| کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
|---|---|---|---|---|
| 5564150 | 1403499 | 2017 | 10 صفحه PDF | دانلود رایگان |
کلمات کلیدی
مقدمه
روش‌ها
موارد اخلاقی
طراحی مطالعه
شرکت‌کنندگان
پروتکل‌ها
مداخله
آنالیز آماری
نتایج
بحث
شکل 1. نموداری از مراحل کارآزمایی بالینی
جدول 1. میانگین گروه و مقایسه‌ی بین گروهی مشخصات شرکت‌کنندگان در ابتدای مطالعه
جدول 2. میانگین گروه، انحراف معیار استاندارد و محدوده‌ی پارامترهای هدایت عصب میانی؛ مقایسه‌ی بین گروهی و اثر درمان
جدول 3. میانگین گروه، انحراف معیار استاندارد و محدوده‌ی امتیاز درد؛ مقایسه‌ی بین گروهی و اثر درمان
جدول 4. میانگین گروه، انحراف معیار استاندارد و محدوده‌ی شدت علائم و وضعیت عملکردی؛ مقایسه‌ی بین گروهی و اثر درمان
محدودیت‌ها
نتیجه‌گیری
کاربردهای عملی
ObjectiveThe purpose of this randomized trial was to compare the efficacy of manual therapy, including the use of neurodynamic techniques, with electrophysical modalities on patients with mild and moderate carpal tunnel syndrome (CTS).MethodsThe study included 140 CTS patients who were randomly assigned to the manual therapy (MT) group, which included the use of neurodynamic techniques, functional massage, and carpal bone mobilizations techniques, or to the electrophysical modalities (EM) group, which included laser and ultrasound therapy. Nerve conduction, pain severity, symptom severity, and functional status measured by the Boston Carpal Tunnel Questionnaire were assessed before and after treatment. Therapy was conducted twice weekly and both groups received 20 therapy sessions.ResultsA baseline assessment revealed group differences in sensory conduction of the median nerve (P < .01) but not in motor conduction (P = .82). Four weeks after the last treatment procedure, nerve conduction was examined again. In the MT group, median nerve sensory conduction velocity increased by 34% and motor conduction velocity by 6% (in both cases, P < .01). There was no change in median nerve sensory and motor conduction velocities in the EM. Distal motor latency was decreased (P < .01) in both groups. A baseline assessment revealed no group differences in pain severity, symptom severity, or functional status. Immediately after therapy, analysis of variance revealed group differences in pain severity (P < .01), with a reduction in pain in both groups (MT: 290%, P < .01; EM: 47%, P < .01). There were group differences in symptom severity (P < .01) and function (P < .01) on the Boston Carpal Tunnel Questionnaire. Both groups had an improvement in functional status (MT: 47%, P < .01; EM: 9%, P < .01) and a reduction in subjective CTS symptoms (MT: 67%, P < .01; EM: 15%, P < .01).ConclusionBoth therapies had a positive effect on nerve conduction, pain reduction, functional status, and subjective symptoms in individuals with CTS. However, the results regarding pain reduction, subjective symptoms, and functional status were better in the MT group.
Journal: Journal of Manipulative and Physiological Therapeutics - Volume 40, Issue 4, May 2017, Pages 263-272