeks. The primary outcome measures including pain intensity, functional status, grip strength, and motor nerve conduction study were assessed using a visual analogue scale (VAS), Boston Carpal Tunnel Questionnaire (BCTQ), hand-held dynamometer, and electromyograph, respectively, at baseline, 3 weeks postintervention, and follow-up at one week post end of the intervention. Paired and unpaired t-test were used to calculate the differences in intervention effects within and between the groups with keeping the level of significance α at 0.05. RESULTS: The data analysis revealed a significant (95% CI, p < 0.05) difference for all outcomes within each group compared across different time intervals. Similarly, a significant difference was found for all outcomes except pain and grip strength compared between groups at 3 weeks postintervention and follow-up at one week post end of the intervention. CONCLUSIONS: The NT revealed more effectiveness than the CBMT when incorporated with TGE to improve nerve conduction velocity and functional status of the hand. However, both NT and CBMT were equally effective in improving pain and grip strength while managing the participants with chronic CTS. In addition, the TGE contributed as a beneficial, effect-enhancing adjunct to the NT and CBMT differently. Significance. The study will guide the physiotherapist in applying either of the combination techniques suitable for achieving treatment objectives while managing the participants with chronic CTS.
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spelling pubmed-92005952022-06-16 Comparison of Two Manual Therapy Programs, including Tendon Gliding Exercises as a Common Adjunct, While Managing the Participants with Chronic Carpal Tunnel Syndrome Sheereen, Fauzia Javed Sarkar, Bibhuti Sahay, Pallavi Shaphe, Mohammad Abu Alghadir, Ahmad H. Iqbal, Amir Ali, Taimul Ahmad, Fuzail Pain Res Manag Research Article BACKGROUND: Carpal tunnel syndrome (CTS) is the symptomatic compression neuropathy of the median nerve at the wrist level that may become a reason for upper limb disability, in the women and men population. OBJECTIVE: This study aimed to compare the efficacy of the neurodynamic technique (NT) and carpal bone mobilization technique (CBMT) incorporated with tendon gliding exercises (TGE) as an effect-enhancing adjunct while managing the participants with chronic CTS. METHODS: The study followed a two-arm parallel-group randomized comparative design. Thirty participants (aged 30–59 years) with chronic CTS were recruited randomly to both the NT and CBMT groups. In addition to the TGE (a common adjunct), NT and CBMT were performed in the NT and CBMT groups, respectively, for three weeks. The primary outcome measures including pain intensity, functional status, grip strength, and motor nerve conduction study were assessed using a visual analogue scale (VAS), Boston Carpal Tunnel Questionnaire (BCTQ), hand-held dynamometer, and electromyograph, respectively, at baseline, 3 weeks postintervention, and follow-up at one week post end of the intervention. Paired and unpaired t-test were used to calculate the differences in intervention effects within and between the groups with keeping the level of significance α at 0.05. RESULTS: The data analysis revealed a significant (95% CI, p < 0.05) difference for all outcomes within each group compared across different time intervals. Similarly, a significant difference was found for all outcomes except pain and grip strength compared between groups at 3 weeks postintervention and follow-up at one week post end of the intervention. CONCLUSIONS: The NT revealed more effectiveness than the CBMT when incorporated with TGE to improve nerve conduction velocity and functional status of the hand. However, both NT and CBMT were equally effective in improving pain and grip strength while managing the participants with chronic CTS. In addition, the TGE contributed as a beneficial, effect-enhancing adjunct to the NT and CBMT differently. Significance. The study will guide the physiotherapist in applying either of the combination techniques suitable for achieving treatment objectives while managing the participants with chronic CTS. Hindawi 2022-06-08 /pmc/articles/PMC9200595/ /pubmed/35719196 http://dx.doi.org/10.1155/2022/1975803 Text en Copyright © 2022 Fauzia Javed Sheereen et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Sheereen, Fauzia Javed
Sarkar, Bibhuti
Sahay, Pallavi
Shaphe, Mohammad Abu
Alghadir, Ahmad H.
Iqbal, Amir
Ali, Taimul
Ahmad, Fuzail
Comparison of Two Manual Therapy Programs, including Tendon Gliding Exercises as a Common Adjunct, While Managing the Participants with Chronic Carpal Tunnel Syndrome
title Comparison of Two Manual Therapy Programs, including Tendon Gliding Exercises as a Common Adjunct, While Managing the Participants with Chronic Carpal Tunnel Syndrome
title_full Comparison of Two Manual Therapy Programs, including Tendon Gliding Exercises as a Common Adjunct, While Managing the Participants with Chronic Carpal Tunnel Syndrome
title_fullStr Comparison of Two Manual Therapy Programs, including Tendon Gliding Exercises as a Common Adjunct, While Managing the Participants with Chronic Carpal Tunnel Syndrome
title_full_unstemmed Comparison of Two Manual Therapy Programs, including Tendon Gliding Exercises as a Common Adjunct, While Managing the Participants with Chronic Carpal Tunnel Syndrome
title_short Comparison of Two Manual Therapy Programs, including Tendon Gliding Exercises as a Common Adjunct, While Managing the Participants with Chronic Carpal Tunnel Syndrome
title_sort comparison of two manual therapy programs, including tendon gliding exercises as a common adjunct, while managing the participants with chronic carpal tunnel syndrome
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9200595/
https://www.ncbi.nlm.nih.gov/pubmed/35719196
http://dx.doi.org/10.1155/2022/1975803
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