Immediate and long-term effects of selected physiotherapy methods in patients with carpal tunnel syndrome
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2011, Vol 13, Issue 6
Abstract
AbstractIntroduction: Carpal tunnel syndrome is a serious therapeutic problem and it considerably impairs the patients’ quality of life. Despite many studies, the effectiveness of conservative treatment is still debatable. This study aimed to evaluate the immediate and long-term effects of conservative treatment involving ultrasound therapy combined with massage and kinesiotherapy for carpal tunnel syndrome. Material and methods: A total of 61 patients with carpal tunnel syndrome were assessed with regard to such symptoms as pain, numbness, tingling sensation, morning stiffness, and self-care difficulties. We used provocation tests and investigated sensory impairments, autonomic disturbances, and Lüthy's sign. Conduction in the median nerve fibres was assessed during a nerve conduction study. We performed computer-aided measurement of the hand joint range of motion and global grip strength. The tests were conducted before and on completion of a rehabilitation programme. The hands were re-examined one year later. The treatment involved ultrasound therapy, massage, and kinesiotherapy. Results: The treatment outcomes confirmed the effectiveness of the therapeutic programme. Significant improvements concerning the majority of the symptoms were observed between the first and second examination as well for the entire follow-up period. We observed significant improvement in the quality of sensation, the hand range of motion and muscle strength.Conclusions: Ultrasound therapy combined with massage and kinesiotherapy brings the expected, long-term effects in patients with carpal tunnel syndrome.
Authors and Affiliations
Andrzej Kwolek , Jolanta Zwolińska
Keywords
Related Articles
- EP ID EP57159
- DOI -
- Views 129
- Downloads 0
Fungi and bacteria as a pathogenic factor in wound healing in patients after orthopaedic surgeries
Background: Complications of postoperative wound healing delay or limit implementation of rehabilitation therapy. In an attempt to determine the source of the delayed healing we usually focus on searching for bacteria,...
Analysis of Risk Factors for Periprosthetic Joint Infection in Clinical Data
Background. Progress in orthopaedics has now made it possible to improve the functional status of damaged hip joints with hip arthroplasty and eliminate the associated pain. The constantly growing number of hip replaceme...
Anesthetic complications in spinal surgery
Background. The frequency of occurrence of anesthesiological complications is closely associated with the type of operation being performed and the chosen method of inducing anesthesia. The present study described compli...
Vibroarthrography in the evaluation of musculoskeletal system – a pilot study
Background. Disorders of the articular surfaces are associated with impaired quality of joint motion and joint play. Crepitations are the hallmark clinical sign. This paper aims to present the possibilities of using vibr...
Ocena sprawności układu oddechowego po torakoplastyce u dziewcząt ze skoliozą
Celem badań była ocena sprawności funkcji układu oddechowego pacjentek leczonych operacyjnie z powodu skoliozy z zastosowaniem torakoplastyki w porównaniu z pacjentkami bez torakoplastyki poddanymi natomiast intensywnej...