Comparative Efficacy of Neuromobilization, Tendon Gliding Exercises, and Combined Techniques in Mild to Moderate Carpal Tunnel Syndrome

Comparative Efficacy of Neuromobilization Techniques, Tendon Gliding Exercises, and Combined Techniques in the Management of Mild to Moderate Carpal Tunnel Syndrome: A Randomized Controlled Trial

focuses on the comparative efficacy of Neuromobilization techniques, tendon gliding exercises, and their combined application in the management of mild to moderate Carpal Tunnel Syndrome through a randomized controlled trial (RCT)

Aims to provide valuable evidence regarding the comparative and combined effects of Neuromobilization and tendon gliding exercises in managing mild to moderate Carpal Tunnel Syndrome. The findings may help physiotherapists develop optimized treatment strategies for improving pain, hand function, and quality of life among CTS patients.

Inclusion Criteria:

• • Symptoms of CTS (pain, paresthesia in the area of hand innervated by the median nerve)

  • First and Second Trimester Pregnant women.
  • Mild to Moderate CTS patients.
  • Individuals experiencing wrist pain for a duration of at least 6-8 weeks without a history of trauma or specific diagnosis (e.g., fracture, arthritis).
  • Pain rated between 3 and 5 on (NPRS).
  • Present neurological disorders (e.g., carpal tunnel syndrome, cervical radiculopathy).
  • No prior physical therapy treatment for wrist pain in the last 3-6 months

Exclusion Criteria:

• • History of traumatic injury, fracture, or surgery to the wrist or hand.

  • Diagnosis of systemic diseases affecting the wrist (e.g., rheumatoid arthritis, gout, or diabetes-related neuropathy).
  • Any skin condition or infection around the wrist that would contraindicate physical therapy.
  • Third Trimester Pregnant women
  • Individuals with serious cardiovascular or metabolic disorders.
  • patients currently undergoing other treatments specifically targeting CTS (e.g., steroid injections)