Physical therapy versus radial extracorporeal shock wave therapy in the treatment of carpal tunnel syndrome: A randomized-controlled study

dc.contributor.authorSaglam, Gonca
dc.contributor.authorAlisar, Dilek Cetinkaya
dc.contributor.authorOzen, Selin
dc.contributor.pubmedID35949973en_US
dc.date.accessioned2022-11-28T13:10:57Z
dc.date.available2022-11-28T13:10:57Z
dc.date.issued2022
dc.description.abstractObjectives: This study aims to compare the efficacy of physical therapy (PT) and radial extracorporeal shock wave therapy (rESWT) in the treatment of carpal tunnel syndrome (CTS). Patients and methods: Between May 2020 and July 2020, a total of 125 wrists of 95 patients (22 males, 73 females; mean age: 54.3 +/- 11.3 years; range, 19 to 69 years) with mild-to-moderate CTS were allocated into three groups. The control group (Group 1, n=42) was treated with splinting and an exercise program. Group 2 (n=42) was treated with a total of three sessions of rESWT, splinting and an exercise program. Group 3 (n=41) was treated with a total of 15 sessions of PT modalities, splinting, and an exercise program. Each patient was evaluated before, three weeks and 12 weeks after treatment using a Visual Analog Scale (VAS), the Boston Carpal Tunnel Questionnaire (BCTQ), the Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) Pain Scale, and electrodiagnostic testing. Results: The reduction in VAS, BCTQ, LANSS, and improvement in sensory nerve conduction velocity were significantly greater at three and 12 weeks of follow-up in Groups 2 and 3, compared to Group 1 (p<0.001). A greater improvement was observed in all clinical parameters in Group 2, compared to Group 3 (p<0.001). Conclusion: This is the first study to compare the treatment outcomes of PT and rESWT in the treatment of CTS. The results of this study show that both PT and rESWT are effective in the treatment of CTS; however, rESWT yields superior treatment effects compared to conventional PT. The practicalities of administering rESWT and its efficacy in the treatment of CTS may make it the treatment of choice.en_US
dc.identifier.eissn2587-1250en_US
dc.identifier.endpage135en_US
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-85128274542en_US
dc.identifier.startpage126en_US
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9305635/pdf/TurkJPhysMedRehab-68-126.pdf
dc.identifier.urihttp://hdl.handle.net/11727/8175
dc.identifier.volume68en_US
dc.identifier.wos000778563600013en_US
dc.language.isoengen_US
dc.relation.isversionof10.5606/tftrd.2022.7187en_US
dc.relation.journalTURKISH JOURNAL OF PHYSICAL MEDICINE AND REHABILITATIONen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergien_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCarpal tunnel syndromeen_US
dc.subjectfunctionalityen_US
dc.subjectradial extracorporeal shock wave therapyen_US
dc.subjectpainen_US
dc.subjectphysical therapyen_US
dc.titlePhysical therapy versus radial extracorporeal shock wave therapy in the treatment of carpal tunnel syndrome: A randomized-controlled studyen_US
dc.typearticleen_US

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