147018 20260420074008.0 1.9 2024 Physical Therapy, Sports Therapy and Rehabilitation 2024 Q2 0.5 2024 3.2 2024 ARTICLE (orcid)0000-0002-9930-3903 Lucha-López, María Orosia Universidad de Zaragoza Abenia-Benedí, Hugo Durán-Serrano, María Hamam-Alcober, Javier Sami Krauss, John (orcid)0000-0001-7667-2178 Hidalgo-García, César Universidad de Zaragoza ART-2025-140717 3924332 http://zaguan.unizar.es/record/147018/files/texto_completo.pdf Postprint info:eu-repo/date/embargoEnd/2025-11-25 788763 http://zaguan.unizar.es/record/147018/files/texto_completo.jpg?subformat=icon icon Postprint info:eu-repo/date/embargoEnd/2025-11-25 2026-04-18-11:05:06 info:eu-repo/semantics/openAccess by-nc-nd https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es info:eu-repo/semantics/article info:eu-repo/semantics/acceptedVersion Introduction 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. Access copy available to the general public Unrestricted 33, 3 (2025), 183-194 Journal of Manual and Manipulative Therapy 1066-9817 1006 413 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Fisioterapia Preoperative physiotherapy effects on hand function and quality of life in carpal tunnel syndrome: 3 – & 6 – month randomized controlled trial doi 10.1080/10669817.2024.2431596 sideral 140717 2025 (orcid)0000-0001-9678-3449 Hernández-Secorún, Mar eng oai:zaguan.unizar.es:147018 articulos driver