Comparing the effects of carpal bone mobilization and tendon gliding in patients with carpal tunnel syndrome

Abstract

Background: Idiopathic carpal tunnel syndrome is a carpal tunnel median nerve neuropathy. CTS is the most typical type of peripheral neuropathy Objective: To determine the effects of carpal bones mobilization and tendon gliding exercise on patients with Carpal Tunnel Syndrome. Methodology: This was a quasi-experimental study. Data was collected from Faisal Hospital and Civil Hospital Faisalabad from April 2022 to August 2022. The total sample size was 32 and calculated from the open epi tool. Patients were recruited in this study by considering the inclusion and exclusion criteria. Patients were divided into two groups. The patients in group A were treated by carpal bone mobilization, and those in group B were treated by tendon gliding exercise. Throughout the course of four weeks, the intervention was carried out three times per week. The outcome measure tools of this study were the Numeric Pain Rating Scale and the Boston Carpal Tunnel Questionnaire. The data was analyzed using SPSS version 23. Results: There was a significant difference in reduction of pain intensity, symptom severity and improvement in functional ability between two groups i.e. Carpal Bone Mobilization and Tendon Gliding at end of four weeks (P<0.002) (P<0.000) (P<0.001). There was more reduction in pain (P<0.002), and symptom severity (P<0.000) and improvement in functional ability (P<0.001) in Tendon Gliding group at end of 4 weeks Conclusion: Tendon gliding exercises were most effective in reducing pain, range of motion, and neck function as compared to nerve mobilization in patients with carpal tunnel syndrome.

Keywords

• carpal tunnel syndrome
• nerve neuropathy