Login
Communauté Vinci
Extérieur
Si votre nom d'utilisateur ne se termine pas par @vinci.be ou @student.vinci.be, utilisez le formulaire ci-dessous pour accéder à votre compte de lecteur.
Titre : | Neurodynamic Techniques Versus Sham Therapy in the Treatment of Carpal Tunnel Syndrome: A Randomized Placebo-Controlled Trial (2018) |
Auteurs : | Tomasz Wolny ; Paweł Linek |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 5, 2018) |
Article en page(s) : | p. 843-854 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Rééducation et réadaptation ; Syndrome du canal carpien |
Mots-clés: | Carpal tunnel syndrome ; Musculoskeletal manipulations ; Manipulations de l'appareil locomoteur |
Résumé : |
Objective To evaluate the efficacy of neurodynamic techniques used as the sole therapeutic component compared with sham therapy in the treatment of mild and moderate carpal tunnel syndromes (CTS). Design Single-blinded, randomized placebo-controlled trial. Setting Several medical clinics. Participants Volunteer sample of patients (N=250) diagnosed with CTS (n=150). Interventions Neurodynamic techniques were used in the neurodynamic techniques group, and sham therapy was used in the sham therapy group. In the neurodynamic techniques group, neurodynamic sequences were used, and sliding and tension techniques were also used. In the sham therapy group, no neurodynamic sequences were used, and therapeutic procedures were performed in an intermediate position. Therapy was conducted twice weekly for a total of 20 therapy sessions. Main Outcome Measures Symptom severity (symptom severity scale) and functional status (functional status scale) of the Boston Carpal Tunnel Questionnaire. Results A baseline assessment revealed no intergroup differences in all examined parameters (P>.05). After therapy, there was statistically significant intragroup improvement in nerve conduction study (sensory and motor conduction velocity and motor latency) only for the neurodynamic techniques group (P<.01 after therapy intragroup statistically significant changes also occurred for the neurodynamic techniques group in pain assessment discrimination sense symptom severity scale and functional status all cases p there were no differences of grip pinch strength>.05). Conclusions The use of neurodynamic techniques has a better therapeutic effect than sham therapy in the treatment of mild and moderate forms of CTS. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |