OBJECTIVES To review the efficacy and safety of exercise and mobilisation interventions compared with no treatment, a placebo or another non-surgical. Page, M., O’Connor, D. A., Pitt, V. J., & Massy-Westropp, N. (). Exercise and mobilisation interventions for carpal tunnel syndrome (Review). Cochrane. Request PDF on ResearchGate | Exercise and mobilisation interventions for carpal tunnel syndrome (Review) | Background Non-surgical treatment, including .
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The studies were heterogeneous in terms of the interventions delivered, outcomes measured and timing of outcome assessment, therefore, we exrecise unable to pool results across studies.
Ultrasound-guided hydrodissection decreases gliding resistance of the median nerve within the carpal tunnel. Until more high quality randomised controlled trials assessing the effectiveness and safety of various exercise and mobilisation interventions compared to other non-surgical interventions are undertaken, the decision to provide this type of non-surgical intervention to people with CTS should be based on the clinician’s expertise in being able to deliver these treatments and patient’s preferences.
Citations Sjndrome citing this paper. People ijterventions CTS who indicate a preference for exercise or mobilisation interventions should be informed of the limited evidence of effectiveness and safety of this intervention by their treatment provider.
Exercise and mobilisation interventions for carpal tunnel syndrome.
Showing of 37 extracted citations. Ergonomic positioning or equipment for treating carpal tunnel syndrome. Sixteen studies randomising participants with CTS were included in the review. Kerry M DwanDouglas G. From This Paper Figures, tables, and topics from this paper. Mobilization of the Nervous System. A placebo-controlled clinical study. Exercise and mobilisation interventions for carpal tunnel syndrome. References Publications referenced by this paper.
CarlsonMaureen G. One very low quality trial with 14 participants found that all participants receiving either neurodynamic mobilisation or carpal bone mobilisation and none in the no treatment group reported overall improvement RR Analysing data and undertaking meta-analyses. Showing of 32 references.
A Retrospective Analysis of Commercial Insurance. Platelet-rich plasma ultrasound-guided injection in the treatment of carpal tunnel syndrome: Another very low-quality trial with 26 participants found that more CTS-affected wrists receiving nerve gliding exercises plus splint plus activity modification had no pathologic finding on median and ulnar nerve distal sensory interventinos assessment at the end of treatment than wrists receiving splint plus activity modification alone RR 1.
Non-surgical treatment, including exercises and mobilisation, has been offered to people experiencing mild to moderate symptoms arising from carpal tunnel syndrome CTS. Nigel L Ashworth Clinical evidence JohnsonBritta L. By clicking accept or continuing to use the site, you agree to the terms outlined in our Privacy MohilisationTerms of Serviceand Dataset License.
We collected data on adverse events from included studies. However, the effectiveness and duration of benefit from exercises and mobilisation for this condition remain unknown. However, of carpap, only three fully reported outcome data sufficient for inclusion in the review.
The risk of bias of the included studies was low in some studies and unclear or high in other intervfntions, with only three explicitly reporting that the allocation sequence was concealed, and four reporting blinding of participants.
Conservative therapeutic management of carpal tunnel mbilisation. Two compared a mobilisation regimen to a no treatment control, three compared one mobilisation intervention for example carpal bone mobilisation to another for example soft tissue mobilisationnine compared nerve mobilisation delivered as part of a multi-component intervention to another non-surgical intervention for example splint or therapeutic ultrasound carpall, and three compared a mobilisation intervention other than nerve mobilisation for example yoga or chiropractic treatment to another non-surgical intervention.
Therapeutic ultrasound for carpal tunnel syndrome. Skip to search form Skip to main content.
Exercise and mobilisation interventions for carpal tunnel syndrome – Trip Database
This paper has been referenced on Twitter 14 times over the past 90 mobilistion. There is limited and very low quality evidence of benefit for all of a diverse collection of exercise and mobilisation interventions for CTS.
To review the efficacy and safety of exercise intervenitons mobilisation interventions compared with no treatment, a placebo or another non-surgical intervention in people with CTS. Effectiveness of Physical Therapy and Electrophysical Modalities.
BakerJoel M. However, a unit of analysis error occurred in this trial, as the correlation between wrists in participants with bilateral CTS was not accounted for. Randomised or quasi-randomised controlled trials comparing exercise or mobilisation interventions with no treatment, placebo or another non-surgical intervention in people with CTS. Only two studies measured adverse effects, so more data are required before any firm conclusions on the safety of exercise and mobilisation interventions can be made.
Two review authors independently assessed searches and selected trials for inclusion, extracted data and assessed risk of bias of the included studies.
Carpal Tunnel Syndrome Mobklisation for additional papers on this fot. Topics Discussed in This Paper. Only four studies reported the primary outcome of interest, short-term overall improvement any measure in which patients indicate the intensity of their complaints compared to baseline, for example, global rating fot improvement, satisfaction with treatment, within three months post-treatment.
Comparison of protocols and registry entries to published reports for randomised controlled trials. However, the effectiveness and duration of benefit from exercises and mobilisation for this condition remain unknown.