Article

The aim of this study was to investigate the effectiveness of tendon
and nerve gliding exercises as a part of combined treatments for carpal tunnel
syndrome. DESIGN: : Patients with carpal tunnel syndrome were randomized into
three groups. All patients received conventional treatments (splint and paraffin
therapy, as in group 3), but group 1 underwent additional tendon gliding
exercises and group 2 underwent additional nerve gliding exercises. Each patient
received a package of questionnaires and underwent physical examinations and
nerve conduction study of the upper limbs before and after treatment for 2 mos.
RESULTS: : Sixty patients were recruited, and 53 completed the study. There were
significant improvements in symptom severity and pain scale scores in all groups.
However, only group 1 showed significant improvements in their scores on
functional status; the Disabilities of the Arm, Shoulder, and Hand questionnaire;
and the physical domain of the World Health Organization Quality of Life
Questionnaire Brief Version. After adjusting for baseline data, we found
significant differences in the functional status scores among the groups. Post
hoc analyses detected a significant difference in functional status scores
between groups 1 and 2. CONCLUSIONS : The combination of tendon gliding
exercises with conventional treatments may be more effective than that of nerve
gliding exercises with conventional treatments.

Langue : ANGLAIS