Use the Back button in your browser to see the other results of your search or to select another record.

Detailed Search Results

The effectiveness of mobilization with movement on patients with mild and moderate carpal tunnel syndrome: a single-blinded, randomized controlled study [with consumer summary]
Ceylan I, Buyukturan O, Aykanat O, Buyukturan B, Sas S, Ceylan MF
Journal of Hand Therapy 2023 Oct-Dec;36(4):773-785
clinical trial
6/10 [Eligibility criteria: Yes; 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*

STUDY DESIGN: Single-blinded, randomized controlled study. INTRODUCTION: Carpal tunnel syndrome (CTS) causes pain and loss of function in the affected hand. The mobilization with movement (MWM) technique is a manual therapy method applied to correct joint movement limitation and to relieve pain and functional disorders. PURPOSE OF THE STUDY: This study aimed to examine the effectiveness of MWM technique on pain, grip strength, range of motion, edema, hand reaction, nerve conduction, and functional status in patients with CTS. METHODS: A total of 45 patients enrolled in the study. The MWM group (n = 18) completed a 4-week combined conservative physiotherapy and MWM program, whereas the control group (n = 18) received only the 4 weeks of conservative physiotherapy. Pain severity according to the numerical rating scale was used as primary outcome. RESULTS: We found an improvement within the subjects in resting pain (MWMG 5.1 +/- 3.6 versus 1.1 +/- 2.4, Effect Size (ES) 1.3; CG 4.5 +/- 3.3 versus 1.0 +/- 2.2, ES 1.1), in activity pain (MWMG 6.5 +/- 3.7 versus 1.1 +/- 2.4, ES 1.5; CG 4.8 +/- 3.4 versus 2.2 +/- 2.3, ES 1) and in night pain (MWMG 5.9 +/- 3.2 versus 1.8 +/- 2.5, ES 1.2; CG 5.3 +/- 4.2 versus +/- 2.3 +/- 3.5, ES 0.9). For between the groups, a statistical difference was found for the activity pain, Disabilities of the Arm Shoulder and Hand Questionnaire score (MWMG 52.2 +/- 23.8 versus 27 +/- 24.7, ES 1.3; CG 47.0 +/- 24.8 versus 41.5 +/- 22.1, ES 0.2), Michigan Hand Outcomes Questionnaire (MHQ-1), (MWMG 44.4 +/- 23.7 versus 74.7 +/- 24.5, ES 1.3; CG 44.8 +/- 17.4 versus 57.4 +/- 21.7, ES 0.9) and MHQ-5 (MWMG 68.8 +/- 13.1 versus 82.5 +/- 11.5, ES 0.9; CG 63.4 +/- 26.7 versus 59.3 +/- 25.8, ES 0.1) parameters in favour of MWM group. DISCUSSION: This study showed that MWM compared to conservative physiotherapy might be more effective in reducing perceived symptoms in mild and moderate CTS patients. CONCLUSIONS: MWM produced a small benefit to recovery of activity pain and upper extremity functionality level outcomes of patients with mild to moderate CTS when added to a traditional CTS physical therapy program.

Full text (sometimes free) may be available at these link(s):      help