EXPLORING THE POSSIBILITIES OF SOME CONTEMPORARY PHYSICAL THERAPY METHODS FOR THE CONSERVATIVE TREATMENT OF CARPAL TUNNEL SYNDROME
Abstract
Carpal tunnel syndrome (CTS) is the most common compression neuropathy, affecting nearly 5% of the general population. The modern approach to its treatment is complex and includes early diagnosis, prevention and treatment of all conditions and diseases leading to its manifestation.
Many authors have worked on the problems related to the possibilities of physical therapy in treating CTS, but the question of optimal treatment and rehabilitation remains relevant to this day. In practice, various rehabilitation programs are constantly being implemented and developed. Many have demonstrated positive outcomes, but work in this area persists. Every novel approach or integration of established physiotherapeutic and rehabilitation techniques enhances the current methods and expands the potential for more comprehensive functional recovery of the impaired limb, as well as the patient's restoration to their previous lifestyle.
Physical therapy has advanced significantly in recent decades due to the introduction of numerous new techniques and technologies. The article offers a brief literature overview of several contemporary physical medicine approaches that can be applied in the conservative treatment of carpal tunnel syndrome based on their physiological and therapeutic effects. Modern physical therapy approaches can be a viable alternative to established physical therapy methods like ultrasound, low-level laser, iontophoresis, magnetotherapy, TENS, and others. It is crucial to conduct additional qualitative and comprehensive investigations to verify the effectiveness of physical therapy in treating CTS, identify the most efficient ways, and create improved protocols for its conservative treatment.
References
Ashworth, N. L. (2016). Carpal Tunnel Syndrome. Am Fam Physician, Nov 15;94(10):830-831. PMID: 27929273.
Bilgici, A., H. Ulusoy, O. Kuru, F. Canturk. (2010). The comparison of ultrasound treatment and local steroid injection plus splinting in the carpal tunnel syndrome: a randomized controlled trial. Bratisl Lek Listy, 111(12): 659–665.
Binoy Kumaran, Anthony Herbland & Tim Watson. (2017). Continuous-mode 448 kHz capacitive resistive monopolar radiofrequency induces greater deep blood flow changes compared to pulsed mode shortwave: a crossover study in healthy adults. European Journal of Physiotherapy, 19:3, 137-146, DOI: 10.1080/21679169.2017.1316310.
Brunato F. (2021). The Treatment of Rhisoartrosis with Collagen Medical Device Small Joints. Physiological Regulating Medicine, 3-12.
Conway, H. R., S. R. Jones. E. (1994). Entrapment and compression neuropathies. Handbook of pain management. 2nd ed, от CD Tollison, Baltimore: Williams and Wilkins,.
Corvin, H. M. (2006). Compression neuropathies of the upper extremity. Clin Occup Environ Med, 333–352.
De Paolis, L. T., & Bourdot, P. . (2018). Augmented Reality, Virtual Reality, and Computer Graphics: 5th International Conference, AVR. Otranto, Italy, Proceedings, Part I (Vol. 10850). Springer.
Ezzati, K., Laakso, E., Saberi, A., Yousefzadeh Chabok, S., Nasiri, E., & Bakhshayesh Eghbali, B. (2020). AA comparative study of the dose-dependent effects of low level and high-intensity photobiomodulation (laser) therapy on pain and electrophysiological parameters in patients with carpal tunnel syndrome: a randomized controlled trial. European journal of physical and rehabilitation medicine, 56(6), 733-740.
Hernández Tápanes S., Marrilyn de Jesus Socas Fernandes, Yinet iturralde, Addiel Suares Fernandes. (2018). The Effect of Deep Oscillation Therapy in Fibrocystic Breast Disease. A Randomized Controlled Clinical Trial. Physical Medicine & Rehabilitation, ISSN: 1755-7682. Vol. 11, No.14.
