OBJECTIVES To review the efficacy and safety of exercise and mobilisation interventions compared with no treatment, a placebo or another non-surgical. Page, M., O’Connor, D. A., Pitt, V. J., & Massy-Westropp, N. (). Exercise and mobilisation interventions for carpal tunnel syndrome (Review). Cochrane. Request PDF on ResearchGate | Exercise and mobilisation interventions for carpal tunnel syndrome (Review) | Background Non-surgical treatment, including .

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Therapeutic ultrasound for carpal tunnel syndrome. Carpal Tunnel Syndrome Search for additional papers on this topic. People with CTS who indicate a preference for exercise or mobilisation interventions should be informed of the limited evidence of effectiveness and safety of this intervention by their treatment provider.

Exercise and mobilisation interventions for carpal tunnel syndrome.

Skip to search form Skip to main content. One very low quality trial with 14 participants found that all participants receiving either neurodynamic mobilisation or carpal bone mobilisation and none in the no treatment group reported overall improvement RR Ergonomic csrpal or equipment for treating carpal tunnel syndrome.

Only two studies measured adverse effects, so more data are required before any firm conclusions on the safety of exercise and mobilisation interventions can be made.

The risk of bias of the included studies was low in some studies and unclear or high in other studies, with only three explicitly reporting that mobiliastion allocation sequence was concealed, and four reporting blinding of participants.


Exercise and mobilisation interventions for carpal tunnel syndrome. Kerry M DwanDouglas G.

Exercise and mobilisation interventions for carpal tunnel syndrome. – Semantic Scholar

A placebo-controlled clinical study. Effectiveness of Physical Therapy and Electrophysical Modalities. There is limited and very low quality evidence of benefit for all of a diverse collection of exercise and mobilisation interventions for CTS.

Showing of 32 references.

Exercise and mobilisation interventions for carpal tunnel syndrome.

JohnsonBritta L. Two review authors independently assessed searches and selected trials for inclusion, extracted data and assessed risk of bias of the included studies. By clicking mobilisatioh or continuing to use the site, you agree to the terms outlined in our Privacy PolicyTerms of Serviceand Dataset License.

The studies were heterogeneous in terms of the interventions delivered, outcomes measured and timing of outcome caral, therefore, we were unable to pool results across studies. Showing of 37 extracted citations.

A Retrospective Analysis of Commercial Insurance. Conservative therapeutic management of carpal tunnel syndrome. Two compared a mobilisation regimen to a no treatment control, three compared one mobilisation intervention for example carpal bone mobilisation to another for example soft tissue mobilisationnine compared nerve mobilisation delivered as part of a multi-component intervention to another non-surgical intervention for example splint or therapeutic ultrasoundand three compared a mobilisation intervention other than nerve mobilisation for example yoga or chiropractic treatment to another non-surgical intervention.

Mobilization of the Nervous System. Analysing data and undertaking meta-analyses. However, a unit of analysis error occurred in this trial, as the correlation between wrists in participants with bilateral CTS was not accounted for.


Only four studies reported the primary outcome of interest, short-term overall improvement any measure in which patients indicate the intensity of their complaints compared to baseline, for example, global rating of improvement, satisfaction with treatment, within three months post-treatment. Topics Discussed in This Paper. Randomised or quasi-randomised controlled trials comparing exercise or mobilisation interventions with no treatment, placebo or another non-surgical intervention in people with CTS.

Another very low-quality trial with 26 participants found that more CTS-affected wrists receiving nerve gliding exercises plus splint plus activity modification had no pathologic finding on median and ulnar nerve distal sensory latency assessment at the end of treatment than wrists receiving splint plus activity modification alone RR 1. From This Paper Figures, tables, and topics from this paper.

Ultrasound-guided hydrodissection decreases gliding resistance of the median nerve within the carpal tunnel. References Publications referenced by this paper. BakerJoel M. Platelet-rich plasma ultrasound-guided injection in the treatment of carpal tunnel syndrome: CarlsonMaureen G.

This paper has been referenced on Twitter 14 times over the past 90 days.