The Effect of Longitudinal Stretching of Muscles and Nerve versus Deep Transverse Friction Massage in the Management of Patients with Carpal Tunnel SyndromeReport as inadecuate




The Effect of Longitudinal Stretching of Muscles and Nerve versus Deep Transverse Friction Massage in the Management of Patients with Carpal Tunnel Syndrome - Download this document for free, or read online. Document in PDF available to download.

Background and Purpose: Carpal tunnel syndrome CTS is a common source of hand numbness and pain. The goal of this study was to compare longitudinal stretching of muscles and nerve to deep transverse friction massage for decreasing pain and improving hand function in patients with chronic CTS. Subjects and Methods: Thirty patients, 25 to 40 years old, were included in this study and randomized into two groups: the first group 36.8 ± 0.262 followed a physical therapy program group receiving stretching of wrist and hand flexors in combination with ultrasound, strengthening exercises of wrist and hand flexors, and wrist splint, three sessions per week for 12 weeks; and the second group 35.9 ± 0.225 followed the physical therapy program of deep transverse friction massage on the carpal tunnel site at the wrist joint, with using ultrasonic therapy, strengthening exercises of wrist and hand flexors and wrist splint, three sessions per week for 12 weeks. Outcome measures were range of motion ROM, pain using visual analog scale VAS, and hand grip strength measured with a sphygmomanometer. Results: There was a significant difference in both groups in all outcome measures compared to baseline. Over stretching group showed significant difference at the end of study in terms of range of motion of wrist flexion, extension and strength of handgrip when compared to deep friction massage group P < 0.05. However, there is no significant difference between groups in pain. Discussion and Conclusion: This study showed that the effect of stretching exercises is more beneficial than deep transverse friction massage in the treatment of patients with CTS in decreasing the compression of the median nerve in the tunnel.

KEYWORDS

Carpal Tunnel Syndrome, Median Nerve, Stretching Exercises, Ultrasonic Therapy, Deep Transversefriction Massage, Hand Weakness and Numbness

Cite this paper

Hafez, A. , Alenazi, A. , Kachanathu, S. , Alroumi, A. and Mohamed, E. 2014 The Effect of Longitudinal Stretching of Muscles and Nerve versus Deep Transverse Friction Massage in the Management of Patients with Carpal Tunnel Syndrome. Open Journal of Therapy and Rehabilitation, 2, 199-206. doi: 10.4236-ojtr.2014.24025.





Author: Ashraf Ramadan Hafez1*, Aqeel Mohammed Alenazi2, Shaji John Kachanathu3, Abdulmohsen Meshari Alroumi4, Elham Saed Mohamed1

Source: http://www.scirp.org/



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