The effectiveness of conservative treatments of carpal tunnel syndrome: splinting, ultrasound, and low-level laser therapies
Dincer U, Cakar E, Kiralp MZ, Kilac H, Dursun H
Photomedicine and laser surgery · 36 citas
Etiquetas de revisión
Financiación no declaradaDatos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2009-02-01 · Photomed Laser Surg · vol. 27 · número 1 · págs. 119–125
- Editorial
- Mary Ann Liebert, Inc.
- Citado
- 66 citas · más que el 89% de estudios similares · 2.8× el promedio de su campo
- Referencias
- 28 trabajos
- Acceso
- De pago
- Áreas de investigación
- Peripheral Nerve Disorders · Laser Applications in Dentistry and Medicine · Orthopedic Surgery and Rehabilitation
- Palabras clave
- carpal tunnel syndrome, splinting, ultrasound therapy, low-level laser therapy, conservative treatment, median nerve entrapment, analgesia, patient satisfaction, Boston questionnaire, electroneuromyography
- MeSH
- humans, carpal tunnel syndrome, pain measurement, ultrasonic therapy, severity of illness index, splints, neural conduction, middle aged, female, low-level light therapy
5 autores
- Ümit Dinçer
- Engin Çakar
- Mehmet Zeki Kıralp
- Hilmi Kilaç
- Hasan Dursun
Resumen
El texto original del estudio, en el idioma en que se publicó.
Objective
The objective of this study was to investigate the effectiveness of splinting, ultrasound (US), and low-level laser (LLL) in the management of carpal tunnel syndrome (CTS).
Background data
CTS is the entrapment mononeuropathy most frequently seen in clinical practice, caused by compression of the median nerve at the wrist. Although several treatment modalities are routinely in use, there is no consensus about the best way to manage CTS.
Materials and methods
In our study, patients were randomly allocated to three groups that received the following treatment protocols: splinting only, splinting plus US, and splinting plus LLL therapy. Patients were assessed with the Boston Questionnaire, patient satisfaction inquiry, visual analogue scale for pain, and electroneuromyography.
Results and conclusion
The study was completed with a total of 100 hands of 50 women patients with bilateral CTS at 3 mo after treatment. At the end of the follow-up period, each of the groups had improvements to varying degrees. It appeared that the combinations of US or LLL therapy with splinting were more effective than splinting alone in treating CTS. However, LLL therapy plus splinting was more advantageous than US therapy plus splinting, especially for the outcomes of lessening of symptom severity, pain alleviation, and increased patient satisfaction.
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