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Effects of Neuromobilization Maneuver on Clinical and Electrophysiological Measures of Patients with Carpal Tunnel Syndrome
Authors:Ali E. Oskouei  Ghadam Ali Talebi  Seyed Kazem Shakouri  Kamyar Ghabili
Affiliation:1) Physical Medicine and Rehabilitation Research Center, Tabriz University of Medical Sciences, Iran;2) Department of Physiotherapy, School of Medicine, Babol University of Medical Sciences, Iran;3) Medical Philosophy and History Research Center, Tabriz University of Medical Sciences, Iran
Abstract:[Purpose] The aim of this study was to investigate the efficacy of neuromobilizationcombined with routine physiotherapy in patients with carpal tunnel syndrome throughsubjective, physical, and electrophysiological studies. [Subjects and Methods] Twentypatients with carpal tunnel syndrome (totally 32 hands) were assigned two groups:treatment and control groups. In both groups, patients received the routine physiotherapy.In addition to the routine physiotherapy, patients in the treatment group receivedneuromobilization. The symptoms severity scale, visual analogue scale, functional statusscale, Phalen’s sign, median nerve tension test, and median nerve distal sensory and motorlatency were assessed. [Results] There were significant improvements in the symptomsseverity scale, visual analogue scale, median nerve tension test, and Phalen’s sign inboth groups. However, the functional status scale and median nerve distal motor latencywere significantly improved only in the treatment group. [Conclusion] Neuromobilization incombination with routine physiotherapy improves some clinical findings more effectivelythan routine physiotherapy. Therefore, this combination can be used as an alternativeeffective non-invasive treatment for patients with carpal tunnel syndrome.Key words: Carpal tunnel syndrome, Neuromobilization, Electrophysiological measures
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