The Effect of Ultrasound Versus Nerve and Tendon Gliding Exercise on Pain and Functions in Patients with Carpal Tunnel Syndrome – A Comparative study.

Gobichandran, P (2013) The Effect of Ultrasound Versus Nerve and Tendon Gliding Exercise on Pain and Functions in Patients with Carpal Tunnel Syndrome – A Comparative study. Masters thesis, K.M.C.H. College of Physiotherapy, Coimbatore.

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Abstract

INTRODUCTION : Carpal Tunnel Syndrome (CTS) is a collection of characteristic symptoms and signs that occurs following entrapment of the median nerve within the carpal tunnel31. Usual symptoms include numbness, paraesthesia, and pain in the median nerve distribution. These symptoms may or may not be accompanied by objective changes in sensation and strength of median-innervated structures in the hand37, 14. Symptoms are worst at night and often wake the patient3. AIM AND OBJECTIVES : To compare the effects of ultrasound versus nerve and tendon gliding exercise on pain, self- reported symptom severity and functions in patients with carpal tunnel syndrome. OBJECTIVES : To find out the effect of ultrasound on pain, in patients with carpal tunnel syndrome. To find out the effect of ultrasound on self- reported symptom severity in patients with carpal tunnel syndrome. To find out the effect of ultrasound on functional level in patients with carpal tunnel syndrome To find out the effect of nerve and tendon gliding on level of pain in patients with carpal tunnel syndrome. To find out the effect of nerve and tendon gliding on self- reported symptom severity in patients with carpal tunnel syndrome. To find out the effect of nerve and tendon gliding on functional level in patients with carpal tunnel syndrome. To compares the effect of ultrasound versus nerve and tendon gliding exercise on pain, self-reported symptom severity and functions in patients with carpal tunnel syndrome. RESULTS : Statistical analysis was done using the‘t’ test, which showed a significant improvement in visual analogue scale and the disabilities of arm shoulder and hand score for ultrasound group than the nerve and tendon gliding exercises group. Power grip strength was assessed using the hand held dynamometer showed no statistical significant difference between both the groups. CONCLUSION : The aim of this study was to compare the effect of ultrasound versus nerve and tendon gliding exercise on pain and functions in patients with carpal tunnel syndrome. Twenty carpal tunnel patients were recruited to the study by convenient sampling technique. Ten patients were assigned to Group – A and Ten patients were assigned to Group – B. The intervention duration was about 3 weeks. Visual analogue scale, the disabilities of the arm, shoulder and hand score and hand held dynamometer were used as the outcome measures. Statistical analysis was done using the„t‟ tests. The results generated from the collected data shown that there is significant improvement in Group -A for Visual analogue scale and the disabilities of arm, shoulder and hand score than Group - B. But there is no significant improvement for hand held dynamometer in both groups. The findings of this study suggest that ultrasound improves the pain and functions than nerve and tendon gliding exercise in patients with Carpal tunnel syndrome .Future studies with various outcome measures, larger group and longer duration are required to confirm the results.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Carpal tunnel syndrome ; Nerve and tendon gliding ;Ultra sound ; Hand held dynamometer. Carpal tunnel syndrome ; Nerve and tendon gliding ; Ultra sound ; ; DASH ; VAS ; ;Hand held dynamometer
Subjects: PHYSIOTHERAPY > Physiotherapy in Orthopaedics
Depositing User: Selvamani J
Date Deposited: 14 Jul 2017 11:44
Last Modified: 14 Jul 2017 11:45
URI: http://repository-tnmgrmu.ac.in/id/eprint/1758

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