The Effectiveness of Neurodynamic Mobilization in Carpal Tunnel Syndrome

The Effectiveness of Neurodynamic Nerve Mobilization in Addition to Physical Therapy on the Median Nerve and Abductor Pollicis Brevis Muscle in Patients With Mild and Moderate Carpal Tunnel Syndrome

This randomized, clinical, single-blinded, controlled study will initially planned to include 86 patients diagnosed with carpal tunnel syndrome who applied to Kütahya Health Sciences University, Evliya Çelebi Training and Research Hospital, Physical Medicine and Rehabilitation outpatient clinic and Kutahya City Hospital.Patients aged 20-55 years who were diagnosed with mild and moderate carpal tunnel syndrome by electromyography (EMG) in the last 6 months were included in the study. The patients were randomized into two groups using the computer-assisted randomization method. Median nerve mobilization and ultrasound therapy will be given to the study group, and only ultrasound therapy will be given to the control group. All the patients were evaluated with the Visual Analog Scale (VAS), Hand and Pinching Grip Test, Boston Carpal Tunnel Questionnaire (BCTQ) and Median Nerve and Abductor Pollicis Brevis Muscle ultrasonography before the intervention and at the third week of intervention.

Inclusion Criteria:

• Diagnosed with mild-to-moderate CTS on the dominant hand, based on the electrodiagnostic examination.
• Aged 20-55 years.
• Consent to receive the described treatment.
• Lasting symptoms at least 3 months

Exclusion Criteria:

• A systemic inflammatory disease.
• Any disease that can cause polyneuropathy, for example, diabetes mellitus.
• A cognitive disorder.
• Receiving psychotherapy.
• A pacemaker.
• Any disease that can affect the central nervous system.
• Carpal tunnel syndrome surgery history