Tomasz Wolny1, Edward Saulicz1, Paweł Linek2, Andrzej Myśliwiec3, Mariola Saulicz4. 1. Department of Kinesiotherapy and Special Physiotherapy Methods, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland; Department of Physiotherapy, The Academy of Business, Dąbrowa Górnicza, Poland. 2. Department of Kinesiotherapy and Special Physiotherapy Methods, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland. Electronic address: linek.fizjoterapia@vp.pl. 3. Department of Kinesiotherapy and Special Physiotherapy Methods, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland. 4. Department of Physiotherapy, The Academy of Business, Dąbrowa Górnicza, Poland; Department of Physiotherapy in Diseases of Internal Organs, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland.
Abstract
STUDY DESIGN: Randomized controlled trial. INTRODUCTION: Two-point discrimination (2PD) test can be used to assess both clinical condition and the effects of therapy in carpal tunnel syndrome (CTS) patients. PURPOSE OF THE STUDY: To determine whether there are specific differences in 2PD between symptomatic and asymptomatic hands in CTS patients and to evaluate the impact of 2 therapy regimes on 2PD in patients with CTS. METHODS: Therapy for the neurodynamic mobilization group was based on manual therapy and neurodynamic techniques. Therapy for the electrophysical modalities group was based on red and infrared laser and ultrasound therapy using a contact method applied in the transverse ligament area. Therapeutic cycle consisted of 20 therapy sessions delivered at twice-weekly intervals. RESULTS: After therapy, 2PD in the symptomatic limbs in the neurodynamic mobilization and electrophysical modalities groups significantly improved (p < .001). However, there was no statistically significant difference between the treatment groups. CONCLUSIONS: Both therapy programs used in this study were beneficial for improving 2PD. LEVEL OF EVIDENCE: 2.
RCT Entities:
STUDY DESIGN: Randomized controlled trial. INTRODUCTION: Two-point discrimination (2PD) test can be used to assess both clinical condition and the effects of therapy in carpal tunnel syndrome (CTS) patients. PURPOSE OF THE STUDY: To determine whether there are specific differences in 2PD between symptomatic and asymptomatic hands in CTS patients and to evaluate the impact of 2 therapy regimes on 2PD in patients with CTS. METHODS: Therapy for the neurodynamic mobilization group was based on manual therapy and neurodynamic techniques. Therapy for the electrophysical modalities group was based on red and infrared laser and ultrasound therapy using a contact method applied in the transverse ligament area. Therapeutic cycle consisted of 20 therapy sessions delivered at twice-weekly intervals. RESULTS: After therapy, 2PD in the symptomatic limbs in the neurodynamic mobilization and electrophysical modalities groups significantly improved (p < .001). However, there was no statistically significant difference between the treatment groups. CONCLUSIONS: Both therapy programs used in this study were beneficial for improving 2PD. LEVEL OF EVIDENCE: 2.
Authors: Sandra Jiménez-Del-Barrio; Aida Cadellans-Arróniz; Luis Ceballos-Laita; Elena Estébanez-de-Miguel; Carles López-de-Celis; Elena Bueno-Gracia; Albert Pérez-Bellmunt Journal: Int Orthop Date: 2021-12-03 Impact factor: 3.479