Nazarian Maryam, Rahimi Maryam Sadat, Ghanbari Alireza, Ghoreishi Seyed Alireza
Student Research Committee, School of Medicine, Birjand University of Medical Sciences, Birjand, Iran.
Physical Medicine and Rehabilitation Specialist, Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran.
Anesth Pain Med. 2024 Jul 7;14(3):e147159. doi: 10.5812/aapm-147159. eCollection 2024 Jun.
Carpal tunnel syndrome (CTS) is a common neuropathy caused by pressure on the median nerve in the wrist, affecting 1% to 5% of the population. Treatment options include pharmacologic management, rest, splints, local steroid injections, and physical therapy. Conservative treatments, such as ultrasound therapy and nerve-gliding exercises, can also be effective.
This study aimed to compare the effects of ultrasound therapy and nerve-gliding exercises on reducing symptoms, improving hand function, and electrodiagnostic tests in patients with CTS.
This randomized clinical trial was conducted on patients with CTS at the specialized physical medicine and rehabilitation clinic at Birjand University of Medical Sciences. The study included 48 patients with CTS, divided into two groups. The ultrasound group received therapy at a frequency of 1 MHz and a current intensity of 1 watt/cm², with each session lasting 5 minutes. The nerve-gliding group underwent 10 sessions of treatment, three times a week. Pain intensity was evaluated using VAS criteria, symptom intensity using the BOSTON Questionnaire, and median nerve latency with EMG-NCS.
The study included 48 patients with CTS, divided into two groups. Both groups showed improved severity of symptoms and function scores at the end of the study (P < 0.001). The ultrasound group significantly reduced the sensory and motor median nerve latency scores (P < 0.001 and P = 0.001, respectively), and the pain score diminished significantly in both groups (P < 0.001).
Ultrasound and neural-gliding techniques are effective in reducing patients' symptoms and pain intensity in the short term. Additionally, ultrasound can improve electrodiagnostic indicators.
腕管综合征（CTS）是一种常见的神经病变，由腕部正中神经受压引起，影响1%至5%的人群。治疗选择包括药物治疗、休息、夹板固定、局部类固醇注射和物理治疗。保守治疗，如超声治疗和神经滑动练习，也可能有效。
本研究旨在比较超声治疗和神经滑动练习对减轻CTS患者症状、改善手部功能以及电诊断测试的效果。
本随机临床试验在比尔詹德医科大学的专门物理医学与康复诊所对CTS患者进行。该研究纳入了48例CTS患者，分为两组。超声组接受频率为1兆赫、电流强度为1瓦/平方厘米的治疗，每次治疗持续5分钟。神经滑动组进行10次治疗，每周三次。使用视觉模拟评分（VAS）标准评估疼痛强度，使用波士顿问卷评估症状强度，使用肌电图-神经传导速度（EMG-NCS）评估正中神经潜伏期。
该研究纳入了48例CTS患者，分为两组。两组在研究结束时症状严重程度和功能评分均有所改善（P < 0.001）。超声组显著降低了感觉和运动正中神经潜伏期评分（分别为P < 0.001和P = 0.001），两组疼痛评分均显著降低（P < 0.001）。
超声和神经滑动技术在短期内可有效减轻患者症状和疼痛强度。此外，超声可改善电诊断指标。
