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Year 2013, Volume: 1 Issue: 3, 171 - 175, 09.10.2015

Ayşe Sarıfakıoğlu , Aliye Yıldırım Güzelant

Abstract

Aim Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy, developed by entrapment of the median nerve in the carpal tunnel. Despite widespread use, the effectiveness of physical therapy agents in the treatment of CTS is still not clear. In this study, our clinical experience of evaluating the efficacy of ultrasound (US) therapy in patients with CTS has been shared. Materials and Methods A diagnosis of CTS patients who received treatment in our physical therapy unit were analyzed retrospectively. Demographic data, clinical and physical examination findings were recorded. Before and after treatment, patients’ clinical scales, as visual analog scale, the Boston carpal tunnel syndrome questionnaire, Beck depression and anxiety scales were evaluated. Results 24 patients (20 women and 4 men), 43 hands included in the study. The mean age of patients was 51.95 ± 10.10 years. The most common symptoms in patients were; numbness (41 hands, 95.34%), pain (36 hands, 83.72%), flick mark (27 hands, 62.79%), respectively. In the examination findings; 36 Tinel sign (83.72%), 33 positive Phalen test (76.74%), 4 evidence of thenar atrophy (0.09%) were detected. 22 hand were obtained as mild stage of CTS, 18 hand were obtained as moderate stage of CTS, 3 hand were obtained as advanced stage of CTS. In all clinical measurements significant improvement were determined. Conclusion As a result, US is easy to apply, non-invasive, effective method of treatment of CTS. In order to determine the activity and duration of action more clearly, more clinical trials with larger series are needed

Keywords

Carpal tunnel syndrome physical therapy ultrasound Boston carpal tunnel syndrome questionnaire

References

  • Gelberman RH, Rydevik BL, Pess GM, Szabo RM, Lundburg G. Carpal tunnel syndrome. Orthopedic Clinics of North America 1998,19:115–124.
  • Bakhtiary AH, Rashidy-Pour A. Ultrasound and laser therapy in the treatment of carpal tunnel syndrome. Australian Journal of Physiotherapy. 2004;50:147-151. 3. Yildiz N, Atalay NS, Gungen GO et al. Comparison of ultrasound and ketoprofen phonophoresis in the treatment of carpal tunnel syndrome. Journal of Back and Musculoskeletal Rehabilitation. 2011;24(1): 39– 47.
  • Ebenbichler GR, Resch KL, Nicolakis P et al. Ultrasound treatment for treating the carpal
  • tunnelsyndrome:randomised "sham" controlled trial.
  • BMJ. 1998 Mar 7;316(7133):731-5.
  • Sezgin M, Incel NA, Serhan S et al. Assessment of symptom severity and functional status in patients with carpal tunnel syndrome: reliability and functionality of the Turkish version of
  • Disabil Rehabil. 2006 Oct 30;28(20):1281-5.
  • the BostonQuestionnaire. 6. Ulusoy M, Sahin NH, Erkmen H. Turkish version of Beck anxiety ınventory: Psychometric properties. J Cognitive Psycotherapy. 1998;12(2):163-172. 7. Kapci EG, Uslu
  • Beck Depression Inventory II: psychometric a Turkish adult 25(10):E104-10. H, Karaoglan
  • A. the in properties and population.
  • Depress Anxiety. 2008; 8. M.D. Klaiman, J.A. Shrader, J.V. Danoffet al. Phonophoresis versus ultrasound in the treatment of common musculoskeletal conditions, Med Sci Sports Exerc. 1998(30): 1349–1355. 9.
  • Viera Aleman C, Puron E, Hamilton ML et al. Evaluation
  • neuroconduction of the median nerve in patients with carpal tunnel syndrome treated with non- coherent light emitted by gallium arsenic diodes. Revue Neurologique. 2001; 32: 717–720.
  • Girlanda P, Dattola R, Venuto C et al. Local steroid treatment in idiopathic carpal tunnel syndrome: short and long term efficacy. Journal of Neurology 1993;240(3): 187–190.
  • Gonzales MH, Bylak J. Steroid injection and splintingin treatment of carpal tunnel syndrome. Orthopedics. 2001;24(5): 479–481.
  • McConnell JR, Bush DC. Intraneural steroid injection as a complication in the management of carpal tunnel syndrome. A report of three cases. Clin Orthop Relat Res. 1990;181-4.
  • Payne JM, Brault JS. Digital ischemia after carpal tunnel injection: A case report. Arch Phys Med Rehabil. 2008;89(8):1607-10.
  • Binder A, Hodge G, Greenwood AM, Hazelman BL, Page Thomas DP. Is therapeutic ultrasound effective in treating soft tissue lesions? BMJ. 1985;290(6467):512–514.
  • El Hag M, Coghlan K, Christmas P, Harvey W, Harris M. The anti-inflammatory effects of dexamethazone and therapeutic ultrasound in oral surgery. British Journal of Oral and Maxillofacial Surgery 1985;23(1):17–23. 16. Pogorzelski R, Kułakowska A, Halicka
  • D, Drozdowski W. Neurological and emotional profile of carpal tunnel syndrome patients. Przegl Lek. 2011;68(5):269-73.

