Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Inonu University, Malatya, Turkey.
Clin Rheumatol. 2018 Sep;37(9):2465-2469. doi: 10.1007/s10067-018-4176-1. Epub 2018 Jun 15.
The aim of this study was to investigate and compare the effectiveness of splinting and Kinesio taping (KT) as forms of treatment for patients with mild to moderate idiopathic carpal tunnel syndrome (CTS) by evaluating the symptoms and measuring the range of function and electrophysiological findings. This single-blind, randomized, prospective study included 44 patients (58 hands) suffering mild to moderate idiopathic CTS according to nerve conduction studies (NCS). The patients were randomized into two groups and evaluated before treatment and 6 weeks after treatment by means of physical examination findings, NCS, and the Boston Carpal Tunnel Questionnaire (BCTQ) functional status and symptom severity scale scores. When the differences in both groups before and after treatment were compared, a significant improvement was observed in the KT group compared to the splint group in terms of electrophysiological changes, provocative test responses, BCTQ symptom severity, and functional status scores. KT may help prevent the disease from progressing further in mild and moderate idiopathic CTS when applied in time using the appropriate technique and be a good alternative to neutral splinting in terms of patient compliance.
本研究旨在通过评估症状、测量功能范围和电生理发现，调查和比较夹板和肌内效贴布（Kinesio taping，KT）作为治疗轻中度特发性腕管综合征（carpal tunnel syndrome，CTS）患者的有效性。这项单盲、随机、前瞻性研究纳入了 44 名（58 只手）根据神经传导研究（NCS）诊断为轻中度特发性 CTS 的患者。患者被随机分为两组，在治疗前和治疗 6 周后通过体格检查、NCS 和波士顿腕管综合征问卷（Boston Carpal Tunnel Questionnaire，BCTQ）功能状态和症状严重程度量表评分进行评估。当比较两组治疗前后的差异时，KT 组在电生理变化、诱发试验反应、BCTQ 症状严重程度和功能状态评分方面与夹板组相比有显著改善。当及时使用适当的技术进行应用时，KT 可能有助于预防轻中度特发性 CTS 疾病的进一步发展，并且在患者依从性方面可能是中立夹板的良好替代。
