Karpal Tünel Sendromlu Hastalarda Retinaculum Musculorum Flexorum’un Miyofasyal Olarak Gevşetilmesi, Median Sinir Mobilizasyonu ve Tendon Kaydırma Egzersizlerinin Kinezyo Bantlama Tekniğiyle Karşılaştırılması

Öz

Amaç: Karpal tünel sendromu (KTS) tedavisinde, kinesio taping bantlama tekniğinin ne kadar etkin olduğunu araştırmak ve bu teknik ile retinaculum musculorum flexorum’un myofascial gevşetilmesi, n. medianus mobilizasyonu ve tendon gliding egzersizlerinin üçünün birlikte yapıldığı tedavi programının etkinliğini karşılaştırmaktır.

Materyal ve Metod: Gönüllü KTS’li 40 bayan hasta, rastgele 20 kişilik iki gruba ayrıldı ve 4 hafta tedaviye alındı. Grup 1’e haftada 5 gün retinaculum musculorum flexorum’un myofascial olarak gevşetilmesi, n. medianus mobilizasyonu ve tendon gliding egzersizleri; Grup 2’ye pazartesi-perşembe günleri haftada 2 defa kinesio taping bantlama tekniği uygulandı. Her bir hasta tedavi öncesi ve sonrası Boston Semptom Şiddeti Skalası ve Boston Fonksiyonel Kapasite Skalası ile değerlendirilip, her grubun tedavisinin kendi içinde etkinliğine ve iki grubun tedavi etkinliğinin birbiriyle karşılaştırılması yapıldı.

Bulgular: Her iki grupta da tedavi öncesi ve sonrası Boston Semptom Şiddeti Skalası ve Boston Fonksiyonel Kapasite Skalası değerleri istatistiksel olarak anlamlı şekilde azalmıştır. Egzersiz grubu ve bantlama grubu Boston Semptom Şiddeti Skalası’nda tedavi öncesi ve sonrası arasındaki fark karşılaştırıldığında istatistiksel olarak anlamlı bir fark bulunmazken, Boston Fonksiyonel Kapasite Skalası’nda iki grup arasında anlamlı bir fark tespit edildi.

Sonuç: Her iki grupta da KTS semptomları açısından olumlu etkiler sağlandığı tespit edilmiş, gruplar arasında istatistiksel olarak fark bulunmamıştır. KTS fonksiyonları açısından değerlendirildiğinde egzersiz grubu bantlama grubundan daha etkin çıkmıştır. 

Anahtar Kelimeler

• Karpal tünel sendromu
• miyofasyal gevşetme
• n. medianus mobilizasyonu
• tendon kaydırma egzersizleri;
• kinezyo bantlama tekniği

Comparison of Kinesio Taping Technique with Myofacial Releasing of Retinaculum Musculorum Flexorum, Mobilization of the Median Nerve, and Tendon Gliding Exercises in Patients with Carpal Tunnel Syndrome

Öz

Aim: We aimed to investigate the efficiency of the kinesiotaping technique and to compare efficacy of this technique with a treatment programme using all three types of myofacial releasing of flexor retinaculum, mobilization of the median nerve, and tendon gliding exercises in the Carpal Tunnel Sendrome (CTS).

Material and Methods: Forty volunteer female patients with CTS, divided into randomly two groups consisted of twenty patients and received treatment for 4 weeks. Group 1 was put on mobilization of the median nerve, myofascial releasing of flexor retinaculum, and tendon gliding exercises therapy for 5 days per week, while Group 2 recieved the kinesiotaping technique two times per week on Mondays and Thursdays. Every patient was evaluated within the group and compared with the other group according to Boston Symptom Severity Scale and Boston Functional Capacity Scale pretreatment and posttreatment programme to compare the efficiencies of the methods.

Results: In both groups, statisticaly significant reductions were observed according to Boston Symptom Severity Scale and Boston Functional Capacity Scale scores pretreatment and posttreatment. Although the difference between exercises and taping groups was not statistically significant according to Boston Symptom Severity Scale, a statistically significant difference was noted according to Boston Functional Capacity Scale.

Conclusion: Positive effects on CTS symptoms were observed in both groups, but statistically significant difference was not observed between groups. Excercise group was superior to taping group when we compare two groups according to improvement of hand functions.

Anahtar Kelimeler

• Carpal tunnel sendrome
• myofacial releasing
• mobilization of the median nerve
• tendon gliding exercises
• kinesio taping technique

Kaynakça

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