scholarly journals Peer Review #2 of "Long-term patient observation after conservative treatment of carpal tunnel syndrome: a summary of two randomised controlled trials (v0.1)"

2019 ◽  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Conservative Treatment ◽  
Peer Review ◽  
Carpal Tunnel ◽  
Randomised Controlled Trials ◽  
Controlled Trials ◽  
Tunnel Syndrome ◽  
Randomised Controlled

scholarly journals Conservative treatment options for carpal tunnel syndrome: a systematic review of randomised controlled trials

2002 ◽  
Vol 249 (3) ◽  
pp. 272-280 ◽  
Author(s):  
Annette A. M. Gerritsen ◽  
Marc C. T. F. M. de Krom ◽  
Margaretha A. Struijs ◽  
Rob J. P. M. Scholten ◽  
Henrica C. W. de Vet ◽  
...  
Keyword(s):  
Systematic Review ◽  
Carpal Tunnel Syndrome ◽  
Conservative Treatment ◽  
Carpal Tunnel ◽  
Randomised Controlled Trials ◽  
Treatment Options ◽  
Controlled Trials ◽  
Tunnel Syndrome ◽  
Randomised Controlled

scholarly journals Long-term patient observation after conservative treatment of carpal tunnel syndrome: a summary of two randomised controlled trials

PeerJ ◽  
2019 ◽  
Vol 7 ◽  
pp. e8012 ◽  
Author(s):  
Tomasz Wolny ◽  
Pawel Linek
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Muscle Strength ◽  
Conservative Treatment ◽  
Conduction Velocity ◽  
Manual Therapy ◽  
Carpal Tunnel ◽  
Symptom Severity ◽  
Controlled Trials ◽  
Tunnel Syndrome

Background Physiotherapy of carpal tunnel syndrome (CTS) involves manual therapy based on neurodynamic techniques. Until now, two randomized controlled trials have shown that immediately after therapy, CTS patients who received neurodynamic techniques had significant improvement in nerve conduction, pain, symptom severity (SSS), functional state (FSS), muscle strength (MS) and two-point discrimination (2PD). However, long-term effects seem to be more important, as they are the only ones that can significantly improve the patient’s health and influence economic and social costs. Thus, the objective of this study was to evaluate the long-term (six months) effects of neurodynamic techniques in the conservative treatment of CTS patients. Methods Carpal tunnel syndrome patients (107) from two previously published randomised clinical trials were observed for six months after the treatment based on neurodynamic techniques. Results The sensory conduction velocity, motor conduction velocity, and motor latency were not subject to statistically significant changes within six months after therapy (p > 0.05). In both groups, there was further pain reduction (p < 0.05). In Group B, the symptom severity improved significantly (p < 0.05), while the functional status in both groups remained unchanged (p > 0.05). In both groups, there was muscle strength improvement (p < 0.05). Two-point discrimination remained unchanged six months after the therapy. Conclusion The use of manual therapy based on neurodynamic techniques maintains the beneficial effects 6 months after therapy in CTS patients.

Long-term outcome of carpal tunnel syndrome after conservative treatment

2004 ◽  
Vol 58 (4) ◽  
pp. 337-339 ◽  
Author(s):  
A.C.F. Hui ◽  
S.M. Wong ◽  
A. Tang ◽  
V. Mok ◽  
L.K. Hung ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Conservative Treatment ◽  
Carpal Tunnel ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Tunnel Syndrome

scholarly journals Carpal tunnel syndrome: long-term nerve conduction studies in 261 hands

2009 ◽  
Vol 67 (1) ◽  
pp. 69-73 ◽  
Author(s):  
Dante Guilherme Velasco Hardoim ◽  
Guilherme Bueno de Oliveira ◽  
João Aris Kouyoumdjian
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Nerve Conduction ◽  
Sensory Nerve ◽  
Nerve Conduction Studies ◽  
Sensory Nerve Action ◽  
Tunnel Syndrome ◽  
The Mean ◽  
Compound Action

OBJECTIVE: To compare a long-term carpal tunnel syndrome (CTS) on nerve conduction studies (NCS) in hands treated non-surgically. METHOD: We retrospectively selected 261 symptomatic CTS hands (166 patients), all of them confirmed by NCS. In all cases, at least 2 NCS were performed in an interval greater than 12 months. Cases with associated polyneuropathy were excluded. NCS parameters for CTS electrodiagnosis included a sensory conduction velocity (SCV) <46.6 m/s (wrist to index finger, 14 cm) and distal motor latency (DML) >4.25 ms (wrist to APB, 8 cm). RESULTS: 92.8% were women; mean age was 49 years (20-76); the mean interval between NCS was 47 months (12-150). In the first exam, the median sensory nerve action potential (SNAP) and the compound action muscular potential were absent in 9.8% and 1.9%, respectively. In the second/last exam, SCV worsened in 54.2%, remained unchanged in 11.6% and improved in 34.2%. SNAP amplitude worsened in 57.7%, remained unchanged in 13.1% and improved in 29.2%. DML worsened in 52.9%, remained unchanged in 7.6% and improved in 39.5%. Overall, NCS parameters worsened in 54.9%, improved in 34.3% and remained unchanged in 10.8%. CONCLUSION: Long-term changing in NCS of CTS hands apparently were not related to clinical symptomatology and could lead to some difficulty in clinical correlation and prognosis. Aging, male gender and absent SNAP were more related to NCS worsening, regardless the mean interval time between the NCS.

scholarly journals IDEAL framework for surgical innovation 3: randomised controlled trials in the assessment stage and evaluations in the long term study stage

BMJ ◽  
2013 ◽  
Vol 346 (jun18 3) ◽  
pp. f2820-f2820 ◽  
Author(s):  
J. A. Cook ◽  
P. McCulloch ◽  
J. M. Blazeby ◽  
D. J. Beard ◽  
D. Marinac-Dabic ◽  
...  
Keyword(s):  
Randomised Controlled Trials ◽  
Controlled Trials ◽  
Surgical Innovation ◽  
Term Study ◽  
Long Term Study ◽  
Randomised Controlled ◽  
Ideal Framework
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