Zarrin Milad, Ansari Noureddin Nakhostin, Saadat Maryam, Yazdi Mohammad Jafar Shaterzaedeh, Shalilahmadi Davood
Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran.
Department of Physiotherapy, School of Rehabilitation Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz.
Int J Ther Massage Bodywork. 2023 Jun 1;16(2):12-28. doi: 10.3822/ijtmb.v16i2.815. eCollection 2023 Jun.
Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy that has a significant impact on patients' quality of life. Current physical therapy treatment options show limited effects or low-quality evidence, especially in the long term. To date, there has been little research to look at the effects of treating the cervical spine on decreasing symptoms distally to the carpal tunnel. This study aimed to evaluate the effects of cervical manual therapy plus conventional physical therapy on patients with carpal tunnel syndrome.
This pilot pretest/posttest and six-month follow-up clinical study included 15 adult patients with CTS. For two weeks, each patient received 10 sessions of supervised intervention treatment. The efficacy of the therapies was assessed at baseline (T0), immediately after treatment (T1), and six months after treatment (T2). The visual analog scale (VAS), a symptom severity scale, the functional capacity scale of the Boston Carpal Tunnel Questionnaire (BCTQ), the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, median nerve motor distal latency (mMDL), and median sensory nerve conduction velocity (mSNCV) were outcome measures.
There were significant improvements in all measures between the baseline values at T0 and those recorded immediately after the treatment at T1 or six months later at T2 (<.05).
This pilot study indicates that cervical manual therapy plus conventional physical therapy applied for two weeks improves clinical outcomes and electrodiagnostic findings in people with CTS.
腕管综合征（CTS）是最常见的卡压性神经病，对患者的生活质量有重大影响。目前的物理治疗选择效果有限或证据质量较低，尤其是从长期来看。迄今为止，很少有研究探讨治疗颈椎对减轻腕管远端症状的影响。本研究旨在评估颈椎手法治疗加传统物理治疗对腕管综合征患者的效果。
这项试点前测/后测及六个月随访的临床研究纳入了15名成年腕管综合征患者。为期两周，每位患者接受10次有监督的干预治疗。在基线（T0）、治疗结束后即刻（T1）以及治疗后六个月（T2）评估治疗效果。视觉模拟量表（VAS）、症状严重程度量表、波士顿腕管综合征问卷（BCTQ）的功能能力量表、手臂、肩部和手部功能障碍（DASH）问卷、正中神经运动远端潜伏期（mMDL）以及正中神经感觉神经传导速度（mSNCV）为观察指标。
在T0时的基线值与T1治疗结束后即刻或T2六个月后记录的值之间，所有指标均有显著改善（<.05）。
这项试点研究表明，为期两周的颈椎手法治疗加传统物理治疗可改善腕管综合征患者的临床结局和电诊断结果。
