Effectiveness of manual therapies versus surgical decompression in hand function in women with carpal tunnel syndrome: a systematic review
DOI:
https://doi.org/10.33448/rsd-v11i5.28637Keywords:
Carpal tunnel Syndrome; Manual therapy; Manipulations; Hand function; Surgery decompression.Abstract
Purpose: To assess the quality of evidence for the efficacy of manual therapy in improving hand function in relation to surgical decompression in women with CTS. Methodology: Seven electronic databases were searched to identify randomized controlled trials that compared the efficacy of exclusive manual therapies and surgical decompression in improving hand function in women with carpal tunnel syndrome. Quality assessment was conducted using the Cochrane risk of bias tool. The study was registered in PROSPERO under number CRD42018084250. Results: Two trials were identified and included in the review. The results of critical appraisal of quality was low risk of bias. Conclusion: Evidence suggest that manual therapy may have similarly effective in relation to surgery decompression in improving hand function in women with carpal tunnel syndrome. Future trials must assess the efficacy of manual therapies in different numbers of session looking for better results.
References
Atroshi, I., Gummesson, C., Johnsson, R., & Ornstein, E. (2003). Diagnostic properties of nerve conduction tests in population-based carpal tunnel syndrome. BMC Musculoskelet. Disord. 7:9–16. doi: 10.1186/1471-2474-4-9.
Bekhet, A. H., Ragab, B., Abushouk, A. I., Elgebaly, A., & Ali, O. I. (2017). Efficacy of low-level laser therapy in carpal tunnel syndrome management: a systematic review and meta-analysis. Lasers Med. Sci. 32:1439–1448. doi: 10.1007/s10103-017-2234-6.
Burke, F. D., Ellis, J., McKenna, H., & Bradley, M. J. (2003). Primary care management of carpal tunnel syndrome. Postgrad. Med. J. 79:433–437. http://dx.doi.org/10.1136/pmj.79.934.433.
Carvalho, A. P., Silva, V., & Grande, A. J. (2013). Avaliação do risco de viés de ensaios clínicos randomizados pela ferramenta da colaboração Cochrane. Diagnóstico Trat. 18:38–44.
Elliott, R., & Burkett, B. (2013). Massage therapy as an effective treatment for carpal tunnel syndrome. J. Bodyw. Mov. Ther. 17:332–338. doi: 10.1016/j.jbmt.2012.12.003.
Fernández-de-las-Peñas, C., Cleland, J., Palacios-Ceña, 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. J. Orthop. Sport. Phys. Ther. 47:151–161.
Fernández-De-Las Peñas, C., Ortega-Santiago, R., De La Llave-Rincón, A.I., Martínez-Perez, A., Fahandezh-Saddi Díaz, H., Martínez-Martín, J., Pareja, J. A., & Cuadrado-Pérez, M. L. (2015). Manual Physical Therapy Versus Surgery for Carpal Tunnel Syndrome: A Randomized Parallel-Group Trial. J. Pain 16:1087–1094. doi: 10.1016/j.jpain.2015.07.012.
Hardoim, D. G., Oliveira, G. B., & Kouyoumdjian, J. A. (2009). Carpal Tunnel Syndrome. Arq. Neuropsiquiatr. 67:69–73.
Ibrahim, I., Khan, W. S., Goddard, N., & Smitham, P. (2012). Carpal tunnel syndrome: a review of the recent literature. Open Orthop. J. 6:69–76. doi: 10.2174/1874325001206010069.
Kotwall, P., & Varshney, M. (2009). Carpal tunnel syndrome : Controversies and Consensus. Pb J. Orthop. 11:32–37. doi.org/10.1590/S0004-282X2000000600027.
Kouyoumdjian, J. A., Morita, M. P. A., Molina, A. F. P., Zanetta, D. M. T., Sato, A. K., Rocha, C. E. D., & Fasanella, C. C. (2003). Long-term outcomes of symptomatic electrodiagnosed carpal tunnel syndrome. Arq. Neuropsiquiatr. 61:194–198. doi: 10.1590/s0004-282x2003000200007.
Maddali Bongi, S., Signorini, M., Bassetti, M., Del Rosso, A., Orlandi, M., & De Scisciolo, G. (2013). A manual therapy intervention improves symptoms in patients with carpal tunnel syndrome: A pilot study. Rheumatol. Int. 33:1233–1241. doi: 10.1007/s00296-012-2507-0.
Michlovitz, S. L. (2004). Conservative interventions for carpal tunnel syndrome. J. Orthop. Sport. Phys. Ther. 34:589–600. doi: 10.2519/jospt.2004.34.10.589
Ohno, K., Hirofuji, S., Fujino, K., Ishidu, T., Kira, S., & Neo, M. (2016). Sonographic monitoring of endoscopic carpal tunnel release. J. Clin. Ultrasound 44:597–599. doi.org/10.1002/jcu.22398.
Parish, R., Morgan, C., Burnett, C. A., Baker, B. C., Manning, C., Sisson, S. K., & Shipp, E. R. (2020). Practice patterns in the conservative treatment of carpal tunnel syndrome: Survey results from members of the American Society of Hand Therapy. J Hand Ther. 33(3):346-353. doi: 10.1016/j.jht.2019.03.003.
Scalise, V., Brindisino, F., Pellicciari, L., Minnucci, S., & Bonetti, F. (2021). Carpal Tunnel Syndrome: A National Survey to Monitor Knowledge and Operating Methods. Int J Environ Res Public Health. 18(4):1995. doi: 10.3390/ijerph18041995.
Shi, Q., & MacDermid, J.C. (2011). Is surgical intervention more effective than non-surgical treatment for carpal tunnel syndrome? a systematic review. J. Orthop. Surg. Res. 6:17. doi.org/10.1186/1749-799X-6-17.
Vasiliadis, H. S., Nikolakopoulou, A., Shrier, I., Lunn. M. P., Brassington, R., Scholten, R. J. P., & Salanti, G. (2015). Endoscopic and open release similarly safe for the treatment of carpal tunnel syndrome. A systematic review and meta-analysis. PLoS One 10:1–16. doi: 10.1371/journal.pone.0143683.
Werner, R. A., & Andary, M. (2002). Carpal tunnel syndrome: pathophysiology and clinical neurophysiology. Clin. Neurophysiol. 113:1373–1381. doi: 10.1016/s1388-2457(02)00169-4.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Adriana Pontes Carvalho; Helen Kerlen Bastos Fuzari; Manuella Moraes Monteiro Barbosa Barros; Fernando Henrique Moraes de Souza; Silvya Nery Bernardino; Daniella Araújo de Oliveira
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
