The Effectiveness of Radial Extracorporeal Shock Waves for Treatment of Carpal Tunnel Syndrome: A Randomized Clinical Trial

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• 作者：Gholam Reza Raissi^&lowast ; ; Fatemeh Ghazaei^&lowast ; ; Bijan Forogh^&lowast ; ; Seyed Pezhman Madani^&lowast ; ; Abbas Daghaghzadeh^&dagger ; ; Tannaz Ahadi^&lowast ; ; ^{tannaz.ahadi@yahoo.com}
• 关键词：Carpal tunnel syndrome ; Splint ; Median neuropathy
• 刊名：Ultrasound in Medicine & Biology
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：43
• 期：2
• 页码：453-460
• 全文大小：241 K
• 卷排序：43

文摘

This study examined the effectiveness of radial extracorporeal shock wave therapy in the treatment of carpal tunnel syndrome (CTS). Forty patients with mild to moderate CTS were allocated to two groups: (i) shock wave + wrist splint and (ii) wrist splint. Patients used wrist splints followed by three sessions of low-energy shock wave therapy in the intervention group and wrist splints alone in the other group. The QuickDASH Questionnaire, visual analogue scale and nerve conduction studies were used to evaluate the patients before the study and at 3, 8 and 12 wk after the start of the treatment. At the end of the study, both groups saw the same clinical benefits. However, a significantly greater improvement in the median nerve distal sensory latency was noted in the shock wave group compared with the control group. We suggest that application of shock wave with alternative protocols may be effective in the treatment of CTS in future studies.