Effects of Additional Radial Shockwave Therapy to Median Nerve Gliding Exercises on Hand Grip Strength in Carpal Tunnel Syndrome Patients
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Published:
Dec 30, 2021
Keywords:
carpal tunnel syndrome, entrapment neuropathies, grip strength, nerve gliding exercise,radial shockwave therapy
Main Article Content
Abstract
ABSTRACTIntroduction: Carpal Tunnel Syndrome (CTS) is one of the most common entrapment neuropathiesfound in the upper extremities. Patients with moderate and severe CTS usually experience disturbancesin motor strength. A non-invasive therapeutic method that has recently emerged in the treatment of CTSis Radial Shock Wave Therapy (RSWT). RSWT is a therapy using shock waves and can be added to otherforms of exercise. The addition of RSWT in CTS is expected to increase the grip strength. Research thatdirectly assesses the effect of adding RSWT and median nerve gliding exercises on hand grip strength inCTS patients has not been conducted.Methods: This study was a pre-test/post-test control group design. There were 22 moderate grade CTSsubjects divided into 2 groups, the control group was received median nerve gliding exercise (n=11) andthe treatment group was received additional RSWT on median nerve gliding exercise (n=11). Assessmentof grip strength by Jamar hand dynamometer was performed before and after 4 weeks of treatment. Themean differences before and after treatment, as well as between groups was compared statistically usingan unpaired t-test.Results: There was no significant difference in the handgrip strength of the control group (p = 0.094),and a significant difference in the treatment group (p = 0.009) before and after the intervention. However,there were no significant differences in grip strength between the two groups (p=0.065).Conclusion: There was no significant effect of adding RSWT on improving handgrip strength in CTSpatients who received a median nerve gliding exercise.Keywords: carpal tunnel syndrome, entrapment neuropathies, grip strength, nerve gliding exercise,radial shockwave therapy
Article Details
How to Cite
Cornelia Arina Pradipta, Rudy Handoyo, Hari Peni Julianti, Hindun Zuhdiana, & Noviolita Dwi Kusumawati. (2021). Effects of Additional Radial Shockwave Therapy to Median Nerve Gliding Exercises on Hand Grip Strength in Carpal Tunnel Syndrome Patients. Indonesian Journal of Physical Medicine and Rehabilitation, 10(02), 67 - 74. https://doi.org/10.36803/ijpmr.v10i02.304
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Original Article
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References
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13. Chang CY, Chen LC, Chou YC, Li TY, Ho TY, Wu YT. The effectiveness of platelet-rich plasma and radial extracorporeal shock wave compared with platelet-rich plasma in the treatment of moderate carpal tunnel syndrome. Pain Med 2020; 21(8): 1668–75.
14. Baysal O, Altay Z, Ozcan C, Ertem K, Yologlu S. Comparison of three conservative treatment protocols in carpal tunnel syndrome. Int J Clin Pract 2006; 60(July): 820–8.
15. Unver S, Akyolcu N. The effect of hand exercise on reducing the symptoms in
hemodialysis patients with carpal tunnel syndrome. Asian J Neurosurg 2018; 1(13): 31–6.
2. Martins RS, Siqueira MG. Manejo terapêutico conservador da síndrome do túnel do carpo. Arq Neuropsiquiatr 2017; 75(11): 819–24.
3. Kim SD. Efficacy of tendon and nerve gliding exercises for carpal tunnel syndrome: A systematic review of randomized controlled trials. J Phys Ther Sci 2015; 27(8): 2645–8.
4. Ballestero-Pérez R, Plaza-Manzano G, Urraca-Gesto A, Romo-Romo F, Atín-Arratibel M de los Á, Pecos-Martín D, et al. Effectiveness of nerve gliding exercises on carpal tunnel syndrome: a systematic review. J Manipulative Physiol Ther 2016; 40(1): 1-10.
5. Wu Y, Ke M, Chou Y, Chang C, Lin C, Li T, et al. Effect of radial shock wave therapy for carpal tunnel syndrome. J Orthop Res 2016; 34(6)(June): 977–84.
6. Rashad UM, Kishk NA, Mansour WT, Nawito AM, Khalil AS, Helmy H, et al. Effect of extracorporeal shock wave therapy on different severities of carpal tunnel syndrome. Egypt J Neurol Psychiatry Neurosurg 2020; 56(1).
7. Ke M, Chen L, Chou Y, Li T, Chu H. The dose-dependent efficiency of radial shock wave therapy for patients with carpal tunnel syndrome : a prospective. Nat Publ Gr 2016; 161: 2–11.
8. Núñez-Cortés R, Cruz-Montecinos C, Antúnez-Riveros MA, Pérez-Alenda S. Does the educational level of women influence hand grip and pinch strength in carpal tunnel syndrome? Med Hypotheses 2020; 135(August 2019): 109474.
9. Shockwave Theory [Internet]. Available from: https://www.shockwavetherapy.education/index.php/theory/types-of-shockwave.
10. Ito K, Fukumoto Y, Shimokawa H. Extracorporeal shock wave therapy as a new and non-invasive angiogenic strategy. Tohoku J Exp Med 2009; 219: 1–9.
11. Hausner T, Nógrádi A. The use of shock waves in peripheral nerve regeneration : new perspectives ? Int Rev Neurobiol 2013; 109: 85–98.
12. Raissi GR, Ghazaei F, Forogh B. The effectiveness of radial extracorporeal shock waves for treatment of carpal tunnel syndrome : a randomized clinical. Ultrasound Med Biol 2016; 43(2): 1–8.
13. Chang CY, Chen LC, Chou YC, Li TY, Ho TY, Wu YT. The effectiveness of platelet-rich plasma and radial extracorporeal shock wave compared with platelet-rich plasma in the treatment of moderate carpal tunnel syndrome. Pain Med 2020; 21(8): 1668–75.
14. Baysal O, Altay Z, Ozcan C, Ertem K, Yologlu S. Comparison of three conservative treatment protocols in carpal tunnel syndrome. Int J Clin Pract 2006; 60(July): 820–8.
15. Unver S, Akyolcu N. The effect of hand exercise on reducing the symptoms in
hemodialysis patients with carpal tunnel syndrome. Asian J Neurosurg 2018; 1(13): 31–6.