Yoga-based intervention for carpal tunnel syndrome: a randomized trial.

CONTEXT

Carpal tunnel syndrome is a common complication of repetitive activities and causes significant morbidity.

OBJECTIVE

To determine the effectiveness of a yoga-based regimen for relieving symptoms of carpal tunnel syndrome.

DESIGN

Randomized, single-blind, controlled trial.

SETTING

A geriatric center and an industrial site in 1994-1995.

PATIENTS

Forty-two employed or retired individuals with carpal tunnel syndrome (median age, 52 years; range, 24-77 years).

INTERVENTION

Subjects assigned to the yoga group received a yoga-based intervention consisting of 11 yoga postures designed for strengthening, stretching, and balancing each joint in the upper body along with relaxation given twice weekly for 8 weeks. Patients in the control group were offered a wrist splint to supplement their current treatment.

MAIN OUTCOME MEASURES

Changes from baseline to 8 weeks in grip strength, pain intensity, sleep disturbance, Phalen sign, and Tinel sign, and in median nerve motor and sensory conduction time.

RESULTS

Subjects in the yoga groups had significant improvement in grip strength (increased from 162 to 187 mm Hg; P = .009) and pain reduction (decreased from 5.0 to 2.9 mm; P = .02), but changes in grip strength and pain were not significant for control subjects. The yoga group had significantly more improvement in Phalen sign (12 improved vs 2 in control group; P = .008), but no significant differences were found in sleep disturbance, Tinel sign, and median nerve motor and sensory conduction time.

CONCLUSION

In this preliminary study, a yoga-based regimen was more effective than wrist splinting or no treatment in relieving some symptoms and signs of carpal tunnel syndrome.