Karpal Tünel Sendromunda Fizik Tedavi Modalitelerinin Etkinliği; Klinik Deneyimlerimiz

Year 2013, Volume: 1 Issue: 3, 171 - 175, 09.10.2015

Ayşe Sarıfakıoğlu , Aliye Yıldırım Güzelant

Abstract

Amaç: Karpal tünel sendromu (KTS), median sinirin karpal tünelde tuzaklanmasıyla gelişen, vücutta en sık görülen tuzak nöropatidir. Yaygın kullanılmasına rağmen, fizik tedavi ajanlarının KTS tedavisindeki yeri hala açık değildir. Bu çalışma ile KTS tanılı hastalarda, fizik tedavi modalitelerinden ultrason (US) tedavisinin etkinliğini değerlendiren klinik deneyimlerimiz paylaşılmıştır.
Materyal-Metod: Kliniğimiz fizik tedavi ünitesinde tedavi almış KTS tanılı hastalar retrospektif olarak incelenmiştir. Hastaların demografik verileri, klinik ve muayene bulguları kaydedilmiştir. Hastaların tedavi öncesi ve tedavi sonrası klinik durumları; vizuel analog skalası, Boston karpal tünel sendromu anketi, Beck depresyon ve anksiyete ölçekleri ile değerlendirilmiştir.
Bulgular: Çalışmaya 24 hasta (20 kadın, 4 erkek), 43 el alınmıştır. Hastaların yaş ortalaması 51.95±10.10 idi. Hastalarda en sık görülen semptomlar; uyuşma (41 el, %95.34), ağrı (36 el, %83.72), flick işareti (27 el, %62.79) idi. Hastaların muayene bulgularından; 36 elde Tinel pozitifliği (%83.72), 33 elde Phalen testi pozitifliği (%76.74), 4 elde tenar atrofi bulgusu (%0.09) saptandı. Değerlendirmeye alınan 22 elde hafif, 18 elde orta, 3 elde ise ileri evre KTS saptandı. Değerlendirilen tüm klinik ölçeklerde istatistiksel anlamlı iyileşme saptanmıştır.
Sonuç: Sonuç olarak, KTS tedavisinde US kolay uygulanabilen, invazif olmayan, etkin bir tedavi yöntemidir. Etki derecesi ve etki süresinin daha net olarak belirlenebilmesi için, daha geniş serilerle yapılacak, kontrollü klinik çalışmalara ihtiyaç vardır.

Keywords

Karpal tünel sendromu fizik tedavi ultrason Boston karpal tünel sendromu anketi

References

  • Gelberman RH, Rydevik BL, Pess GM, Szabo RM, Lundburg G. Carpal tunnel syndrome. Orthopedic Clinics of North America 1998,19:115–124.
  • Bakhtiary AH, Rashidy-Pour A. Ultrasound and laser therapy in the treatment of carpal tunnel syndrome. Australian Journal of Physiotherapy. 2004;50:147-151. 3. Yildiz N, Atalay NS, Gungen GO et al. Comparison of ultrasound and ketoprofen phonophoresis in the treatment of carpal tunnel syndrome. Journal of Back and Musculoskeletal Rehabilitation. 2011;24(1): 39– 47.
  • Ebenbichler GR, Resch KL, Nicolakis P et al. Ultrasound treatment for treating the carpal
  • tunnelsyndrome:randomised "sham" controlled trial.
  • BMJ. 1998 Mar 7;316(7133):731-5.
  • Sezgin M, Incel NA, Serhan S et al. Assessment of symptom severity and functional status in patients with carpal tunnel syndrome: reliability and functionality of the Turkish version of
  • Disabil Rehabil. 2006 Oct 30;28(20):1281-5.
  • the BostonQuestionnaire. 6. Ulusoy M, Sahin NH, Erkmen H. Turkish version of Beck anxiety ınventory: Psychometric properties. J Cognitive Psycotherapy. 1998;12(2):163-172. 7. Kapci EG, Uslu
  • Beck Depression Inventory II: psychometric a Turkish adult 25(10):E104-10. H, Karaoglan
  • A. the in properties and population.
  • Depress Anxiety. 2008; 8. M.D. Klaiman, J.A. Shrader, J.V. Danoffet al. Phonophoresis versus ultrasound in the treatment of common musculoskeletal conditions, Med Sci Sports Exerc. 1998(30): 1349–1355. 9.
  • Viera Aleman C, Puron E, Hamilton ML et al. Evaluation
  • neuroconduction of the median nerve in patients with carpal tunnel syndrome treated with non- coherent light emitted by gallium arsenic diodes. Revue Neurologique. 2001; 32: 717–720.
  • Girlanda P, Dattola R, Venuto C et al. Local steroid treatment in idiopathic carpal tunnel syndrome: short and long term efficacy. Journal of Neurology 1993;240(3): 187–190.
  • Gonzales MH, Bylak J. Steroid injection and splintingin treatment of carpal tunnel syndrome. Orthopedics. 2001;24(5): 479–481.
  • McConnell JR, Bush DC. Intraneural steroid injection as a complication in the management of carpal tunnel syndrome. A report of three cases. Clin Orthop Relat Res. 1990;181-4.
  • Payne JM, Brault JS. Digital ischemia after carpal tunnel injection: A case report. Arch Phys Med Rehabil. 2008;89(8):1607-10.
  • Binder A, Hodge G, Greenwood AM, Hazelman BL, Page Thomas DP. Is therapeutic ultrasound effective in treating soft tissue lesions? BMJ. 1985;290(6467):512–514.
  • El Hag M, Coghlan K, Christmas P, Harvey W, Harris M. The anti-inflammatory effects of dexamethazone and therapeutic ultrasound in oral surgery. British Journal of Oral and Maxillofacial Surgery 1985;23(1):17–23. 16. Pogorzelski R, Kułakowska A, Halicka
  • D, Drozdowski W. Neurological and emotional profile of carpal tunnel syndrome patients. Przegl Lek. 2011;68(5):269-73.
There are 20 citations in total.

