| The Comparative Effectiveness of Tendon and Nerve Gliding Exercises in Patients with Carpal Tunnel Syndrome: A Randomized Trial. | |
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MedLine Citation:
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PMID: 21430512 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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OBJECTIVE:: The aim of this study was to investigate the effectiveness of tendon and nerve gliding exercises as a part of combined treatments for carpal tunnel syndrome. DESIGN:: Patients with carpal tunnel syndrome were randomized into three groups. All patients received conventional treatments (splint and paraffin therapy, as in group 3), but group 1 underwent additional tendon gliding exercises and group 2 underwent additional nerve gliding exercises. Each patient received a package of questionnaires and underwent physical examinations and nerve conduction study of the upper limbs before and after treatment for 2 mos. RESULTS:: Sixty patients were recruited, and 53 completed the study. There were significant improvements in symptom severity and pain scale scores in all groups. However, only group 1 showed significant improvements in their scores on functional status; the Disabilities of the Arm, Shoulder, and Hand questionnaire; and the physical domain of the World Health Organization Quality of Life Questionnaire Brief Version. After adjusting for baseline data, we found significant differences in the functional status scores among the groups. Post hoc analyses detected a significant difference in functional status scores between groups 1 and 2. CONCLUSIONS:: The combination of tendon gliding exercises with conventional treatments may be more effective than that of nerve gliding exercises with conventional treatments. |
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Authors:
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Yi-Shiung Horng; Shih-Fu Hsieh; Yu-Kang Tu; Ming-Chuan Lin; Yu-Shiow Horng; Jung-Der Wang |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-3-22 |
Journal Detail:
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Title: American journal of physical medicine & rehabilitation / Association of Academic Physiatrists Volume: - ISSN: 1537-7385 ISO Abbreviation: - Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-3-24 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8803677 Medline TA: Am J Phys Med Rehabil Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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From the Department of Physical Medicine and Rehabilitation, Buddhist Tzu Chi General Hospital, Taipei, Taiwan (Y-SH, S-FH, M-CL, Y-SH); Department of Medicine, Tzu Chi University, Hualien, Taiwan (Y-SH); Division of Biostatistics, Centre for Epidemiology and Biostatistics, Leeds Institute of Genetics, Health and Therapeutics, and Department of Periodontology, Leeds Dental Institute, University of Leeds, Leeds, United Kingdom (Y-KT); Department of Public Health, National Cheng Kung University, College of Medicine, Tainan, Taiwan (J-DW); Department of Environmental and Occupational Medicine and Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan (J-DW); and Institute of Occupational Medicine and Industrial Hygiene, National Taiwan University, Taipei, Taiwan (J-DW). |
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