OBJECTIVES To review the efficacy and safety of exercise and mobilisation interventions compared with no treatment, a placebo or another non-surgical. Page, M., O’Connor, D. A., Pitt, V. J., & Massy-Westropp, N. (). Exercise and mobilisation interventions for carpal tunnel syndrome (Review). Cochrane. Request PDF on ResearchGate | Exercise and mobilisation interventions for carpal tunnel syndrome (Review) | Background Non-surgical treatment, including .

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JohnsonBritta L. The risk of bias of the included studies was low in some studies and unclear or high in other studies, with only three explicitly reporting that the allocation sequence was concealed, and four reporting blinding of participants. BakerJoel M.

Mobilization of the Mobilisstion System. Skip to search form Skip to main content. By clicking accept or continuing carpzl use the site, you agree to the terms outlined in our Privacy PolicyTerms of Serviceand Dataset License. However, the effectiveness and duration of benefit from exercises and mobilisation for this condition remain unknown.

The studies were heterogeneous in terms of the interventions delivered, outcomes measured and timing of outcome assessment, therefore, we were unable to pool results across studies. Kerry M DwanDouglas G.

References Publications referenced by this paper. Conservative therapeutic management of carpal tunnel syndrome. Exercise and mobilisation interventions for carpal tunnel syndrome. Ergonomic positioning or equipment for treating carpal tunnel syndrome. This paper has been referenced on Twitter 14 times over the past 90 days. From This Paper Wxercise, tables, and topics from this paper.

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Exercise and mobilisation interventions for carpal tunnel syndrome.

Two compared a mobilisation regimen to a no treatment control, three compared one mobilisation intervention for example carpal bone mobilisation to another for example soft tissue mobilisationnine compared nerve mobilisation delivered as part of a multi-component intervention to another non-surgical intervention for example splint or therapeutic ultrasoundand three compared a mobilisation intervention other than nerve mobilisation for example yoga or chiropractic treatment to another non-surgical intervention.

Comparison of protocols and registry entries to published reports for randomised controlled trials. There is limited and very low quality evidence of benefit for all of a diverse collection of exercise and mobilisation interventions for CTS.

To review the efficacy and safety of exercise and mobilisation interventions compared with no treatment, a placebo or another non-surgical intervention in people with CTS. Until more high quality randomised controlled fo assessing the effectiveness and safety of various exercise and mobilisation interventions compared to other non-surgical interventions are undertaken, the decision to provide this type of ahd intervention to people with CTS should be based on the clinician’s expertise in being able to deliver these treatments and patient’s preferences.

Nigel L Ashworth Clinical evidence Platelet-rich plasma ultrasound-guided injection in the treatment of carpal tunnel syndrome: However, the effectiveness and duration of benefit from exercises and mobilisation for this condition remain unknown. Therapeutic ultrasound for carpal tunnel syndrome.

People with CTS who indicate a preference for exercise or mobilisation interventions should be informed of the limited evidence of effectiveness and safety of this intervention by their treatment provider. Randomised or quasi-randomised controlled trials comparing exercise or mobilisation interventions with no treatment, tubnel or another non-surgical intervention in people with CTS. Ultrasound-guided hydrodissection decreases gliding resistance of the median nerve within the carpal tunnel.

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Citations Publications citing this paper. Only four studies reported the primary outcome of interest, short-term overall improvement any measure in which patients indicate the intensity of their complaints compared to baseline, for example, global rating of improvement, satisfaction with treatment, within three months post-treatment.

Exercise and mobilisation interventions for carpal tunnel syndrome – Trip Database

One very low quality trial with 14 participants found that all participants receiving either neurodynamic mobilisation tunel carpal bone mobilisation and none in the no treatment group reported overall improvement RR CarlsonMaureen G. A Retrospective Analysis of Commercial Insurance. Topics Discussed in This Paper. A placebo-controlled clinical study. Analysing data and undertaking meta-analyses.

Sixteen studies randomising participants with CTS were included in the review. Another very low-quality trial with 26 participants found that more CTS-affected wrists receiving nerve gliding exercises plus splint plus activity modification had no pathologic finding on median and ulnar nerve distal sensory latency assessment at the end of treatment than wrists receiving splint plus activity modification alone RR 1. However, of these, only three fully reported outcome data sufficient for inclusion in the review.

We collected data on adverse events from included studies.