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Karpal Tünel Sendromu Tedavisinde Farklı Fizyoterapi Yaklaşımlarının Karşılaştırılması

Year 2017, Volume: 6 Issue: 1, 23 - 27, 01.04.2017

Abstract

Bu çalışmanın amacı Karpal Tünel Sendromu KTS tanısı almış hastalarda farklı fizyoterapi yöntemlerinin ağrı, genel sağlık, fonksiyonel durum, uyku kalitesi ve semptomların giderilmesine etkisini karşılaştırmaktır. Bu randomize kontrollü çalışmaya 30 26 kadın, 4 erkek KTS’li hasta dahil edildi. Katılımcılar rastgele 3 gruba ayrıldı. Birinci gruptaki hastalara n=10 KTS’ye yönelik rutin fizyoterapi konvansiyonel Transcutaneous Electrical Nerve Stimulation TENS , ultrason ve parafin uygulandı ve ev egzersiz programı verildi. İkinci gruptaki hastalara n=10 KTS’ye yönelik rutin fizyoterapi ve ev egzersiz programının yanı sıra karpal kemik ve medyan sinir mobilizasyonu uygulaması yapıldı. Üçüncü gruptaki hastalara n=10 ikinci grubun tedavi programına ilaveten Kinezyo bant uygulaması yapıldı. Gruplar Vizüel Analog Skala VAS , Boston Semptom Şiddeti Skalası BSŞS , Boston Fonksiyonel Kapasite Skalası BFKS ve Pittsburgh Uyku Kalite İndeksi PUKİ kullanılarak değerlendirildi. Bütün grupların grup içi tedavi öncesi ve tedavi sonrası değişimi incelendiğinde Grup I’in BSŞS duyu ve total puan parametrelerinde, Grup II’nin VAS ve Grup III’ün VAS, BSŞS’nin tüm parametreleri ile BFKS’de anlamlı fark bulundu p

