A COMPARISON OF MANUAL THERAPY AND EXTRACORPOREAL SHOCKWAVE THERAPY IN PATIENTS WITH CARPAL TUNNEL SYNDROME

Authors : Neslihan TORUN, Ayşenur TUNCER

Pages : 93-101

Doi:10.21653/tjpr.1034102

View : 96 | Download : 96

Publication Date : 2023-04-20

Article Type : Research Paper

Abstract :Purpose: To investigate the effects on pain, symptom severity, and functionality of different physiotherapy methods applied to patients with carpal tunnel syndrome and to evaluate the advantages of these over each other. Methods: A total of 75 patients insert ignore into journalissuearticles values(69 females, 6 males); aged 25-60 years were separated into 3 groups. The patients in Group 1 were given a home exercise program insert ignore into journalissuearticles values(HP);, including median nerve and tendon gliding exercises. Group 2 received the same HP plus manual therapy insert ignore into journalissuearticles values(MT);, including soft tissue and joint mobilisation. Group 3 received the same HP plus extracorporeal shockwave therapy insert ignore into journalissuearticles values(ESWT);. Pain severity was evaluated with a Visual Analog Scale. Symptom severity and levels of functionality were evaluated with the Boston Carpal Tunnel Syndrome Questionnaire and the Cochin Hand Function Questionnaire. All the patients were evaluated before and after treatment. Results: While there was a significant decrease in the resting and activity pain levels of each 3 groups after the treatment insert ignore into journalissuearticles values(p 0.05);. However, the pain values of these two groups were significantly decreased compared to the EP group insert ignore into journalissuearticles values(p 0.05);. Conclusion: In our study, the MT and ESWT applications we used in patients with CTS patients provided significant improvement compared to HP exercises only. We speculate that some differences that are not seen in the early period can be seen in long-term follow-up. Further studies should be performed to assess the longterm results.
Keywords : karpal tünel sendromu, sinir kaydırma, tendon kaydırma, manuel tedavi, Ekstrakorporeal Şok Dalga Tedavisi

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