Karpal Tünel Sendromunda Egzersiz ve Splintleme

Abstract

Karpal tünel sendromu (KTS), median sinirin el bileğindeki karpal tünel içinde kompresyonu sonucu oluşur. En sık görülen üst ekstremite periferik tuzak nöropatisidir. KTS’ye neden olan birçok hastalık olmasına rağmen genellikle idiopatiktir. Konservatif tedavi istirahat, nonsteroid antienflamatuvar ilaçlar, istirahat splintleri, egzersiz ve lokal steriod enjeksiyonunu içerir. Cerrahi tedavi endikasyonları, konservatif tedavinin başarısızlığı veya ciddi KTS’dir. Splintleme ve tendon-sinir kaydırma egzersizleri KTS’de yaygın kullanılan tedavilerdir. Bu derlemede splintleme ve tendon-sinir kaydırma egzersizlerinin KTS tedavisinde kullanımı ve etkinliklerinin ortaya konulması amaçlanmıştır.

Keywords

• Splint, karpal tünel sendromu, egzersiz

References

1. Heebner ML, Roddey TS. The effects of neural mobilization
2. in addition to standard care in persons with carpal tunnel
3. syndrome from a community hospital. J Hand Ther 2008; 21:
4. -40.
5. Deskur Z. Deskur A. Zawadzki M. Influence of selected
6. physical exercises to improve outcomes in patients operated
7. for carpal tunnel syndrome in own material. Centr Eur J
8. Sport Sci Med 2014; 8 (4): 47–51.

9. 3. Kuran B. Ön kol, el-el bileği ağrılarında egzersiz
10. reçeteleme: Derleme. Türk Fiz Tıp Rehab Derg 2014; 60 (özel
11. sayı 2): s43-49
12. 4. Kaymak B, Özçakar L. Karpal tünel sendromu: Derleme.
13. Hacettepe Tıp Dergisi 2007; 38: 141-6.
14. 5. Baker, Nancy A. et al. The comparative effectiveness of
15. combined lumbrical muscle splints and stretches onsymptoms and function in carpal tunnel syndrome. Archives
16. of physical medicine and rehabilitation 93.1 (2012): 1-10.
17. Schmid, Annina B. et al. Effect of splinting and exercise on
18. intraneural edema of the median nerve in carpal tunnel
19. syndrome-an MRI study to reveal therapeutic mechanisms.
20. Journal of Orthopaedic Research 30.8 (2012): 1343-1350
21. Evans RB. Therapist’s Management of Carpal Tunnel
22. Syndrome: A Practical Approach. Rehabilitation of the Hand
23. and Upper Extremity. In: Skirven TM, Osterman AL,
24. Fedorczyk JM, Amadip PC, eds. 6th ed. Philadelphia:
25. Elsevier; 2011. p. 666-7.
26. Afşar Sİ, Sarıfakıoğlu B, Akçay Yalbuzdağ Ş. Karpal tünel
27. sendromu tedavisinde fizik tedavi modalitelerinin yeri:
28. Derleme: Türk Osteoporoz Dergisi 2014; 20: 125-31.
29. Carlson, Hans, et al. Current options for nonsurgical
30. management of carpal tunnel syndrome. International journal
31. of clinical rheumatology 5.1 (2010): 129-142.
32. Kirazlı Y. Diyabetik el rehabilitasyonu: Derleme FTR Bil Der
33. ; 14 Özel Sayı: 7-11.
34. Manente G, Torrieri F, Di Blasio F. et al. An innovative hand
35. brace for carpal tunnel syndrome: a randomized controlled
36. trial. Muscle Nerve 2001; 24: 1020–1025.
37. De Angelis MV, Pierfelice F, Di Giovanni P. et al. Efficacy of
38. a soft hand brace and a wrist splint for carpal tunnel
39. syndrome: a randomized controlled study. Acta Neurol.
40. Scand 2009; 119: 68–74.
41. Gerritsen AA, de Vet HC, Scholten RJ. et al. Splinting vs
42. surgery in the treatment of carpal tunnel syndrome: a
43. randomized controlled trial. JAMA 2002; 288: 1245–1251.
44. Brininger TL, Rogers JC, Holm MB. et al. Efficacy of a
45. fabricated customized splint and tendon and nerve gliding
46. exercises for the treatment of carpal tunnel syndrome: a
47. randomized controlled trial. Arch. Phys. Med. Rehabil 2007;
48. : 1429–1435.
49. Bulut GT, Çaglar NS, Aytekin E.et al. Comparison of static
50. wrist splint with static wrist and metacarpophalangeal splint
51. in carpal tunnel syndrome. J Back Musculoskeletal reh 00
52. ; 1-7
53. Yagci I, Elmas O, Akcan E. ve ark. Comparison of splinting
54. and splinting plus low-level laser therapy in idiopathic carpal
55. tunnel syndrome. Clin Rheumatol 2009; 28: 1059-65.
56. Povlsen B, Bashir M, Wong F. Long-term result and patient
57. reported outcome of wrist splint treatment for carpal tunnel
58. syndrome. J Plast Surg Hand Surg 2014; 48(3): 175-8.
59. Seradge H, Parker W, Baer C et al. Conservative treatment of
60. carpal tunnel syndrome. An outcome study of adjunct
61. exercises. J Okla State Med Assoc 2002; 95: 7-14.
62. Keilani MY, Crevenna R, Fialka-Moser V. Postoperative
63. rehabilitation of patients with carpal tunnel syndrome. Wien
64. Med. Wochenschr 2012; 152: 479-480.
65. Dilek Keskin, Halil Uçan, Lale Akbulut ve ark. Açık Karpal
66. Tünel Serbestleştirme Operasyonu Sonrasında Sinir ve
67. Tendon Kaydırma Egzersizlerinin Etkinliği, FTR Bil Der J
68. PMR Sci 2008; 11: 15-20.
69. Biçer M, Çabalar M, Ecerkale Ö. Karpal tünel sendromu
70. tedavisinde B vitamin ile tendon-sinir germe egzersizlerinin
71. klinik ve elektrofizyolojik parametrelere etkisi. İstanbul Med J
72. ; 15: 16-20.
73. Page MJ, O’Connor D, Pitt V. et al. Exercise and
74. mobilisation interventions for carpal tunnel syndrome.
75. Cochrane Database Syst Rev. 2012; 6: CD009899