Carpal Tunnel Syndrome in Pregnant Women

Effectiveness of Home Exercise in Pregnant Women With Carpal Tunnel Syndrome

The purpose of our study is to evaluate the effectiveness of the home exercise program in patients who develop Carpal tunnel syndrome (CTS).

Materials and Method: Thirty-three patients with CTS (mild to moderate) were included to randomized, single-blind, controlled clinical trial. Based on EMG results and clinical examination, patient group was divided two part as mild and moderate CTS (group 1) and normal (group 2). The Sick Boston Carpal Tunnel Syndrome Questionnaire form was filled in face-to-face method.

Cases in this study: Patients who had pain and numbness problems at the hands of the Bezmiâlem Vakif University Polyclinic for Women and Obstetrics were then directed to the Bezmiâlem Vakif University Physical Therapy Rehabilitation Policlinic. After the examination and clinical testing of each patient (Tinel test, Phalen's test, Reverse Phalen's and Durkan's Carpal Compression test), the patients were directed to Bezmiâlem Vakif University Neurology Policlinic. Based on electromyography (EMG) results and clinical examination, the group was classified as mild and moderate CTS (group 1) and normal (group 2). A disease exercise form was distributed for all patients to do exercises.

Inclusion Criteria:

• Provocation tests during the examination and physical examination to match the median nerve distribution those who have symptoms of numbness, tingling, weakness and pain in the hands that have lasted at least 1 month.
• Patients with confirmed mild-moderate idiopathic CTS on EMG.

Exclusion Criteria:

• Previously undergone carpal tunnel surgery
• Gestational diabetes mellitus,
• Eclampsia, preeclampsia
• Thyroid disorders
• Arthropathies
• Hand or wrist trauma
• Bilateral fractures
• Severe cts
• Atrial fibrillation
• Cervical radiculopathy
• Peripheral neuropathy
• Thoracic outlet syndrome
• Diabetes mellitus
• Hypothyroidism
• Hyperthyroidism
• Rheumatologic disease