IJPR.2019.204
Type of Article: Original Research
Volume 8; Issue 1 (February 2020)
Page No.: 3366-3371
DOI: https://dx.doi.org/10.16965/ijpr.2019.204
COMPARATIVE STUDY OF TENDON AND NERVE GLIDING EXERCISES VERSUS KINESIOTAPING FOR CARPEL TUNNEL SYNDROME
Ramzan Mohammed Rafique 1, Farheen Farooque Khan *2, Sanjeev Kumar Singh 3.
1 P.T, Singh Physiotherapy (Pain Treatment Clinic and Neuro Rehabilitation Centre), Pune, Maharashtra, India.
*2 P.T, Singh Physiotherapy (Pain Treatment Clinic and Neuro Rehabilitation Centre), Pune, Maharashtra, India.
3 P.T, Singh Physiotherapy (Pain Treatment Clinic and Neuro Rehabilitation Centre), Pune, Maharashtra, India.
Corresponding Author: Dr. Farheen Farooque Khan. P.T, Singh Physiotherapy (Pain Treatment Clinic and Neuro Rehabilitation Centre), Pune, Maharashtra, India. E-Mail: kfarheen450@gmail.com
ABSTRACT
Background: Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy, with a reported annual incidence per 100,000 persons ranging from 324 to 524 among women and 135 to 303 among men There are several treatment options which they can be broadly categorised into surgical and non-surgical. The various nonsurgical methods include: use of hand brace, splinting of the wrist, ultrasonic therapy, laser therapy, oral steroids, non-steroid anti-inflammatory drugs (NSAIDs), oral vitamin B6, local injection of corticosteroids, transcutaneous electrical nerve stimulation. There are a limited number of studies on the effectiveness of kinesiotaping in CTS. The purpose of this study was to evaluate the therapeutic efficacy of ultrasound treatment combined with nerve and tendon gliding exercises and kinesiotaping and to compare the two regimens.
Materials and methods: In the present study a convenience sample of 20 individuals between 25 to 55 years suffering from mild to moderate carpel tunnel syndrome were randomly and evenly divided into 2 groups : Group A ( Tendon and Nerve gliding exercises ) & Group B ( Kinesio taping). Group A received Ultrasound over the area of carpel tunnel along with tendon and nerve gliding exercises 5 times a week for 2 weeks. Group B received Ultrasound 5 times a week over the carpel tunnel area along with kinesiotaping with 5 day interval for 2 weeks. At the end of 2 weeks the outcome measures which included VAS, Boston CTS Questionnaire assessed in both the groups and the data was statistically analysed.
Results: Intragroup analysis of both groups pre and post intervention showed statistically significant values for both the outcome measures VAS and BCTS Questionnaire ( p value< 0.05). Intergroup analysis also showed statistically significant values for outcome measures inferring that Group B was better than Group A (p value< 0.05).
Conclusion: The study concluded that both kinesiotaping along with Ultrasound as well as tendon and nerve gliding exercises with ultrasound are effective in reducing pain and improving functional activities in patients with Carpel Tunnel Syndrome. Kinesiotaping with Ultrasound is more effective than tendon and nerve gliding exercise
KEY WORDS: Carpel Tunnel Syndrome, Kinesiotaping, Ultrasound, Tendon gliding, Nerve gliding.
REFERENCES
- Floranda EE, Jacobs BC. Evaluation and treatment of upper extremity nerve entrapment syndromes. Prim Care 2013;40:925-43.
- Aroori S, Spence RA. Carpal tunnel syndrome. Ulster Med J 2008;77:6-17.
- Chammas M, Boretto J, Burmann LM, Ramos RM, Dos Santos Neto FC, Silva JB. Carpal tunnel syndrome – Part I. Rev Bras Ortop 2014;49:429-36.
- Papanicolaou GD, McCabe SJ. The prevalence and characteristics of nerve compression symptoms in the general population. J Hand Surg Am 2001; 26(3): 460-6.
- Newington L, Harris EC. Carpal tunnel syndrome and work. Best Pract Res Clin Rheumatol 2015; 29(3): 440-53.
- Pınar YILDIRIM, Banu DİLEK. Ultrasonographic and clinical evaluation of additional contribution of kinesiotaping to tendon and nerve gliding exercises in the treatment of carpal tunnel syndrome. Turk J Med Sci (2018) 48: 925-932
- Thelen MD, Dauber JA. The clinical efficacy of kinesio tape for shoulder pain: a randomized, double-blinded, clinical trial. J Orthop Sports Phys Ther 2008; 38: 389-392.
- Kocjan Janusz. Kinesio taping in conservative treatment of mild-to-moderate cases of carpal tunnel syndrome. Journal of Education, Health and Sport. 2016;6(9):604609.
- Thelen MD, Dauber JA. The clinical efficacy of kinesio tape for shoulder pain: a randomized, double-blinded, clinical trial. J Orthop Sports Phys 2008; 38: 389-395
- Chien-Tsung Tsai CT, Chang WD, Lee JP. Effects of short-term treatment with kinesio taping for plantar fasciitis. J Musculoskelet Pain 2010; 18: 71-80.
- Williams S, Whatman C. Kinesio taping in treatment and prevention of sports injuries: a meta-analysis of the evidence for its effectiveness. Sports Med 2012; 42: 153-164.