Influence of Selected Physical Exercises to Improve Outcomes in Patients Operated for Carpal Tunnel Syndrome in Own Material

Abstract

The purpose of this study was to evaluate the influence of selected physical exercises on the improved results of treatment of patients operated for carpal tunnel syndrome. Hands were examined in 112 patients treated for carpal tunnel syndrome, aged 33 to 80 years. All individuals underwent open surgery procedure. Patients were divided into group I, in which the exercise was carried out under the supervision of the authors of this study and group II, in which exercises were not performed. Measurements were performed on all patients before surgery (initial) and 6 weeks after (final). Symptoms were studied according to Whitley and Mc Donnell, and they included night pain, sensory disturbance, thenar muscle weakness, Tinel’s sign and Phalen’s maneuver, the bottle syndrome and the opponens pollicis muscle activity. In the treatment of enhancing gliding exercise (automobilization) and neuromobilization. Stabilizing exercises included automobilization (nerve gliding) and neuromobilization. Wrist and hand stabilizing exercises were used and the correct settings in the carpo-metacarpal joints during work and physical activity were taught. The results were statistically analyzed using Chi-squared test. It was found that in patients with carpal tunnel syndrome the best way to eliminate or reduce symptoms of hands mobility disorders comes primarily with surgical treatment, followed by rehabilitation treatment using gliding and neuromobilization exercises.

Keywords

• nerve gliding exercise
• neuromobilization
• surgical treatment of carpal tunnel syndrome