手法治疗与神经松动技术对比超声和激光对腕管综合征患者两点辨别觉的影响：一项随机对照试验
Effect of manual therapy and neurodynamic techniques vs ultrasound and laser on 2PD in patients with CTS: A randomized controlled trial.
作者信息
Wolny Tomasz, Saulicz Edward, Linek Paweł, Myśliwiec Andrzej, Saulicz Mariola
机构信息
Department of Kinesiotherapy and Special Physiotherapy Methods, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland; Department of Physiotherapy, The Academy of Business, Dąbrowa Górnicza, Poland.
Department of Kinesiotherapy and Special Physiotherapy Methods, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland.
出版信息
J Hand Ther. 2016 Jul-Sep;29(3):235-45. doi: 10.1016/j.jht.2016.03.006. Epub 2016 Apr 16.
STUDY DESIGN
Randomized controlled trial.
INTRODUCTION
Two-point discrimination (2PD) test can be used to assess both clinical condition and the effects of therapy in carpal tunnel syndrome (CTS) patients.
PURPOSE OF THE STUDY
To determine whether there are specific differences in 2PD between symptomatic and asymptomatic hands in CTS patients and to evaluate the impact of 2 therapy regimes on 2PD in patients with CTS.
METHODS
Therapy for the neurodynamic mobilization group was based on manual therapy and neurodynamic techniques. Therapy for the electrophysical modalities group was based on red and infrared laser and ultrasound therapy using a contact method applied in the transverse ligament area. Therapeutic cycle consisted of 20 therapy sessions delivered at twice-weekly intervals.
RESULTS
After therapy, 2PD in the symptomatic limbs in the neurodynamic mobilization and electrophysical modalities groups significantly improved (p < .001). However, there was no statistically significant difference between the treatment groups.
CONCLUSIONS
Both therapy programs used in this study were beneficial for improving 2PD.
LEVEL OF EVIDENCE
研究设计
随机对照试验。
引言
两点辨别觉（2PD）测试可用于评估腕管综合征（CTS）患者的临床状况和治疗效果。
研究目的
确定CTS患者有症状手与无症状手之间2PD是否存在特定差异，并评估两种治疗方案对CTS患者2PD的影响。
方法
神经动力松动术组的治疗基于手法治疗和神经动力技术。电物理治疗组的治疗基于红色和红外激光以及采用接触法应用于横韧带区域的超声治疗。治疗周期包括每周两次进行的20次治疗。
结果
治疗后，神经动力松动术组和电物理治疗组有症状肢体的2PD显著改善（p <.001）。然而，治疗组之间无统计学显著差异。
结论
本研究中使用的两种治疗方案均有利于改善2PD。
证据级别
2级。
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