EXERCISE AND MOBILISATION INTERVENTIONS FOR CARPAL TUNNEL SYNDROME PDF

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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Conservative therapeutic management of carpal tunnel syndrome. However, of these, only three fully reported outcome data sufficient for inclusion in the review. Ultrasound-guided hydrodissection decreases gliding resistance of the median nerve within the carpal tunnel.

Exercise and mobilisation interventions for carpal tunnel syndrome – Trip Database

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.

Mobilization of the Nervous System. 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 ultrasoundand three compared a mobilisation intervention other than nerve mobilisation for example yoga or chiropractic treatment to another non-surgical intervention.

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From This Paper Figures, tables, and topics from this paper. There is limited and very low quality evidence of benefit for all of a diverse collection of exercise and mobilisation interventions for CTS. Non-surgical treatment, including exercises and mobilisation, has been offered to people experiencing mild to moderate symptoms arising from carpal tunnel syndrome CTS.

Citations Publications citing this paper. Platelet-rich plasma ultrasound-guided injection in the treatment of carpal tunnel syndrome: However, a unit of analysis error occurred in this trial, as the correlation between wrists in participants with bilateral CTS was not accounted for. By clicking accept or continuing to use the site, you agree to the terms outlined in our Privacy PolicyTerms of Serviceand Dataset License.

Showing of 37 extracted citations. This paper has been referenced on Twitter 14 times over the past 90 days. A placebo-controlled clinical study. People with 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.

Randomised or quasi-randomised controlled trials comparing exercise or mobilisation interventions with no treatment, placebo or another non-surgical intervention in people with CTS. CarlsonMaureen G.

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 of improvement, satisfaction with treatment, within three months post-treatment.

Two review authors independently assessed searches and selected trials for inclusion, extracted data and assessed risk of bias of the included studies.

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Analysing data and undertaking meta-analyses. Nigel L Ashworth Clinical evidence The risk of bias of the included studies was low in some studies and unclear or high in other studies, with only three explicitly reporting that the allocation sequence was concealed, and four reporting blinding of participants. However, the effectiveness and duration of benefit from exercises and mobilisation for this condition remain unknown.

JohnsonBritta L. Topics Discussed in This Paper. We collected data on adverse events from included studies.

Exercise and mobilisation interventions for carpal tunnel syndrome.

Carpal Tunnel Syndrome Search for additional papers on this topic. Skip to search form Skip to main content. Comparison of protocols and registry entries to published reports for randomised controlled trials. Effectiveness of Physical Therapy and Electrophysical Modalities. 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 However, the effectiveness and duration of benefit from exercises and mobilisation for this condition remain unknown.

Exercise and mobilisation interventions for carpal tunnel syndrome.