<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.4 20241031//EN"
        "https://jats.nlm.nih.gov/publishing/1.4/JATS-journalpublishing1-4.dtd">
<article  article-type="reviewer-report"        dtd-version="1.4">
            <front>

                <journal-meta>
                                                                <journal-id>arch curr med res</journal-id>
            <journal-title-group>
                                                                                    <journal-title>Archives of Current Medical Research</journal-title>
            </journal-title-group>
                                        <issn pub-type="epub">2717-9788</issn>
                                                                                            <publisher>
                    <publisher-name>14 Mart Tıbbiyeliler Derneği</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id pub-id-type="doi">10.47482/acmr.1643139</article-id>
                                                                <article-categories>
                                            <subj-group  xml:lang="en">
                                                            <subject>Pain</subject>
                                                    </subj-group>
                                            <subj-group  xml:lang="tr">
                                                            <subject>Ağrı</subject>
                                                    </subj-group>
                                    </article-categories>
                                                                                                                                                        <title-group>
                                                                                                                        <trans-title-group xml:lang="tr">
                                    <trans-title>Dirsek Düzeyindeki Ulnar Sinir Tuzak Nöropatisinde Konservatif Tedavinin Yeri</trans-title>
                                </trans-title-group>
                                                                                                                                                                                                <article-title>The Role of Conservative Treatment in Ulnar Nerve Entrapment at the Elbow</article-title>
                                                                                                    </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0009-0002-1170-4110</contrib-id>
                                                                <name>
                                    <surname>Çelik</surname>
                                    <given-names>Gülşah</given-names>
                                </name>
                                                                    <aff>Department of Physical Medicine and Rehabilitation, Antalya City Hospital, Antalya, Turkiye</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="20250928">
                    <day>09</day>
                    <month>28</month>
                    <year>2025</year>
                </pub-date>
                                        <volume>6</volume>
                                        <issue>3</issue>
                                        <fpage>334</fpage>
                                        <lpage>344</lpage>
                        
                        <history>
                                    <date date-type="received" iso-8601-date="20250219">
                        <day>02</day>
                        <month>19</month>
                        <year>2025</year>
                    </date>
                                                    <date date-type="accepted" iso-8601-date="20250507">
                        <day>05</day>
                        <month>07</month>
                        <year>2025</year>
                    </date>
                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 2020, Archives of Current Medical Research</copyright-statement>
                    <copyright-year>2020</copyright-year>
                    <copyright-holder>Archives of Current Medical Research</copyright-holder>
                </permissions>
            
                                                                                                <trans-abstract xml:lang="tr">