References

  • Tal-Akabi A, Rushton A. An investigation to compare the effectiveness of carpal bone mobilisation and neurodynamic mobilisation as methods of treatment for carpal tunnel syndrome. Man Ther 2000; 5(4): 214-22.
  • Koca I, Boyaci A, Tutoglu A. et al. Assessment of the effectiveness of interferential current therapy and TENS in the management of carpal tunnel syndrome: a randomized controlled study. Rheumatol Int 2014; 34(12): 1639-45.
  • Storm S, Beaver SK, Giardino N. et al. Compliance with electrodiagnostic guidelines for patients undergoing carpal tunnel release. Arch Physic Med Rehabil 2005; 86(1): 8-11.
  • Talu B, Bazancir Z. The Effects of Sensory Therapy on Pain, Upper Extremity Functions and Sleep Quality in Patients with Carpal Tunnel Syndrome. Ann Yoga Phys Ther 2016; 1(2): 1007.
  • Açıkgöz B. Karpal Tünel Sendromu. Ayrıntılı Ajans 1999.
  • Walker WC, Metzler M, Cifu DX. et al. Neutral wrist splinting in carpal tunnel syndrome: a comparison of night-only versus full-time wear instructions. Arch Physic Med Rehabil 2000; 81(4): 424-9.
  • Atroshi I, Gummesson C, Johnsson R. et al. Prevalence of carpal tunnel syndrome in a general population. JAMA 1999; 282(2): 153-8.
  • Mondelli M, Giannini F, Giacchi M. Carpal tunnel syndrome incidence in a general population. Neurology 2002; 58(2): 289-94.
  • Sucher BM. Grading severity of carpal tunnel syndrome in is recommended. Muscle Nerve 2013; 48(3): 331-3.
  • DeLisa JA, Gans BM, Walsh NE. Physical medicine and rehabilitation: principles and practice: Lippincott Williams & Wilkins; 2005.
  • Horng YS, Hsieh SF, Tu YK. et al. The comparative effectiveness of tendon and nerve gliding exercises in patients with carpal tunnel syndrome: a randomized trial. Am J Physic Med Rehabil 2011; 90(6): 435-42.
  • Ebenbichler GR, Resch KL, Nicolakis P. et al. Ultrasound treatment for treating the carpal tunnel syndrome: randomised “sham” controlled trial. BMJ 1998; 316(7133): 731-5.
  • Chang YW, Hsieh SF, Horng YS. et al. Comparative effectiveness of ultrasound and paraffin therapy in patients with carpal tunnel syndrome: a randomized trial. BMC Musculoskelet Disord 2014; 15(1): 399.
  • Baldes EJ, STROEBEL III CF. Biologic effects of ultrasound. Am J Physic Med Rehabil 1958; 37(3): 111-21.
  • Burke J, Buchberger DJ, Carey-Loghmani MT. et al. A pilot study comparing two manual therapy interventions for carpal tunnel syndrome. J Manipul Physiol Ther 2007; 30(1): 50-61.
  • Kase K, Wallis J, Kase T. Clinical Therapeutic Applications of the kinesiotaping method: Tokyo: Ken Ikai Co. Ltd.; 2003.
  • de Carvalho Leite JC, Jerosch-Herold C, Song F. A systematic review of the psychometric properties of the Boston Musculoskelet Disord 2006;7(1):1. Questionnaire. BMC
  • Patel A, Culbertson MD, Patel A. et al. The negative effect of carpal tunnel syndrome on sleep quality. Sleep Disord. 2014;2014.
  • Carlsson AM. Assessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale. Pain 1983; 16(1): 87-101.
  • Buysse DJ, Reynolds CF, Monk TH. et al The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 1989; 28(2): 193-213.
  • Oztas O, Turan B, Bora I. et al. Ultrasound therapy effect in carpal tunnel syndrome. Arch Phys Med Rehabil 1998; 79(12): 1540-4.
  • Chang YW, Hsieh SF, Horng YS. et al. Comparative effectiveness of ultrasound and paraffin therapy in patients with carpal tunnel syndrome: a randomized trial. BMC Musculoskel Disord 2014; 15(1): 1.
  • Exelby L. Mobilisations with movement: a personal view. Physiotherapy 1995; 81(12): 724-9.
  • Kase K, Wallıl J, Kase T. Clinical therapeutic applications of the Kinesio taping methods. Ken Ikai, Tokyo Japan 2003.
  • Ali RR, Battecha KH, Mansour WT. Influence of Kinesio Tape in Treating Carpal Tunnel Syndrome. The 14th International Scientific Conference of Faculty of Physical Therapy 2013.
  • Kosery SME, Elshamy FF, Allah HAA. Effect of Kinesio Tape in the Treatment of Antenatal Carpal Tunnel Syndrome. Indian J Physiother Occup Ther An Int J 2012; 6(3): 116-20.
  • Kulcu D, Bursali C, Aktas İ, Alp S, Ozkan F, Akpinar P. Kinesiotaping as an alternative treatment method for carpal tunnel syndrome. Turkish J Med Sci 2016; 46(4): 1042-9.

Comparison of Different Physiotherapy Approaches in the Treatment of Carpal Tunnel Syndrome

Year 2017, Volume: 6 Issue: 1, 23 - 27, 01.04.2017

Abstract

This study aims to compare the effect of different physiotherapy methods on the general health, functional status, sleep quality and symptom relief in patients with carpal tunnel syndrome CTS . 30 26 female, 4 male patients with CTS were included in this randomized controlled trial. Participants were randomly assigned 3 groups. In the first group n = 10 , classical physiotherapy was applied for CTS and home exercise program was given. In the second group of patients n = 10 , classical physiotherapy and home exercise program for CTS as well as carpal bone and n. medianus mobilization was applied. Kinesio tape application was performed in addition to the second group treatment program in the third group n = 10 . Groups were assessed using Visual Analogue Scale VAS , Boston Symptom Severity Scale BSSS , Boston Functional Capacity Scale BFCS and Pittsburgh Sleep Quality Index PSQI . When all groups were examined before and after treatment, there was a statistically significant difference in BSSS sensory and total parameters of Group I, VAS of Group II and also VAS, BSSS all parameters and BFCS of Group III p

