Effects of wrist traction on pain and hand functions in the treatment of carpal tunnel syndrome

Abstract

Keywords

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Karpal tünel sendromunun tedavisinde bilek traksiyonunun ağrı ve elin fonksiyonelliği üzerine etkisi

Öz

Amaç: Çalışma karpal tünel sendromu (KTS) tedavisinde traksiyonun etkinliğini araştırmak amacıyla yapıldı. Gereç ve yöntem: KTS tanısı olan 60 olgu rastgele yöntemle 2 gruba ayrılarak, kontrol grubundaki 30 bireye hot-pack, terapatik ultrason ve egzersiz programından oluşan konservatif tedavi yaklaşımı, traksiyon grubundaki 30 bireye ise bu tedavi yöntemlerine ek olarak ‘Carpal Trac’ KTS traksiyon aleti kullanılarak mekanik traksiyon uygulandı. Tedavi programı haftada 5 gün olmak üzere, 3 hafta süre ile uygulandı. Olgular tedavi öncesi ve sonrasında ağrı ve fonksiyonel yönden değerlendirildi. Sonuçlar: Araştırmanın sonucunda hem kontrol hem de traksiyon grubunda tedavi sonrasında başlangıca göre anlamlı farklar olduğu kaydedildi (p

Anahtar Kelimeler

• Karpal tünel sendomu, Fizyoterapi, Traksiyon

References

1. Brüske J, Bednarski M, Grzelec H, et al. The usefulness of the Phalen test and the Hoffmann- Tinel sign in the diagnosis of carpal tunnel syndrome. Acta Orthop Belg. 2002;68:141-145.
2. Ebenbichler GR, Resch KL, Nicolakis P, et al. Ultrasound treatment for treating the carpal tunnel syndrome: randomised "sham" controlled trial. BMJ. 1998;316(7133):731-735.
3. Piazzini DB, Aprile I, Ferrara PE, et al. A systematic review of conservative treatment of carpal tunnel syndrome. Clin Rehabil. 2007;21:299–314.
4. Freilich AM, Chhabra AB. Diagnosis and pathophysiology of carpal tunnel syndrome. Curr Opin Orthop. 2007;18:347-351.
5. Feuerstein M, Burrell LM, Miller VI, et al. Clinical management of carpal tunnel syndrome: a 12-year review of outcomes. Am J Ind Med. 1999;35:232- 245.
6. Brunarski DJ, Kleinberg BA, Wilkins KR. Intermittent axial wrist traction as a conservative treatment for carpal tunnel syndrome: a case series. J Can Chiropr Assoc. 2004;48:211-216.
7. Wilson JK, Sevier TL. A review of treatment for carpal tunnel syndrome. Disabil Rehabil. 2003;25:113-119.
8. Kostopoulos D. Clinical Methods: Neural Mobilization. Treatment of carpal tunnel syndrome: a review of the non-surgical approaches with emphasis in neural mobilization. Journal of Bodywork and Movement Therapies. 2004;8:2-8.

9. Russell BS. Carpal tunnel syndrome and the "double crush" hypothesis: a review and implications for chiropractic. Chiropr Osteopat. 2008;16:2.
10. Gerritsen AA, de Krom MC, Struijs MA, et al. Conservative treatment options for carpal tunnel syndrome: a systematic review of randomised controlled trials. J Neurol. 2002;249:272–280.
11. Michelsen H, Posner MA. Medical history of carpal tunnel syndrome. Hand Clin. 2002;18:257-268.
12. Slater RR Jr, Bynum DK. Diagnosis and treatment of carpal tunnel syndrome. Orthop Rev. 1993;22:1095- 1105.
13. Butler RJ, Liao H. Job performance failure and occupational carpal tunnel claims. J Occup Rehabil. 2002;12:1-12.
14. Porrata H, Porrata A, Sosner J. New carpal ligament traction device for the treatment of carpal tunnel syndrome unresponsive to conservative therapy. J Hand Ther. 2007;20:20-7.
15. You H, Simmons Z, Freivalds A, et al. Relationships between clinical symptom severity scales and nerve conduction measures in carpal tunnel syndrome. Muscle Nerve. 1999;22:497-501.
16. Rempel D, Manojlovic R, Levinsohn DG, et al. The effect of wearing a flexible wrist splint on carpal tunnel pressure during repetitive hand activity. J Hand Surg Am. 1994;19:106-110.
17. Repice RM, Chu-Andrew J, Repice RM, et al. Conservative therapy, wrist traction as a new method for treatment of carpal tunnel syndrome. AJPM. 2004;14:31-36.
18. Leon R, Auyong S. Chiropractic manipulative therapy of carpal tunnel syndrome. J Chiropr Med. 2002;1:75-78.
19. Bakhtiary AH, Rashidy-Pour AR. Ultrasound and laser therapy in the treatment of carpal tunnel syndrome. Aust J Physiother. 2004;50:147-151.
20. Burke FD, Ellis J, McKenna H, et al. Primary care management of carpal tunnel syndrome. Postgrad Med J. 2003;79(934):433-437.
21. Basford JR. Therapeutic physical agents. In JA DeLisa et al., eds., Physical Medicine and Rehabilitation: Principles and Practice, 4th ed. Philadelphia: Lippincott Williams and Wilkins. 2005;251-270.
22. Padua L, Lo Monaco M, Padua R, et al. Carpal tunnel syndrome: neurophysiological results of surgery based on preoperative electrodiagnostic testing. J Hand Surg Br. 1997;22:599-601.
23. Atchison JW, Stoll S, Gilliar WG. Manipulation, traction and massage. In: Braddom RL, eds. Physical Medicine and Rehabilitation. Philadelphia: WB Saunders Company; 1996:421-448.
24. Chan L, Turner JA, Comstock BA, et al. The relationship between electrodiagnostic findings and patient symptoms and function in carpal tunnel syndrome. Arch Phys Med Rehabil. 2007;88:19-24. 10
25. İlhan D, Toker S, Kılıncıoğlu V, et al. Assessment of the Boston Questionnaire in diagnosis of idiopathic carpal tunnel syndrome: comparing scores with clinical and neurophysiological findings. Düzce Tıp Fakültesi Dergisi. 2008;3:4-9.
26. Atroshi I, Gummesson C, Johnsson R, et al. Symptoms, disability, and quality of life in patients with carpal tunnel syndrome. J Hand Surg Am. 1999;24:398-404.
27. Levine DW, Simmons BP, Koris MJ et al. A self- administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome. J Bone Joint Surg Am. 1993;75:1585–1592.
28. Sezgin M, İncel 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 the Boston Questionnaire. Disabil Rehabil. 2006;28:1281-1285.
29. Bonutti PM, Windau JE, Ables BA, et al. Static progressive stretch to reestablish elbow range of motion. Clin Orthop Relat Res. 1994;303:128-134.
30. Gerritsen AA, de Vet HC, Scholten RJ, et al. Splinting vs surgery in the treatment of carpal tunnel syndrome? Design of a randomized controlled trial. JAMA. 2002;288:1245-1251.