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Systematic review of phisiotherapy treatments with better evidence for the carpal tunnel syndrome Revisión sistemática de tratamientos fisioterapéuticos con mejor evidencia para el síndrome del túnel carpiano
Indexado
Scopus SCOPUS_ID:63449085221
DOI
Año 2008
Tipo

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



Introduction The carpal tunnel syndrome (CTS) is a pathology wich has a high incidence and it basically consist of a neuropathic compression of the median nerve at the wrist level. Initially, this compression is a nerve neuropraxia, but over the time and neglect this pathology evolves to axonotmesis and, in extreme cases, to neurotmesis. The symptoms and signs of this condition are very limiting to the patient. The pain and the parestesias in the dermatomic and myotomic regions of medial nerve will affect the manual performance of this patients decreasing the performance at work and life quality. Finally, the CTS ends in surgery. For these reasons it is necessary to use physiotherapeutic treatment techniques to avoid surgical procedures and abolish this signs and symptoms. the signs and symptoms as well as avoiding the surgical procedure. MATERIALS AND METHODS: we use the MEDLINE scientific searcher with de PUBMED database, later the papers were filtrated with the aim to obtain the best available evidence (according to the Oxford scale) and finally were analyzed according to the PEDro scale to evaluate the works validity. Results There were included three articles: two randomized trials (with a high score on the PEDro scale) and a systematic review. Only this three papers approved the inclusion and exclusion criteria. CONCLUSIONS: The use of some physiotherapeutic treatments in doses and treatment time described in this review reduce significantly pain, subjective symptoms, distal motor latency, hand grip and finger pinch strength. However the treatment is symptomatic because there are no data indicating that these physiotherapeutic tools reduce the medial nerve compression. The carpal tunnel syndrome (CTS); Evidence Based Medice; Physiotherapy.

Disciplinas de Investigación



WOS
Sin Disciplinas
Scopus
Anesthesiology And Pain Medicine
SciELO
Sin Disciplinas

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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

Colaboración Institucional



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Autores - Afiliación



Ord. Autor Género Institución - País
1 Alvayay, C. S. - Universidad de Las Américas, Chile - Chile
2 Arce, A. - Universidad de Las Américas, Chile - Chile

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Financiamiento



Fuente
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Agradecimientos



Agradecimiento
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