Jimbu D., Oprea D., Petcu L.C. , Iliescu M.G., Caraban B.M, Bulbuc I., Obada B., Bordei P. (2023). Clinical Outcome of specific therapy using high-intensity electromagnetic field in Patients with Carpal Tunnel Syndrome. Balneo and PRM Research Journal, 14(3): 576.
Karjalanen T, Raatikainen S, Jaatinen K, Lusa V. (2022). Update on Efficacy of Conservative Treatments for Carpal Tunnel Syndrome. Journal of Clinical Medicine, 11(4):950. https://doi.org/10.3390/jcm11040950.
Kumaran B, Watson T. T. (2019). Treatment using 448kHz capacitive resistive monopolar radiofrequency improves pain and function in patients with osteoarthritis of the knee joint: a randomised controlled trial. Physiotherapy., Mar;105(1):98-107.doi: 10.1016/j.physio.2018.07.004. Epub 2018 Jul 26. PMID: 30269963.
Locheva, V., Todorov, I., & Panayotova-Ovcharova, L. (2019). Therapy with Deep Oscillations-principle, biological effects, review. Varna Medical Forum (Vol. 8, No. 2, pp. 91-100)., 91-100.
M. Allam N, Eladl HM, Eid MM. (2022). Polarized Light Therapy in the Treatment of Wounds: A Review. The International Journal of Lower Extremity Wounds., doi:10.1177/15347346221113991.
Milani L. (2019). Guna Collagen Medical Devices 10 anni dopo. - Analisi ragionata di 2 recenti importanti ricerche e update della letteratura. La Med. Biol, 2; 3-18.
Milani L. (2010). A new and refined injectable treatment for musculoskeletal disorders. Bioscaffold properties of collagen and its clinical use. Physiological Regulating Medicine, 1: 3-15.
Mohammad Reza Nourbakhsh, Thomas J. Bell, Jason Benson Martin, and Amir Massoud Arab. T. (2016). The Effects of Oscillatory Biofield Therapy on Pain and Functional Limitations Associated with Carpal Tunnel Syndrome: Randomized, Placebo-Controlled, Double-Blind Study. The Journal of Alternative and Complementary Medicine., 911-920.http://doi.org/10.1089/acm.2016.0083.
Namvar H, Olyaie G, Bagheri H, Naiemi E, Hoseinifar M, Sargolzehi M. (2022). Effect of High-Tone External Muscle Stimulation (High-Tone Therapy) in Neuro-Musculoskeletal Disorders: A Narrative Review. j. Journal of Modern Rehabilitation, 16(3):208-213.
Nawal Abou Shady, Mohamed H. Hussien, Walid A. Abdel Ghany Enas Elsayed4, Ahmed Magdy ElShimy, Nadia Mohamed Abdelhakiem. (2019). Effect of High Tone Power Therapy on Carpal Tunnel Syndrome PAatients:(Randomised control Trial). Turkish Journal of Physiotherapy and Rehabilitation, 32, 3.
O'Connor, D., & Marshall, S. C. Massy‐Westropp, N., & Pitt, V. (2003). Non-surgical treatment(other than steroid injection) for carpal tunnel syndrome. Cochrane Database of Systematic Reviews, 1.
Raeissadat SA, Rayegani SM, Rezaei S, Sedighipour L, Bahrami MH, Eliaspour D, Karimzadeh A. (2014). The effect of polarized polychromatic noncoherent light (bioptron) therapy on patients with carpal tunnel syndrome. Journal of lasers in medical sciences, 5(1):39-46.
Reinhold J. (2017). Mechanisms of Deep Oscillation, Manual Lymphatic Drainage. UK, The Journal,.
Rükşen, S., B. Öz, N. Ölmez, A. Memiş. (2011). Comparison of clinical effectiveness of corticosteroid phonophoresis and local steroid injection treatment in carpal tunnel syndrome. Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi, 57(3): 119–123.
