Article for review: Fernandex-de-Las-Penas, C., Cleland, J.,
Palacios-Cena, M., Fuensalida-Novo, S., Pareja, J.A., & Alonso-Blanco, C.
(2017). The effectiveness of manual therapy versus surgery on self-reported
function, cervical range of motion, and pinch grip force in carpal tunnel
syndrome: a randomized clinical trial. Journal of Orthopaedic & Sports
Physical Therapy, 47(3): 151-161. DOI: 10.25.jospt.2017.7090
This randomized
parallel-group trial aimed to discover if there were differences in outcomes
between manual therapy and surgery in the treatment of carpal tunnel syndrome.
This trial included 100 female participants with carpal tunnel syndrome, who were
divided equally into a manual therapy group and a surgery group. Follow-ups
were completed at 1, 3, 6, and 12 months after treatment. The analysis of
changes examined self-reported function, symptom severity, cervical range of
motion, and pinch grip force.
Conclusion: At 1 month follow-up, manual therapy was shown to be more beneficial
for self-reported function. While at 3, 6, and 12 month follow-up,
self-reported function and pinch grip force were similar in both groups.
Symptom severity was likewise similar between the two groups. There were no
significant changes in cervical range of motion for either group. In
conclusion, manual therapy and surgery have similar outcomes for the outcomes
measured.
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