References

  • Tal-Akabi A, Rushton A. An investigation to compare the effectiveness of carpal bone mobilisation and neurodynamic mobilisation as methods of treatment for carpal tunnel syndrome. Man Ther 2000; 5(4): 214-22.
  • Koca I, Boyaci A, Tutoglu A. et al. Assessment of the effectiveness of interferential current therapy and TENS in the management of carpal tunnel syndrome: a randomized controlled study. Rheumatol Int 2014; 34(12): 1639-45.
  • Storm S, Beaver SK, Giardino N. et al. Compliance with electrodiagnostic guidelines for patients undergoing carpal tunnel release. Arch Physic Med Rehabil 2005; 86(1): 8-11.
  • Talu B, Bazancir Z. The Effects of Sensory Therapy on Pain, Upper Extremity Functions and Sleep Quality in Patients with Carpal Tunnel Syndrome. Ann Yoga Phys Ther 2016; 1(2): 1007.
  • Açıkgöz B. Karpal Tünel Sendromu. Ayrıntılı Ajans 1999.
  • Walker WC, Metzler M, Cifu DX. et al. Neutral wrist splinting in carpal tunnel syndrome: a comparison of night-only versus full-time wear instructions. Arch Physic Med Rehabil 2000; 81(4): 424-9.
  • Atroshi I, Gummesson C, Johnsson R. et al. Prevalence of carpal tunnel syndrome in a general population. JAMA 1999; 282(2): 153-8.
  • Mondelli M, Giannini F, Giacchi M. Carpal tunnel syndrome incidence in a general population. Neurology 2002; 58(2): 289-94.
  • Sucher BM. Grading severity of carpal tunnel syndrome in is recommended. Muscle Nerve 2013; 48(3): 331-3.
  • DeLisa JA, Gans BM, Walsh NE. Physical medicine and rehabilitation: principles and practice: Lippincott Williams & Wilkins; 2005.
  • Horng YS, Hsieh SF, Tu YK. et al. The comparative effectiveness of tendon and nerve gliding exercises in patients with carpal tunnel syndrome: a randomized trial. Am J Physic Med Rehabil 2011; 90(6): 435-42.
  • Ebenbichler GR, Resch KL, Nicolakis P. et al. Ultrasound treatment for treating the carpal tunnel syndrome: randomised “sham” controlled trial. BMJ 1998; 316(7133): 731-5.
  • Chang YW, Hsieh SF, Horng YS. et al. Comparative effectiveness of ultrasound and paraffin therapy in patients with carpal tunnel syndrome: a randomized trial. BMC Musculoskelet Disord 2014; 15(1): 399.
  • Baldes EJ, STROEBEL III CF. Biologic effects of ultrasound. Am J Physic Med Rehabil 1958; 37(3): 111-21.
  • Burke J, Buchberger DJ, Carey-Loghmani MT. et al. A pilot study comparing two manual therapy interventions for carpal tunnel syndrome. J Manipul Physiol Ther 2007; 30(1): 50-61.
  • Kase K, Wallis J, Kase T. Clinical Therapeutic Applications of the kinesiotaping method: Tokyo: Ken Ikai Co. Ltd.; 2003.
  • de Carvalho Leite JC, Jerosch-Herold C, Song F. A systematic review of the psychometric properties of the Boston Musculoskelet Disord 2006;7(1):1. Questionnaire. BMC
  • Patel A, Culbertson MD, Patel A. et al. The negative effect of carpal tunnel syndrome on sleep quality. Sleep Disord. 2014;2014.
  • Carlsson AM. Assessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale. Pain 1983; 16(1): 87-101.
  • Buysse DJ, Reynolds CF, Monk TH. et al The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 1989; 28(2): 193-213.
  • Oztas O, Turan B, Bora I. et al. Ultrasound therapy effect in carpal tunnel syndrome. Arch Phys Med Rehabil 1998; 79(12): 1540-4.
  • Chang YW, Hsieh SF, Horng YS. et al. Comparative effectiveness of ultrasound and paraffin therapy in patients with carpal tunnel syndrome: a randomized trial. BMC Musculoskel Disord 2014; 15(1): 1.
  • Exelby L. Mobilisations with movement: a personal view. Physiotherapy 1995; 81(12): 724-9.
  • Kase K, Wallıl J, Kase T. Clinical therapeutic applications of the Kinesio taping methods. Ken Ikai, Tokyo Japan 2003.
  • Ali RR, Battecha KH, Mansour WT. Influence of Kinesio Tape in Treating Carpal Tunnel Syndrome. The 14th International Scientific Conference of Faculty of Physical Therapy 2013.
  • Kosery SME, Elshamy FF, Allah HAA. Effect of Kinesio Tape in the Treatment of Antenatal Carpal Tunnel Syndrome. Indian J Physiother Occup Ther An Int J 2012; 6(3): 116-20.
  • Kulcu D, Bursali C, Aktas İ, Alp S, Ozkan F, Akpinar P. Kinesiotaping as an alternative treatment method for carpal tunnel syndrome. Turkish J Med Sci 2016; 46(4): 1042-9.
There are 27 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Aybüke Seven This is me