                            <p>Dirsek ulnar nöropatisi (DUN), ulnar sinirin dirsek bölgesinde sıkışması sonucu ortaya çıkan bir tuzak nöropatidir. Genellikle ağrı, uyuşma ve güçsüzlük gibi semptomlarla kendini gösterir.  Konservatif tedavi yöntemleri arasında hasta eğitimi, aktivite modifikasyonu, egzersiz, fizik tedavi modaliteleri, splintleme, enjeksiyonlar ve oral tedaviler programları yer almaktadır. Konservatif tedaviler hastaların sinir fonksiyonlarını iyileştirmeyi ve ağrılarını azaltmayı amaçlamaktadır. Literatürde en fazla öne çıkanlardan biri olan splintleme, dirsek üzerindeki mekanik basıncı azaltarak semptomların hafifletilmesine yardımcı olurken, diğer ön plandaki fizik tedavi modaliteleri ise ağrı ve enflamasyonu kontrol ederek hastanın fonksiyonelliğine katkıda bulunur. Konservatif tedavilerin, cerrahi müdahale gereksinimini azaltarak hastaların yaşam kalitesini artırma potansiyeli önemlidir. Sonuç olarak, DUN’da konservatif tedavi yöntemleri, hastaların semptomlarını yönetme ve genel fonksiyonlarını iyileştirme açısından değerli bir seçenek sunmaktadır. Bu derleme, dirsek ulnar nöropatisinin tedavisinde konservatif yaklaşımların rolü, etkinliği ve uygulama stratejileri incelenmesi amaçlanmıştır</p></trans-abstract>
                                                                                                                                    <abstract><p>Ulnar neuropathy at the elbow (UNE), is a condition characterized by the compression of the ulnar nerve in the elbow region. It typically presents with symptoms such as pain, numbness, and weakness. Conservative treatment methods include patient education, activity modification, exercise, physical therapy modalities, splinting, injections, and oral medications. These conservative treatments aim to improve nerve function and reduce pain. One of the most prominent approaches in the literature is splinting, which helps alleviate symptoms by reducing mechanical pressure on the elbow, while other physical therapy modalities contribute to pain control and inflammation management, enhancing the patient’s functionality. The potential of conservative treatments to decrease the need for surgical intervention and improve patients’ quality of life is significant. In conclusion, conservative treatment methods for cubital tunnel syndrome (CuTS) offer valuable options for managing symptoms and enhancing overall functionality. This review aims to examine the role, effectiveness, and application strategies of conservative approaches in the treatment of UNE.</p></abstract>
                                                            
            
                                                                                        <kwd-group>
                                                    <kwd>Ulnar nerve entrapment at the elbow</kwd>
                                                    <kwd>  conservative treatment</kwd>
                                                    <kwd>  physical therapy modalities</kwd>
                                                    <kwd>  treatment effectiveness</kwd>
                                            </kwd-group>
                            
                                                <kwd-group xml:lang="tr">
                                                    <kwd>Dirsek ulnar nöropatisi</kwd>
                                                    <kwd>  konservatif tedavi</kwd>
                                                    <kwd>  fizik tedavi modaliteleri</kwd>
                                                    <kwd>  tedavi etkinliği</kwd>
                                            </kwd-group>
                                                                                                                                    <funding-group specific-use="FundRef">
                    <award-group>
                                                    <funding-source>
                                <named-content content-type="funder_name">The author received no financial support for the research and/or authorship of this article.</named-content>
                            </funding-source>
                                                                    </award-group>
                </funding-group>
                                </article-meta>
    </front>
    <back>
                            <ref-list>
                                    <ref id="ref1">
                        <label>1</label>
                        <mixed-citation publication-type="journal">Landau ME, Campbell WW. Clinical features and electrodiagnosis of ulnar neuropathies. Phys Med Rehabil Clin N Am. 2013;24(1):49-66.</mixed-citation>
                    </ref>
                                    <ref id="ref2">
                        <label>2</label>
                        <mixed-citation publication-type="journal">Rubin G, Orbach H, Bor N, Rozen N. Tardy Ulnar Nerve Palsy. J Am Acad Orthop Surg. 2019;27(19):717-725.</mixed-citation>
                    </ref>
                                    <ref id="ref3">
                        <label>3</label>
