Medina McKeon Jennifer M, Yancosek Kathleen E
University of Kentucky, Rehabilitation Sciences Department, Lexington, KY, USA.
J Sport Rehabil. 2008 Aug;17(3):324-41. doi: 10.1123/jsr.17.3.324.
There are discrepancies regarding the efficacy of neural gliding exercises for the management of carpal tunnel syndrome (CTS).
To conduct a systematic review assessing the efficacy of neural gliding in comparison to alternative nonsurgical treatment for the management of CTS.
A computerized search was performed in April 2008. Criteria for inclusion required that studies (1) were written in English, (2) examined the efficacy of neural gliding techniques for treatment of CTS, and (3) included at least one of the selected patient-oriented outcomes. Effect sizes, relative risk, and 95% confidence intervals were calculated to compare neural gliding to alternative treatment.
Six studies met inclusion criteria. For all variables, none were consistently favorable toward neural gliding over alternative treatment. However, comparisons across studies revealed a possible trend toward improved outcomes with the use neural gliding.
The efficacy of neural gliding is not clear. More research is necessary to determine the population that may respond optimally to this treatment.
关于神经滑动练习治疗腕管综合征（CTS）的疗效存在差异。
进行一项系统评价，评估神经滑动与其他非手术治疗方法相比治疗CTS的疗效。
2008年4月进行了计算机检索。纳入标准要求研究（1）用英文撰写，（2）研究神经滑动技术治疗CTS的疗效，（3）包括至少一项选定的以患者为导向的结局指标。计算效应量、相对风险和95%置信区间，以比较神经滑动与其他治疗方法。
六项研究符合纳入标准。对于所有变量，与其他治疗方法相比，没有一项对神经滑动始终有利。然而，跨研究比较显示，使用神经滑动可能有改善结局的趋势。
神经滑动的疗效尚不清楚。需要更多研究来确定可能对这种治疗反应最佳的人群。
