Treatment of carpal tunnel syndrome with eswt: A sham controlled double blinded randomised study


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Karatas O., Catal S., Gokmen E. A., SAMANCI KARAMAN N.

ANNALS OF CLINICAL AND ANALYTICAL MEDICINE, cilt.11, sa.3, ss.166-170, 2020 (ESCI) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 11 Sayı: 3
  • Basım Tarihi: 2020
  • Doi Numarası: 10.4328/acam.20001
  • Dergi Adı: ANNALS OF CLINICAL AND ANALYTICAL MEDICINE
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI)
  • Sayfa Sayıları: ss.166-170
  • Anahtar Kelimeler: Carpal Tunnel, Splint, Shock Wave, Pain, Paresthesia, Conservative Treatment, SHOCK-WAVE THERAPY
  • Akdeniz Üniversitesi Adresli: Evet

Özet

Aim: The aim of this study was to investigate the efficiency of extracorporeal shockwave therapy (ESWT) in the treatment of Carpal tunnel syndrome (CTS). Material and Method: In the study 49 hand with the diagnosis of CTS were included. Patients were randomized in ESWT (n=29 hands) and sham (n=20 hands) groups. Patients were randomly allocated to receive 1 session per week for 3 weeks of either sham or active ESWT. Patients were evaluated before the treatment, and at the end of the first week, first month and third month after the end of the treatment session with Boston Scale, Visual Analogue Scale for pain and paresthesia assessment, hand grip strength, and electroneurophysiological parameters. Results: A total of 38 patients completed the study with 29 wrists in active ESWT and 20 wrists in sham ESWT groups. Groups were similar in age, sex, duration of symptoms, hand grip strength, and electrodiagnostic parameters (P>0.05). In both groups, significant improvements were observed in VAS, Boston Scale, and hand grip strength after treatment. In both groups, there was no significant difference in none of the clinical and electrodiagnostic parameters (p>0.05). Discussion: Although ESWT was effective in symptoms in CTS this efficacy isn't superior to placebo. Our results indicated that ESWT was effective in pain and clinical variables in CTS. Wider and high-quality studies are needed to further demonstrate the effectiveness of ESWT in the treatment of CTS.