                        <mixed-citation publication-type="journal">Feindel W, Stratford J. Cubital tunnel compression in tardy ulnar palsy. Can Med Assoc J. 1958;78(5):351-353.</mixed-citation>
                    </ref>
                                    <ref id="ref4">
                        <label>4</label>
                        <mixed-citation publication-type="journal">Posner MA. Compressive Ulnar Neuropathies at the Elbow: I. Etiology and Diagnosis. J Am Acad Orthop Surg. 1998;6(5):282-288.</mixed-citation>
                    </ref>
                                    <ref id="ref5">
                        <label>5</label>
                        <mixed-citation publication-type="journal">Mondelli M, Giannini F, Ballerini M, Ginanneschi F, Martorelli E. Incidence of ulnar neuropathy at the elbow in the province of Siena (Italy). J Neurol Sci. 2005;234(1–2):5-10.</mixed-citation>
                    </ref>
                                    <ref id="ref6">
                        <label>6</label>
                        <mixed-citation publication-type="journal">Ashworth NL, Huang C, Chan KM. Laterality and risk factors for ulnar neuropathy at the elbow. Muscle Nerve. 2020;61(1):101-104.</mixed-citation>
                    </ref>
                                    <ref id="ref7">
                        <label>7</label>
                        <mixed-citation publication-type="journal">Andrews K, Rowland A, Pranjal A, Ebraheim N. Cubital tunnel syndrome: Anatomy, clinical presentation, and management. J Orthop. 2018;15(3):832-836.</mixed-citation>
                    </ref>
                                    <ref id="ref8">
                        <label>8</label>
                        <mixed-citation publication-type="journal">David CP, Barbara S. Electromyography and Neuromuscular Disorders: Clinical Electrophysiologic Correlations. 3rd ed. London: Elsevier Saunders; 2013. p.385-398.</mixed-citation>
                    </ref>
                                    <ref id="ref9">
                        <label>9</label>
                        <mixed-citation publication-type="journal">Ozcete ZA. Ulnar Nerve Entrapment Neuropathies. Türk Fiz Tıp Rehab Derg. 2010;56(4):190-195.</mixed-citation>
                    </ref>
                                    <ref id="ref10">
                        <label>10</label>
                        <mixed-citation publication-type="journal">Abuzinadah AR, Addas BMJ. Ulnar Neuropathy at the Elbow Associated With Focal Demyelination in the Proximal Forearm and Intraoperative Imaging Correlation. Front Neurol. 2019;27(10):292.</mixed-citation>
                    </ref>
                                    <ref id="ref11">
                        <label>11</label>
                        <mixed-citation publication-type="journal">Natroshvili T, van de Warenburg MS, Heine EP, Slater NJ, Walbeehm ET, Bartels RHMA. Conservative Treatment of Ulnar Nerve Compression at the Elbow: A Systematic Review and Meta-Analysis. Arch Plast Surg. 2023;50(1):70-81.</mixed-citation>
                    </ref>
                                    <ref id="ref12">
                        <label>12</label>
                        <mixed-citation publication-type="journal">Nakamichi K, Tachibana S, Ida M, Yamamoto S. Patient Education for the Treatment of Ulnar Neuropathy at the Elbow. Arch Phys Med Rehabil. 2009;90(11):1839–1845.</mixed-citation>
                    </ref>
                                    <ref id="ref13">
                        <label>13</label>
                        <mixed-citation publication-type="journal">Anderson D, Woods B, Abubakar T, et al. A Comprehensive Review of Cubital Tunnel Syndrome. Orthop Rev (Pavia). 2022;14(3):38239.</mixed-citation>
                    </ref>
                                    <ref id="ref14">
                        <label>14</label>
                        <mixed-citation publication-type="journal">Beekman R, Wokke JH, Schoemaker MC, Lee ML, Visser LH. Ulnar neuropathy at the elbow: follow-up and prognostic factors determining outcome. Neurology. 2004;63(9):1675-1680.</mixed-citation>
                    </ref>
                                    <ref id="ref15">
                        <label>15</label>
                        <mixed-citation publication-type="journal">Robertson C, Saratsiotis J. A review of compressive ulnar neuropathy at the elbow. J Manipulative Physiol Ther. 2005;28(5):345.</mixed-citation>
                    </ref>
                                    <ref id="ref16">
                        <label>16</label>
