Wolny Tomasz, Fernández-de-Las Peñas César, Buczek Tomasz, Domin Magdalena, Granek Arkadiusz, Linek Paweł
Institute of Physiotherapy and Health Sciences, Musculoskeletal Elastography and Ultrasonography Laboratory, The Jerzy Kukuczka Academy of Physical Education, Mikołowska 72A, 40-065 Katowice, Poland.
Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, 28922 Madrid, Spain.
J Clin Med. 2022 Jul 21;11(14):4247. doi: 10.3390/jcm11144247.
To date, various forms of physiotherapy are used in the treatment of cubital tunnel syndrome (CuTS). The effectiveness of physiotherapy for CuTS is inconclusive. The aim of this systematic review was to evaluate the effects of physiotherapy in the conservative treatment of CuTS.
The six databases were searched from December 2020 to March 2022. The inclusion criteria were randomised controlled trials, case series, and case reports that evaluate the effects of physiotherapy in the treatment of adult participants with diagnosis CuTS. A total of 11 studies met the eligibility criteria, capturing a total of 187 participants.
In three types of papers, pain, muscle strength, and limitation of upper limb function were the most frequently assessed characteristics. Physiotherapy was most often based on manual therapy, neurodynamic techniques, and electrical modalities. One clinical trial rated the risk of bias "high" and the other two "some concerns". In case-series designs, five studies rated the risk of bias as "serious" and three as "moderate". Most of the studies showed a significant improvement in the clinical condition, also in the follow-up study. Only one clinical trial showed no therapeutic effect.
There is no possibility of recommending the best method of physiotherapy in clinical practice for people with CuTS based on the results of this systematic review. More high-quality studies are required.
迄今为止，各种形式的物理治疗被用于治疗肘管综合征（CuTS）。物理治疗对CuTS的有效性尚无定论。本系统评价的目的是评估物理治疗在CuTS保守治疗中的效果。
于2020年12月至2022年3月检索了六个数据库。纳入标准为评估物理治疗对诊断为CuTS的成年参与者治疗效果的随机对照试验、病例系列和病例报告。共有11项研究符合纳入标准，共纳入187名参与者。
在三种类型的论文中，疼痛、肌肉力量和上肢功能受限是最常评估的特征。物理治疗最常基于手法治疗、神经动力技术和电疗法。一项临床试验将偏倚风险评为“高”，另外两项评为“有些担忧”。在病例系列设计中，五项研究将偏倚风险评为“严重”，三项评为“中度”。大多数研究在临床状况上显示出显著改善，随访研究中也是如此。只有一项临床试验未显示出治疗效果。
基于本系统评价的结果，在临床实践中无法为CuTS患者推荐最佳的物理治疗方法。需要更多高质量的研究。
