Department of Therapy and Rehabilitation, Physiotherapy Program, Selçuk University, Vocational School of Health Sciences, Konya, Turkey.
Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Kutahya Health Sciences University, Kutahya, Turkey.
Clin Rehabil. 2024 Dec;38(12):1633-1644. doi: 10.1177/02692155241289101. Epub 2024 Oct 14.
To investigate whether nerve mobilization related to nerve mobility or the removal of edema using lymphatic drainage affects the cross-sectional area of the nerve, hand function, and symptom severity in carpal tunnel syndrome.
The study is a prospective randomized controlled trial. Data were analyzed between groups using ANOVA, Chi-squared test, and Kruskal-Wallis test.
Treatment lasted 4 weeks. Splint group wore the splint daily. Splint+manual lymphatic drainage received lymphatic drainage 5 days a week. Splint+nerve mobilization performed neuromobilization exercises as home exercises 5 days a week. Evaluations were conducted before and after 4 weeks of treatment.
The study included 80 patients with mild-to-moderate carpal tunnel syndrome.
The patients were randomly divided into three groups: splint ( = 27), splint+manual lymphatic drainage ( = 27), or the splint+nerve mobilization ( = 26).
The main outcome measures were ultrasound assessments and the Boston Carpal Tunnel Questionnaire (Symptom Severity Scale and Boston Functional Status Scale).
Compared to the other groups, the nerve cross-sectional area decreased at both the carpal tunnel ( = 0.003) and mid-forearm ( = 0.014) levels in the drainage group. Nerve mobilization did not result in a significant change in the nerve cross-sectional area. All groups showed significant improvements in both symptom severity and functional status scores ( < 0.001).
The reduction of edema through lymphatic drainage contributes to a decrease in the cross-sectional area of the median nerve. Additionally, all three methods appear to positively impact the functional capacity of the hand and alleviate symptoms.
研究神经松动术是否通过神经活动性或淋巴引流消除水肿来影响正中神经的横截面积、手部功能和腕管综合征的症状严重程度。
本研究为前瞻性随机对照试验。采用方差分析、卡方检验和 Kruskal-Wallis 检验对组间数据进行分析。
治疗持续 4 周。夹板组每天佩戴夹板。夹板+手动淋巴引流组每周 5 天接受淋巴引流。夹板+神经松动术组每周 5 天在家中进行神经松动术练习。在治疗前和治疗后 4 周进行评估。
本研究纳入了 80 例轻中度腕管综合征患者。
患者随机分为三组：夹板组（27 例）、夹板+手动淋巴引流组（27 例）或夹板+神经松动术组（26 例）。
主要观察指标为超声评估和波士顿腕管问卷（症状严重程度量表和波士顿功能状态量表）。
与其他两组相比，引流组在腕管（=0.003）和前臂中段（=0.014）水平的神经横截面积均减小。神经松动术并未导致神经横截面积发生显著变化。所有组在症状严重程度和功能状态评分方面均有显著改善（均<0.001）。
淋巴引流消除水肿有助于正中神经横截面积减小。此外，这三种方法似乎都对手部功能的恢复和症状的缓解有积极影响。