                        <mixed-citation publication-type="journal">Hong CZ, Long HA, Kanakamedala RV, et al. Splinting and local steroid injection for the treatment of ulnar neuropathy at the elbow: clinical and electrophysiological evaluation. Arch Phys Med Rehabil. 1996;77(6):573–577.</mixed-citation>
                    </ref>
                                    <ref id="ref17">
                        <label>17</label>
                        <mixed-citation publication-type="journal">Sailer SM. The role of splinting and rehabilitation in the treatment of carpal and cubital tunnel syndromes. Hand Clin. 1996;12(2):223-241.</mixed-citation>
                    </ref>
                                    <ref id="ref18">
                        <label>18</label>
                        <mixed-citation publication-type="journal">Dellon AL, Hament W, Gittelshon A. Nonoperative management of cubital tunnel syndrome: an 8-year prospective study. Neurology. 1993;43(9):1673-1677.</mixed-citation>
                    </ref>
                                    <ref id="ref19">
                        <label>19</label>
                        <mixed-citation publication-type="journal">Shah CM, Calfee RP, Gelberman RH, Goldfarb CA. Outcomes of rigid night splinting and activity modification in the treatment of cubital tunnel syndrome. J Hand Surg. 2013;38(6):1125-1130.</mixed-citation>
                    </ref>
                                    <ref id="ref20">
                        <label>20</label>
                        <mixed-citation publication-type="journal">Svernlöv B, Larsson M, Rehn K, Adolfsson L. Conservative Treatment of the Cubital Tunnel Syndrome. J Hand Surg Eur Vol. 2009;34(2):201-207.</mixed-citation>
                    </ref>
                                    <ref id="ref21">
                        <label>21</label>
                        <mixed-citation publication-type="journal">Carlson H, Colbert A, Frydl J, Arnall E, Elliot M, Carlson N. Current options for nonsurgical management of carpal tunnel syndrome. Int J Clin Rheumtol. 2010;5(1):129-142.</mixed-citation>
                    </ref>
                                    <ref id="ref22">
                        <label>22</label>
                        <mixed-citation publication-type="journal">Lund AT, Amadio PC. Treatment of cubital tunnel syndrome: perspectives for the therapist. J Hand Ther. 2006;19(2):170-178.</mixed-citation>
                    </ref>
                                    <ref id="ref23">
                        <label>23</label>
                        <mixed-citation publication-type="journal">Coppieters MW, Bartholomeeusen KE, Stappaerts KH. Incorporating nerve-gliding techniques in the conservative treatment of cubital tunnel syndrome. J Manipulative Physiol Ther. 2004;27(9):560-568.</mixed-citation>
                    </ref>
                                    <ref id="ref24">
                        <label>24</label>
                        <mixed-citation publication-type="journal">Coppieters MW, Van De Velde M, Stappaerts KH. Positioning in anesthesiology: toward a better understanding of stretch-induced perioperative neuropathies. Anesthesiology. 2002;97(1):75-81.</mixed-citation>
                    </ref>
                                    <ref id="ref25">
                        <label>25</label>
                        <mixed-citation publication-type="journal">Paik NJ, Cho SH, Han TR. Ultrasound therapy facilitates the recovery of acute pressure-induced conduction block of the median nerve in rabbits. Muscle Nerve. 2002;26(3):356-361.</mixed-citation>
                    </ref>
                                    <ref id="ref26">
                        <label>26</label>
                        <mixed-citation publication-type="journal">Ozkan FU, Saygı EK, Senol S, et al. New treatment alternatives in the ulnar neuropathy at the elbow: ultrasound and low-level laser therapy. Acta Neurol Belg. 2015;115(3):355-360.</mixed-citation>
                    </ref>
                                    <ref id="ref27">
                        <label>27</label>
                        <mixed-citation publication-type="journal">Oskay D, Meriç A, Kirdi N, Firat T, Ayhan C, Leblebicioğlu G. Neurodynamic mobilization in the conservative treatment of cubital tunnel syndrome: long-term follow-up of 7 cases. J Manipulative Physiol Ther. 2010;33(2):156-163.</mixed-citation>
                    </ref>
                                    <ref id="ref28">
                        <label>28</label>
                        <mixed-citation publication-type="journal">Hong CZ, Liu HH, Yu J. Ultrasound thermotherapy effect on the recovery of nerve conduction in experimental compression neuropathy. Arch Phys Med Rehabil. 1988;69(6):410-414.</mixed-citation>
                    </ref>
                                    <ref id="ref29">
