Central European Journal of Sport Sciences and Medicine
Influence of Selected Physical Exercises to Improve Outcomes in Patients Operated for Carpal Tunnel Syndrome in Own Material
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| ISSN: | 2300-9705 |
| eISSN: | 2353-2807 |
| Authors: |
Anna
Deskur
Pomeranian Medical University, Poland Zbigniew Deskur Faculty of Physical Culture and Health Promotion, Szczecin University, Poland Maciej Zawadzki Faculty of Physical Culture and Health Promotion, Szczecin University, Poland |
| Keywords: | nerve gliding exercise neuromobilization surgical treatment of carpal tunnel syndrome |
| Issue / book publication date: | 2014 |
| Page range: | 5 (47-51) |
| OAI-PMH: | Metadata |
 
 
| |
Abstract
The purpose of this study was to evaluate the influence of selected physical exercises on the improved results of treatment of patients operated for carpal tunnel syndrome. Hands were examined in 112 patients treated for carpal tunnel syndrome, aged 33 to 80 years. All individuals underwent open surgery procedure. Patients were divided into group I, in which the exercise was carried out under the supervision of the authors of this study and group II, in which exercises were not performed. Measurements were performed on all patients before surgery (initial) and 6 weeks after (final). Symptoms were studied according to Whitley and Mc Donnell, and they included night pain, sensory disturbance, thenar muscle weakness, Tinel’s sign and Phalen’s maneuver, the bottle syndrome and the opponens pollicis muscle activity. In the treatment of enhancing gliding exercise (automobilization) and neuromobilization. Stabilizing exercises included automobilization (nerve gliding) and neuromobilization. Wrist and hand stabilizing exercises were used and the correct settings in the carpo-metacarpal joints during work and physical activity were taught. The results were statistically analyzed using Chi-squared test. It was found that in patients with carpal tunnel syndrome the best way to eliminate or reduce symptoms of hands mobility disorders comes primarily with surgical treatment, followed by rehabilitation treatment using gliding and neuromobilization exercises.
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Bibliography
- Bartkowiak Z. Zastosowanie wybranych metod fizjoterapeutycznych w usprawianiu pacjentów z zespołem kanału nadgarstka. Praca doktorska. Uniwersytet Medyczny w Poznaniu 2010.
- Butler D. Mobilisation of the nervous system. Churchill Livingstone. Melbourne 1991.
- Cięszczyk P., Boichanke S. Statystyka dla studentów uczelni sportowych. Szczecin 2008.
- Dakowicz A., Latosiewicz R. Wykorzystanie zabiegów fizykoterapeutycznych w leczeniu zachowawczym zespołu kanału nadgarstka – doniesienia wstępne. Pol Hand Surg. 2004; 36 (2): 27–32.
- Keilani M.Y., Crevenna R., Fiałka-Moser V. Postoperative rehabilitation of patients with carpal tunel syndrome. Wien Med. Wochenschr. 2012; 152: 479–480.
- Kostopoulos D. Treatment of carpal tunel syndrome: a review of the non- surgical approaches with emphasis in neural mobilisation. J Bodyw Mov Ther. 2004; 8: 2–8.
- Szczechowicz J., Pieniążek M., Pelczar-Pieniążek M. Wpływ stosowania ćwiczeń poślizgowych nerwów i neuromobilizacji na wyniki końcowe leczenia usprawniającego pacjentów po chirurgicznym uwolnieniu nerwu pośrodkowego w kanale nadgarstka. Rehabilitacja Medy
- Szczechowicz J., Pieniążek M., Pelczer-Pieniążek M., Tobasz M. Ocena funkcji ręki w procesie usprawniania osób po leczeniu operacyjnym zespołu kanału nadgarstka. Pol Hand Surg. 2001; 30 (2): 9–18.
- Tiffert M. Cieśń kanału nadgarstka. Praktyczna Fizjoterapia i Rehabilitacja. 2010; 7–8: 42–49.
- Tuppin P., Blotiere PO., Weill A., Ricordeau P., Allemand H. Syndrome du canal carpien opere en France en 2008: caracteristiques des malades et de leur prise en charge. Rev Neurol. Paris 2011; 167 (12): 905–915.
- Whitley J.M., Mc Donnell D.E. Carpal tunel syndrome: pathophysiology and clinical neurophisiology. Clin Neurophysiol. 2002; 113 (9): 1373–1381