European Journal of Biomedical and Pharmaceutical Sciences

ELECTROPHYSIOLOGICAL EVALUATION OF DIFFERENT CONSERVATIVE TREATMENT PROTOCOL IN CARPAL TUNNEL SYNDROME

Amr A. Abo Gazya*

ABSTRACT

Objective: The objective of this study was to investigate the effectiveness of nerve gliding, splinting, and low-level laser therapy (LLLT) in the management of carpal tunnel syndrome (CTS). Background Data: Carpal tunnel syndrome (CTS) is the most common nerve entrapment. Electrodiagnostic studies are a valid and reliable means of confirming the diagnosis and prognosis. CTS is caused by compression of the median nerve at the wrist. Although several treatment modalities are routinely in use. Materials and Methods: In our study, Fifty four female patients (90 wrists) were completed this study. They were randomly assigned to one of the three groups: group I (N. 18), who received splinting, group II (N.18), who received nerve gliding exercise, and group III (N.18), who received low laser therapy. Patients were assessed electrophysiologically, patient satisfaction inquiry, visual analogue scale for pain. Results and Conclusion: The study was lasted for 8 weeks after treatment. At the end of the follow-up period, each of the groups had improvements to varying degrees. It appeared that LLL therapy group was more effective than splinting or nerve gliding groups in treating CTS. However, LLL therapy was more advantageous than splinting and nerve gliding, especially for the outcomes of lessening of symptom severity, pain alleviation, and increased patient satisfaction.

Keywords: Carpal tunnel syndrome; conservative treatment; low level laser. Nerve-gliding exercises; splinting