Soyuer F. (2021). Effectiveness of current physiotherapy in carpal tunnel syndrome. Int J Fam Commun Med, E 5(3), 87-89.
Stasinopoulos D, Stasinopoulos I, Johnson M.I. (2005). Treatment of Carpal Tunnel Syndrome with Polarized Polychromatic Noncoherent Light (Bioptron Light): A Preliminary, Prospective, Open Clinical Trial. Photomedicine and Laser Surgery., 225-228.
Tamayo, M., Salazar, P.J., Bustamante, D.C., Silva, S.M., Escudero, V.M., Andaluz, V.H. (2018). Virtual Rehabilitation of Carpal Tunnel Syndrome Through Force Feedback. In: De Paolis, L., Bourdot, P. (eds) Augmented Reality, Virtual Reality, and Computer. In Lecture Notes in Computer Science (pp. https://doi.org/10.1007/978-3-319-95282-6_11). Springer, Cham.
Vahdatpour B, Ghasemi H R, Taheri P. Middle. (2023). Effectiveness of TECAR Therapy on Clinical Symptoms and Neurophysiological Parameters of Patients with Carpal Tunnel Syndrome: A Randomized Clinical Trial. East J Rehabil Health Stud., 10(3):e134171, doi.org/10.5812/mejrh-134171.
Vahdatpour, B., Kiyani, A., & Dehghan, F. (2016). Effect of extracorporeal shock wave therapy on the treatment of patients with carpal tunnel syndrome. Advanced biomedical research, 5, 120. https://doi.org/10.4103/2277-9175.186983.
Vladeva Е, al. (2014). Carpal Tunnel Syndrome Through the Eyes of the Physical Therapy аnd Rehabilitation Specialists. Physical Medicine, Rehabilitation and Health,, бр. 3, стр 18-25.
Yiğit, F., Ordahan, B. (2023). Effects of high-intensity laser therapy on pain, functional status, hand grip strength, and median nerve cross-sectional area by ultrasonography in patients with carpal tunnel syndrome. Lasers Med Sci, 38, 248, https://doi.org/10.1007/s10103-023-03913-z.
Yosifova L, Vladeva E, Siderova M,. (2023). Effects of MLS-laser on neuropathic pain in diabetic sensîmotor neuropathy. J of IMAB, 29 (3):5079-5084. https://doi.org/10.5272/jimab.2023293.5079].
Yujie Xie, Chi Zhang, Bin Liang, Jianxiong Wang, Li Wang, Tenggang Wan, Fangyuan Xu & Lei Lei. (2022). Effects of shock wave therapy in patients with carpal tunnel syndrome: a systematic review and meta-analysis,. Disability and Rehabilitation, 44:2, 177-188.
Zaralieva, A., Georgiev, G. P., Karabinov, V., Iliev, A., & Aleksiev, A. (2020). Physical therapy and rehabilitation approaches in patients with carpal tunnel syndrome. Cureus, 12(3).
Zhevago, N. A., & Samoĭlova, K. A. (2004). Modulation of proliferation of peripheral blood lymphocytes after irradiation of volunteers with polychromatic visible and infrared light. Tsitologiia,, 46(6), 567-577.
Колева, И., Г. Георгиев, Т. Троев, Р. Йошинов. Неврорехабилитация и компетенции на лекари- те-специалисти по физикална и рехабилитацион- на медицина. (2009). Неврорехабилитация и компетенции на лекарите-специалисти по физикална и рехабилитационна медицина. Физикална медицина, рехабилитация, здраве, 8–16.
Views:
67
Downloads:
52
Copyright (c) 2024 Evgeniya Vladeva
This work is licensed under a Creative Commons Attribution 4.0 International License.
All articles are published in open-access and licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). Hence, authors retain copyright to the content of the articles.
CC BY 4.0 License allows content to be copied, adapted, displayed, distributed, re-published or otherwise re-used for any purpose including for adaptation and commercial use provided the content is attributed.
