Abstract: Carpal tunnel syndrome (CTS) is a common upper extremity entrapment neuropathy and is estimated to occur in 1% to 3% of the general population. The prevalence of CTS in the general population has been estimated to be 5% for women and only 0.6% for men. The higher incidence of CTS in women than in men is due in part to differences in carpal tunnel volume between men and women The main purpose of this study was to investigate and compare the therapeutic effect of tendon and nerve gliding over the conventional physiotherapy treatment in patients with carpal tunnel syndrome by the mean of clinical and electrophysiological studies.
Methods: 26 patients, both males and females, aged between 30–50 years, of carpal tunnel syndrome were taken. All the patients were assessed for pain, pinch strength, severity and function capacity, level of disability with Michighan hand outcome questionnaire, a standard dynamometer, Boston carpal tunnel questionnaire and Disability of arm, shoulder and hand respectively. After the baseline assessment, all the patients were conveniently divided into two groups, Group A and Group B having 13 patients each. Group A received Tendon – Nerve gliding exercises along with conventional physiotherapy which consists of custom-made neutral volar splint, Ultrasound and Madenci hand massage technique whereas Group B received only Conventional Physiotherapy. Thus, patients in all groups received total interventions of 3 weeks. All the outcome measures were again reassessed after completion of 3 weeks. All the patients received total intervention of 5 sessions per week for 3 weeks.
Results: After statistical analysis, a significant improvement was found in both the groups. However, greater improvement was seen in the group that received tendon and nerve gliding exercises along with conventional physiotherapy.
Conclusion: The present study concluded that tendon and nerve gliding exercises combined with conventional physiotherapy is more effective conservative treatment in carpal tunnel syndrome.
Keywords: Carpal Tunnel Syndrome; Tendon and Nerve Gliding; Nerve Conduction Velocity.
Title: Effect of Tendon and Nerve Gliding In Carpal Tunnel Syndrome: Clinical and Electrophysiological Examination
Author: Paramjeet Kaur, Sandeep Kumar, Lalit Arora
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
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