Details

Primary Language Turkish
Journal Section Araştırma Makaleleri
Authors

Ayşe Sarıfakıoğlu

Aliye Yıldırım Güzelant This is me

Publication Date October 9, 2015
Published in Issue Year 2013 Volume: 1 Issue: 3

Cite

APA Sarıfakıoğlu, A., & Yıldırım Güzelant, A. (2015). Karpal Tünel Sendromunda Fizik Tedavi Modalitelerinin Etkinliği; Klinik Deneyimlerimiz. International Journal of Basic and Clinical Medicine, 1(3), 171-175.
AMA Sarıfakıoğlu A, Yıldırım Güzelant A. Karpal Tünel Sendromunda Fizik Tedavi Modalitelerinin Etkinliği; Klinik Deneyimlerimiz. International Journal of Basic and Clinical Medicine. October 2015;1(3):171-175.
Chicago Sarıfakıoğlu, Ayşe, and Aliye Yıldırım Güzelant. “Karpal Tünel Sendromunda Fizik Tedavi Modalitelerinin Etkinliği; Klinik Deneyimlerimiz”. International Journal of Basic and Clinical Medicine 1, no. 3 (October 2015): 171-75.
EndNote Sarıfakıoğlu A, Yıldırım Güzelant A (October 1, 2015) Karpal Tünel Sendromunda Fizik Tedavi Modalitelerinin Etkinliği; Klinik Deneyimlerimiz. International Journal of Basic and Clinical Medicine 1 3 171–175.
IEEE A. Sarıfakıoğlu and A. Yıldırım Güzelant, “Karpal Tünel Sendromunda Fizik Tedavi Modalitelerinin Etkinliği; Klinik Deneyimlerimiz”, International Journal of Basic and Clinical Medicine, vol. 1, no. 3, pp. 171–175, 2015.
ISNAD Sarıfakıoğlu, Ayşe - Yıldırım Güzelant, Aliye. “Karpal Tünel Sendromunda Fizik Tedavi Modalitelerinin Etkinliği; Klinik Deneyimlerimiz”. International Journal of Basic and Clinical Medicine 1/3 (October 2015), 171-175.
JAMA Sarıfakıoğlu A, Yıldırım Güzelant A. Karpal Tünel Sendromunda Fizik Tedavi Modalitelerinin Etkinliği; Klinik Deneyimlerimiz. International Journal of Basic and Clinical Medicine. 2015;1:171–175.
MLA Sarıfakıoğlu, Ayşe and Aliye Yıldırım Güzelant. “Karpal Tünel Sendromunda Fizik Tedavi Modalitelerinin Etkinliği; Klinik Deneyimlerimiz”. International Journal of Basic and Clinical Medicine, vol. 1, no. 3, 2015, pp. 171-5.
Vancouver Sarıfakıoğlu A, Yıldırım Güzelant A. Karpal Tünel Sendromunda Fizik Tedavi Modalitelerinin Etkinliği; Klinik Deneyimlerimiz. International Journal of Basic and Clinical Medicine. 2015;1(3):171-5.
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