000147018 001__ 147018
000147018 005__ 20250103133846.0
000147018 0247_ $$2doi$$a10.1080/10669817.2024.2431596
000147018 0248_ $$2sideral$$a140717
000147018 037__ $$aART-2024-140717
000147018 041__ $$aeng
000147018 100__ $$0(orcid)0000-0001-9678-3449$$aHernández-Secorún, Mar$$uUniversidad de Zaragoza
000147018 245__ $$aPreoperative physiotherapy effects on hand function and quality of life in carpal tunnel syndrome: 3 – & 6 – month randomized controlled trial
000147018 260__ $$c2024
000147018 5060_ $$aAccess copy available to the general public$$fUnrestricted
000147018 5203_ $$aIntroduction
Carpal Tunnel Syndrome (CTS) is a prevalent upper limb mononeuropathy that often leads to delayed surgical intervention, resulting in prolonged symptoms and reduced quality of life;
Aim
To describe the effect of a three-session treatment involving nerve mechanical interface mobilization and self-mobilization combined with education in hand function, symptoms, and quality of life of pre-surgical CTS patients at 3 and 6-months follow-ups; 3) A randomized clinical trial was performed in 42 preoperative CTS patients. Patients were randomized into an experimental group, receiving a three-session intervention of education, diacutaneous fibrolysis, and self-mobilization, or a control group receiving standard care. Primary outcomes included the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, while secondary outcomes assessed paresthesia, mechanosensitivity of the median nerve, mechanical threshold with the Semmes Weinstein monofilament, pinch strength, and quality of life, with the short-form-36 & EuroQol-5D;
Results
The cohort were predominantly severe CTS patients with associated comorbidities. Statistical improvements were shown for experimental group compared to control group in DASH at 6-month follow-up (p = 0.035; η2 = 0.12). Paraesthesia intensity, mechanosensitivity, and quality of life were also significantly improved in the experimental group compared to control group at both 3- and 6-months (p < 0.05). The same occurred for pinch strength at 6 months (p < 0.05). No significant differences were found in mechanical threshold (p > 0.05); 5) The treatment effectively improved hand function, symptoms, and quality of life in preoperative CTS patients, offering a viable alternative during delays in surgical procedures. Nerve mechanical interface treatment could not only help mild to severe CTS patients but might be relevant for severe CTS patients with associated comorbidities.
000147018 540__ $$9info:eu-repo/semantics/embargoedAccess$$aby-nc-nd$$uhttp://creativecommons.org/licenses/by-nc-nd/3.0/es/
000147018 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/acceptedVersion
000147018 700__ $$0(orcid)0000-0002-9930-3903$$aLucha-López, María Orosia$$uUniversidad de Zaragoza
000147018 700__ $$aAbenia-Benedí, Hugo
000147018 700__ $$aDurán-Serrano, María
000147018 700__ $$aHamam-Alcober, Javier Sami
000147018 700__ $$aKrauss, John
000147018 700__ $$0(orcid)0000-0001-7667-2178$$aHidalgo-García, César$$uUniversidad de Zaragoza
000147018 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia
000147018 773__ $$g(2024), 2431596 [13 pp.]$$tJournal of Manual and Manipulative Therapy$$x1066-9817
000147018 8564_ $$s3924332$$uhttps://zaguan.unizar.es/record/147018/files/texto_completo.pdf$$yPostprint$$zinfo:eu-repo/date/embargoEnd/2025-11-25
000147018 8564_ $$s788763$$uhttps://zaguan.unizar.es/record/147018/files/texto_completo.jpg?subformat=icon$$xicon$$yPostprint$$zinfo:eu-repo/date/embargoEnd/2025-11-25
000147018 909CO $$ooai:zaguan.unizar.es:147018$$particulos$$pdriver
000147018 951__ $$a2025-01-03-13:37:38
000147018 980__ $$aARTICLE