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Karpal tunel sendromunda atel ve atel ile birlikte fizik tedavinin etkinliginin karsilastirilmasi (Comparison of effectiveness of splint and splint with physical therapy in carpal tunnel syndrome) [Turkish]
Avci S, Gunaydin R, Oztura I
Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi [Turkish Journal of Physical Medicine and Rehabilitation] 2004;50(2):22-26
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

This study was designed to compare the effects of splint alone and combined with physical therapy on clinical and electrophysiological findings in patients with carpal tunnel syndrome (CTS). Forty hands of 29 patients (mean age 52 +/- 9.29 years) with idiopathic CTS were studied. Cases were randomly divided into 2 groups of 20 hands each in which the first group GI(A) used a resting splint for 3 weeks and the second group GII(FT-A) was treated with paraffin bath and continuous ultrasound for 15 sessions in addition to a resting splint usage of 3 weeks. Pain (with VAS), paresthesia (0 = none, 1 = minimal, 2 = moderate, 3 = severe), superficial touch sensation (0 = normal, 1 = impaired), Phalen and carpal compression tests (CCT) (0 = negative; 1 = positive) were evaluated in all patients. In addition nerve conduction studies were performed in all patients before and after treatment. All clinical parameters were evaluated before, immediately after and 3 months after treatment. There was a statistically significant improvement in both groups, however this improvement lasted in the 3rd month only in GII(FT-A) (p < 0.05). Statistically significant improvement in superficial touch sense, Phalen and COT and electrophysiological findings immediately after and 3 months after treatment were demonstrated only in GII(FT-A) (p < 0.05). Conclusively; a resting splint alone is not sufficient in the conservative treatment of CTS. Splint combined with physical therapy, howewer, has longer lasting positive effects on clinical and electrophysiological findings.

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