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: One of the most common forms of entrapment neuropathy is Carpal Tunnel Syndrome (CTS). There are various treatment options for CTS. However, there are no clear and structured guidelines. This review classified the existing treatments and developed an algorithm to help physicians to choose the best option for their patients. Treatment options were...
Citations
... This study used the NGE method by Nazarieh et al. [34]. Procedures for conducting an NGE (position 1: wrist in neutral and fingers and thumb in flexion; position 2: wrist in neutral and fingers and thumb extended; position 3: thumb in neutral and wrist and fingers extended; position 4: wrist, fingers, and thumb extended: position 5, the same as position 4 with the forearm in supination (palm up); and position 6: same as position 5 with the other hand gently stretching the thumb) were observed ( Figure 1). ...
... Nerve gliding exercise has six movements depending on the position of the wrist joint and fingers[34]. ...
This study aims to investigate the effects of nerve gliding exercise following carpal tunnel release surgery (NGE-CTRS) and the probing factors affecting the effect of NGE-CTRS on hand function. A total of 86 patients after CTRS participated. Grip strength (grip-s), pinch strength (pinch-s), Semmes-Weinstein monofilament test (SWMT), two-point discrimination (2PD), numbness, pain, and Phalen test (Phalen) were measured and compared between pre- and post-NGE-CTRS. The results showed that the combination of surgery and NGE significantly improved the postoperative grip-s, pinch-s, SWMT, 2PD, numbness, and Phalen; however, no improvement was observed in pain. Background factors that influenced the improved grip-s and pinch-s included gender and preoperative sensory nerve conduction velocity (SCV). Additionally, numbness and Phalen were not affected by age, gender, fault side, bilateral, trigger finger, dialysis, thenar eminence atrophy, motor nerve conduction velocity, SCV, the start of treatment, and occupational therapy intervention. In conclusion, the combination of surgical procedures and NGE showed a high improvement. SCV and time-to-start treatment of intervention for carpal tunnel syndrome may be useful in predicting the function after the intervention.
... Terapi latihan direkomendasikan untuk CTS derajat ringan dan sedang atau menunggu operasi. Latihan menurunkan tekanan intrakarpal dan inflamasi, juga memperbaiki arus balik vena dengan cara menurunkan edema dan adesi (20). Latihan yang paling sering dilakukan untuk CTS adalah median nerve glide mobilization dan tendon glide (Gambar 1 dan 2) (21). ...
... Mempertahankan posisi netral pergelangan tangan memperbaiki sirkulasi darah sehingga menurunkan edema (17). Latihan yang dianjurkan satu sampai lima kali per hari dengan 5 -10 repetisi (20). ...
... Efek non termal meliputi kavitasi, massage yang dapat memicu efek anti-inflamasi dan rangsangan jaringan (22). Beberapa penelitian terapi ultrasound menunjukkan efek positif pada CTS (23), terutama ditambah ortesa pergelangan tangan (22), namun menurut Cochrane review kualitas terapi ultrasound dibandingkan placebo jelek pada jangka pendek dan jangka panjang (20). Latihan neural mobilization saraf medianus lebih efektif dibandingkan terapi ultrasound (24). ...
Carpal tunnel syndrome (CTS), the most common entrapment neuropathy in the upper extrimity, is a clinical syndrome characterized by a tingling sensation, numbness, pain, or weakness in the hand and wrist radiating up to the arm. This condition is a major cause of absenteeism, reduced productivity, and financial loss among various neuropathy due to median nerve compression. This paper, medical rehabilitation of CTS is viewed. Medical rehabilitation of CTS aimed to reduce pain, reduce clamping of the carpal tunnel, sensory and motor reeducation so that hand function improves and can perform activities of daily living. Treatment options can be given includes exercise therapy, ultrasound diathermy, low level laser therapy (LLLT), and shock wave therapy (SWT).
