Effectiveness of manual therapies and exercise in the treatment of carpal tunnel syndrome: A review of randomized trials.
Item
- Title
- Effectiveness of manual therapies and exercise in the treatment of carpal tunnel syndrome: A review of randomized trials.
- Author(s)
- Borghini, R
- Abstract
- Background: Manual therapies and exercise programs are not commonly used to treat CTS, probably because of the lack of evidence concerning their efficacy, which past reviews have underlined, based on trials dated up to 2011. More research has been carried out since. Objective: To review studies published within the past ten years concerning the effectiveness and safety of manipulative therapies and exercises to treat CTS; evaluate if previous recommendations have been followed; guide future research. Design: Structured Literature Review Methods: Qnline databases Cochrane Central Register of Controlled Trials, MEDLINE, Science Direct, Google Scholar and Physiotherapy Evidence Database, were searched with keywords and filters. Randomized studies were selected following inclusion and exclusion criteria. Quality of trials was assessed using Jaded, S.Q.R.T. and PEDro scales. Data was extracted and included in a narrative synthesis to discuss recommendations. Results: 14 RCTs were selected involving 797 participants or 890 wrists. Studies varied greatly in intervention modalities, treatment frequency and duration. 8 studies were appraised JADAD moderate quality, 1 high and 5 poor, all were PEDro moderate to high quality, 12 were rated 5.0.R.T. 2B, one IB, one 3B. Only one study was double blinded. All studies measured clinical outcomes at short term; 3 assessed patient satisfaction at long term. Findings from 6 moderate quality trials suggested manual therapies have favorable effects on symptoms and function, 8 trials evidenced exercises were worthwhile when combined with other therapies, better than no treatment, but less effective than other conservative therapies for the management of CTS.
- presented at
- European School of Osteopathy
- Date Accepted
- 2016
- Date Submitted
- 2.12.2016 17:29:04
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 15935
- Inst-Identifier
- 1229
- Keywords
- Carpal tunnel syndrome, Fascial manipulation, Massage, Nerve and tendon gliding exercises, Soft tissue, Carpal bone mobilization, Stretching.
- Recommended
- 0
- Item sets
- Thesis
Borghini, R, “Effectiveness of manual therapies and exercise in the treatment of carpal tunnel syndrome: A review of randomized trials.”, Osteopathic Research Web, accessed May 1, 2025, https://www.osteopathic-research.com/s/orw/item/546