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Journals / Annals of Medical Research / 2018 / Cilt: 25 - Sayı: 2

Complementary treatment options in carpal tunnel syndrome surgery; Prospective randomized controlled study

Yakup EKİNCİ
Ersin Kasim ULUSOY
Alper CİRAKLİ
Pages
236–240
Publication Date
2022-10-12
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

In the exercise group (Group 2) it was found that the healing was better and faster than the other groups.Conclusion: We believe that early and effective postoperative exercise, which is to be applied in addition to surgical treatment in advanced CTS cases, leads to healing of the patient and, in parallel, early return to work.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: In this study, we aimed to determine the efficacy of splinting and exercise modalities in addition to surgical treatment in advanced carpal tunnel syndrome (CTS) cases.Material and Method: Patients were divided into 3 different groups according to the order of application, and after surgical intervention their treatment was continued according to the group they were in.
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Key Findings & Data:There were 51 hands in 50 female patients in group 1 (control group); 52 hands in 51 female patients in group 2 (exercise group); 52 hands in 50 patients in group 3 (wrist splint group).
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Conclusion & Impact:In the exercise group (Group 2) it was found that the healing was better and faster than the other groups.Conclusion: We believe that early and effective postoperative exercise, which is to be applied in addition to surgical treatment in advanced CTS cases, leads to healing of the patient and, in parallel, early return to work.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: In this study, we aimed to determine the efficacy of splinting and exercise modalities in addition to surgical treatment in advanced carpal tunnel syndrome (CTS) cases.Material and Method: Patients were divided into 3 different groups according to the order of application, and after surgical intervention their treatment was continued according to the group they were in. There were 51 hands in 50 female patients in group 1 (control group); 52 hands in 51 female patients in group 2 (exercise group); 52 hands in 50 patients in group 3 (wrist splint group). Patients were given a follow-up number by computer software under which the following data were recorded: age, body mass index (BMI),date of surgery, operated side, preoperative disorders, pre and postoperative EMG findings, surgical technique, pre and postoperative visual analogue scales (VAS), pre and post-operative Boston Carpal Tunnel Questionnaire (BCTQ) and post-operative complications.Kolmogorov-Smirnov test and Spearman’s rho correlation coefficient (r) were used for statistical analysis.Results: There was no statistical difference between the groups in terms of VAS and FSS change. However, there was a statistically significant difference in terms of BSSS change. In the exercise group (Group 2) it was found that the healing was better and faster than the other groups.Conclusion: We believe that early and effective postoperative exercise, which is to be applied in addition to surgical treatment in advanced CTS cases, leads to healing of the patient and, in parallel, early return to work.

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Cite This Article

EKİNCİ, Y., ULUSOY, E. K., CİRAKLİ, A. (2022). Complementary treatment options in carpal tunnel syndrome surgery; Prospective randomized controlled study. Annals of Medical Research, Cilt: 25 - Sayı: 2, 236–240. https://ajindex.com/articles/447378

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References (12)

  1. Bhatia R, Field J, Grote J, Huma H. Does splintage help pain after carpal tunnel release? J Hand Surg Br 2000;25(2):150. Shalimar A, Nor-Hazla MH, Arifaizad A, Jamari S. Splinting after carpal tunnel release: does it really matter? Malays Orthop J 2015;9(2):41-46.
  2. Deskur Z, Deskur A, Zawadzki M. Influence of selected physical exercises to improve outcomes in patients operated for carpal tunnel syndrome in own material. Centr Eur J Sport Sci Med 2014;8(4):47-51.
  3. Keilani MY, Crevenna R, Fialka-Moser V. Postoperative rehabilitation of patients with carpal tunnel syndrome. Wien Med. Wochenschr 2012;152(17-18):479-80.
  4. Hageman MG, Bossen JK, Neuhaus V, Mudgal CS, Ring D. Assessment of decisional conflict about the treatment of carpal tunnel syndrome, comparing patients and physicians. Arch Bone Jt Surg 2016;4(2):150-5.
  5. Heybeli N, Kutluhan S, Demirci S, Kerman M, Mumcu EF. Assessment of outcome of carpal tunnel syndrome: A comparison of electrophysiological findings and a selfadministered Boston questionnaire. J Hand Surg Br 2002;27(3):259-64.
  6. Sezgin M, Incel NA, Serhan S, Camdeviren H, As I, Erdoğan C. 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(20):1281-5.
  7. Yunoki M, Kanda T, Suzuki K, Uneda A, Hirashita K, Yoshino K. Importance of recognizing carpal tunnel syndrome for neurosurgeons: a review. Neurol Med Chir (Tokyo) 2017;57(4):172-83.
  8. Basiri K, Katirji B. Practical approach to electrodiagnosis of the carpal tunnel syndrome: a review Adv Biomed Res 2015;17;4:50. Jablecki CK, Andary MT, So YT, Wilkins DE, Williams FH. Literature review of the usefulness of nerve conduction studies and electromyography for the evaluation of patients with carpal tunnel syndrome. AAEM quality assurance committee. Muscle Nerve 1993;16(12):1392-414.
  9. Graham B, Regehr G, Naglie G, Wright JG. Development and validation of diagnostic criteria for carpal tunnel syndrome. J Hand Surg Am 2006;31(6):919-24.
  10. Badger SA, O’Donnell ME, Sherigar JM, Connolly P, Spence RA. Open carpal tunnel release--still a safe and effective operation. Ulster Med J 2008;77(1):22-4.
  11. Rozmaryn LM, Dovelle S, Rothman ER, Gorman K, Olvey KM, Bartko JJ. Nerve and tendon gliding exercises and the conservative management of carpal tunnel syndrome. J Hand Ther 1998;11(3):171-9.
  12. Chow JC, Hantes ME. Endoscopic carpal tunnel release: Thirteen years’ experience with the C