Mert Doğan This is me

Publication Date April 1, 2017
Published in Issue Year 2017 Volume: 6 Issue: 1

Cite

APA Seven, A., & Doğan, M. (2017). Karpal Tünel Sendromu Tedavisinde Farklı Fizyoterapi Yaklaşımlarının Karşılaştırılması. Annals of Health Sciences Research, 6(1), 23-27.
AMA Seven A, Doğan M. Karpal Tünel Sendromu Tedavisinde Farklı Fizyoterapi Yaklaşımlarının Karşılaştırılması. Ann Health Sci Res. April 2017;6(1):23-27.
Chicago Seven, Aybüke, and Mert Doğan. “Karpal Tünel Sendromu Tedavisinde Farklı Fizyoterapi Yaklaşımlarının Karşılaştırılması”. Annals of Health Sciences Research 6, no. 1 (April 2017): 23-27.
EndNote Seven A, Doğan M (April 1, 2017) Karpal Tünel Sendromu Tedavisinde Farklı Fizyoterapi Yaklaşımlarının Karşılaştırılması. Annals of Health Sciences Research 6 1 23–27.
IEEE A. Seven and M. Doğan, “Karpal Tünel Sendromu Tedavisinde Farklı Fizyoterapi Yaklaşımlarının Karşılaştırılması”, Ann Health Sci Res, vol. 6, no. 1, pp. 23–27, 2017.
ISNAD Seven, Aybüke - Doğan, Mert. “Karpal Tünel Sendromu Tedavisinde Farklı Fizyoterapi Yaklaşımlarının Karşılaştırılması”. Annals of Health Sciences Research 6/1 (April 2017), 23-27.
JAMA Seven A, Doğan M. Karpal Tünel Sendromu Tedavisinde Farklı Fizyoterapi Yaklaşımlarının Karşılaştırılması. Ann Health Sci Res. 2017;6:23–27.
MLA Seven, Aybüke and Mert Doğan. “Karpal Tünel Sendromu Tedavisinde Farklı Fizyoterapi Yaklaşımlarının Karşılaştırılması”. Annals of Health Sciences Research, vol. 6, no. 1, 2017, pp. 23-27.
Vancouver Seven A, Doğan M. Karpal Tünel Sendromu Tedavisinde Farklı Fizyoterapi Yaklaşımlarının Karşılaştırılması. Ann Health Sci Res. 2017;6(1):23-7.