118641 20240319080950.0 doi 10.1007/s00264-021-05272-2 sideral 126932 ART-2022-126932 eng Jiménez-del-Barrio, S. The effectiveness of manual therapy on pain, physical function, and nerve conduction studies in carpal tunnel syndrome patients: a systematic review and meta-analysis 2022 Access copy available to the general public Unrestricted Aim of the study: Systematic review and meta-analysis to assess the effectiveness of manual therapy in improving carpal tunnel syndrome (CTS) symptoms, physical function, and nerve conduction studies. Method: MEDLINE, Web of Science, SCOPUS, Cochrane Library, TRIP database, and PEDro databases were searched from the inception to September 2021. PICO search strategy was used to identify randomized controlled trials applying manual therapy on patients with CTS. Eligible studies and data extraction were conducted independently by two reviewers. Methodology quality and risk of bias were assessed by PEDro scale. Outcomes assessed were pain intensity, physical function, and nerve conduction studies. Results: Eighty-one potential studies were identified and six studies involving 401 patients were finally included. Pain intensity immediately after treatment showed a pooled standard mean difference (SMD) of - 2.13 with 95% confidence interval (CI) (- 2.39, - 1.86). Physical function with Boston Carpal Tunnel Syndrome Questionnaire (BCTS-Q) showed a pooled SMD of - 1.67 with 95% CI (- 1.92, - 1.43) on symptoms severity, and a SMD of - 0.89 with 95% CI (- 1.08, - 0.70) on functional status. Nerve conduction studies showed a SMD of - 0.19 with 95% CI (- 0.40, - 0.02) on motor conduction and a SMD of - 1.15 with 95% CI (- 1.36, - 0.93) on sensory conduction. Conclusions: This study highlights the effectiveness of manual therapy techniques based on soft tissue and neurodynamic mobilizations, in isolation, on pain, physical function, and nerve conduction studies in patients with CTS. © 2021, The Author(s). info:eu-repo/semantics/openAccess by http://creativecommons.org/licenses/by/3.0/es/ 2.7 2022 ORTHOPEDICS 31 / 86 = 0.36 2022 Q2 T2 0.988 2022 Surgery 2022 Q1 Orthopedics and Sports Medicine 2022 Q1 6.2 2022 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Cadellans-Arróniz, A. Ceballos-Laita, L. Estébanez-de-Miguel, E. Universidad de Zaragoza (orcid)0000-0002-5161-7479 López-de-Celis, C. Bueno-Gracia , E. Universidad de Zaragoza (orcid)0000-0002-0026-9224 Pérez-Bellmunt, A. 1006 413 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Fisioterapia 46 (2022), 301-312 Int. orthop. INTERNATIONAL ORTHOPAEDICS 0341-2695 1516783 http://zaguan.unizar.es/record/118641/files/texto_completo.pdf Versión publicada 1965463 http://zaguan.unizar.es/record/118641/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:118641 articulos driver 2024-03-18-12:59:48 ARTICLE