                        <label>29</label>
                        <mixed-citation publication-type="journal">Sener Ö, Hizmetli S, Karadaǧ A, Hayta E. Investigation of Shortwave Diathermy Genotoxic Effect in Patients with Knee Osteoarthritis. Turk Osteoporoz Dergisi. 2019;25(2):53-57.</mixed-citation>
                    </ref>
                                    <ref id="ref30">
                        <label>30</label>
                        <mixed-citation publication-type="journal">Fu T, Lineaweaver WC, Zhang F, Zhang J. Role of shortwave and microwave diathermy in peripheral neuropathy. J Int Med Res. 2019;47(8):3569-3579.</mixed-citation>
                    </ref>
                                    <ref id="ref31">
                        <label>31</label>
                        <mixed-citation publication-type="journal">Bilgin Badur N, Unlu Ozkan F, Aktas I. Efficacy of shortwave diathermy in ulnar nerve entrapment at the elbow: a double-blind randomized controlled clinical trial. Clin Rehabil. 2020;34(8):1048-1055.</mixed-citation>
                    </ref>
                                    <ref id="ref32">
                        <label>32</label>
                        <mixed-citation publication-type="journal">Naeser MA, Hahn KAK, Lieberman BE, Branco KF. Carpal tunnel syndrome pain treated with low-level laser and microamperes transcutaneous electric nerve stimulation: A controlled study. Arch Phys Med Rehabil. 2002;83(7):978-988.</mixed-citation>
                    </ref>
                                    <ref id="ref33">
                        <label>33</label>
                        <mixed-citation publication-type="journal">Sakurai Y, Yamaguchi M, Abiko Y. Inhibitory effect of low-level laser irradiation on LPS stimulated prostaglandin E2 production and cyclooxygenase-2 in human gingival fibroblasts. Eur J Oral Sci. 2000;108(1):29–34.</mixed-citation>
                    </ref>
                                    <ref id="ref34">
                        <label>34</label>
                        <mixed-citation publication-type="journal">Çelik G, Doğan ŞK, Filiz MB. Evaluation of the efficacy of low-level laser therapy in the treatment of ulnar neuropathy at the elbow in terms of symptoms and clinical and electrophysiological findings: a randomized, prospective, double-blind clinical trial. Lasers Med Sci. 2024;39(1):243.</mixed-citation>
                    </ref>
                                    <ref id="ref35">
                        <label>35</label>
                        <mixed-citation publication-type="journal">Suganthirababu P, Prathap L, Alagesan J, Kumaresan A, Srinivasan V, Ganesan D. Neurophysiological effect of low level laser therapy on ulnar nerve. Biomedicine (India). 2021;41(3):543-546.</mixed-citation>
                    </ref>
                                    <ref id="ref36">
                        <label>36</label>
                        <mixed-citation publication-type="journal">vanVeen KE, Alblas KC, Alons IM, et al. Corticosteroid injection in patients with ulnar neuropathy at the elbow: A randomized, double-blind, placebo-controlled trial. Muscle Nerve. 2015;52(3):380-385.</mixed-citation>
                    </ref>
                                    <ref id="ref37">
                        <label>37</label>
                        <mixed-citation publication-type="journal">Abdelrahman KM, Hackshaw KV. Nutritional Supplements for the Treatment of Neuropathic Pain. Biomedicines. 2021;9(6):674.</mixed-citation>
                    </ref>
                                    <ref id="ref38">
                        <label>38</label>
                        <mixed-citation publication-type="journal">Bacle G, Marteau E, Freslon M, et al. Cubital tunnel syndrome: Comparative results of a multicenter study of 4 surgical techniques with a mean follow-up of 92 months. Orthop Traumatol Surg Res. 2014;100(4S):S205-S208.</mixed-citation>
                    </ref>
                                    <ref id="ref39">
                        <label>39</label>
                        <mixed-citation publication-type="journal">Terlemez R, Yılmaz F. Ulnar sinir tuzak nöropatileri. Üst Ekstremite Tuzak Nöropatileri. Ed: Sarıdoğan M. 1. Baskı. Ankara: Türkiye Klinikleri; 2019. p.22-30.</mixed-citation>
                    </ref>
                                    <ref id="ref40">
                        <label>40</label>
                        <mixed-citation publication-type="journal">Gasco J. Surgical options for ulnar nerve entrapment: An example of individualized decision analysis. Hand. 2009;4(4):350-356.</mixed-citation>
                    </ref>
                            </ref-list>
                    </back>
    </article>
