Effect of Neurodynamic Exercises and Education Program Applied With Virtual Reality Assisted Telerehabilitation Method in Conservative Treatment of Carpal Tunnel Syndrome

The Effect of Neurodynamic Exercises and Education Program Applied With Virtual Reality Assisted Telerehabilitation Method in Conservative Treatment of Carpal Tunnel Syndrome: A Single-Blind Randomized Controlled Trial

The aim in this prospective, randomized and controlled, single-blind study; In the conservative treatment of patients diagnosed with carpal tunnel syndrome, to investigate the effects of neurodynamic exercises that applied with nonimmersive virtual reality technology and patient education program presented by the telerehabilitation method on pain-numbness, functional status and quality of life, to compare the effects of neurodynamic exercises that applied with traditional methods and standard education given to patients in outpatient clinic conditions on the same parameters.

Inclusion Criteria:

• 18-65 years
• Being diagnosed with CTS clinically and electrophysiologically

Exclusion Criteria:

• <18 years or >65 years
• Distal motor latency > 6.0 msn.
• Thenar atrophy
• Surgery history for CTS
• Steroid injection for CTS
• Physical treatment for CTS in the last 6 months
• Cervical radiculopathy
• Tenosynovitis
• Peripheral polyneuropathy
• Another compressive neuropathy in the ipsilateral upper extremity
• History of trauma/fracture to the hand-wrist region
• Pregnancy
• Metabolic disease
• Rheumatic/autoimmune disease
• Kidney failure
• Lack of internet access
• Not having the equipment to make video calls at home