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Effects of neuromobilization maneuver on clinical and electrophysiological measures of patients with carpal tunnel syndrome
Oskouei AE, Talebi GA, Shakouri SK, Ghabili K
Journal of Physical Therapy Science 2014 Jul;26(7):1017-1022
clinical trial
6/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; 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*

PURPOSE: The aim of this study was to investigate the efficacy of neuromobilization combined with routine physiotherapy in patients with carpal tunnel syndrome through subjective, physical, and electrophysiological studies. SUBJECTS AND METHODS: Twenty patients with carpal tunnel syndrome (totally 32 hands) were assigned two groups: treatment and control groups. In both groups, patients received the routine physiotherapy. In addition to the routine physiotherapy, patients in the treatment group received neuromobilization. The symptoms severity scale, visual analogue scale, functional status scale, Phalen's sign, median nerve tension test, and median nerve distal sensory and motor latency were assessed. RESULTS: There were significant improvements in the symptoms severity scale, visual analogue scale, median nerve tension test, and Phalen's sign in both groups. However, the functional status scale and median nerve distal motor latency were significantly improved only in the treatment group. CONCLUSION: Neuromobilization in combination with routine physiotherapy improves some clinical findings more effectively than routine physiotherapy. Therefore, this combination can be used as an alternative effective non-invasive treatment for patients with carpal tunnel syndrome.

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