HIỆU QUẢ CỦA VẬT LÝ TRỊ LIỆU TRONG ĐIỀU TRỊ HỘI CHỨNG ỐNG CỔ TAY

Abstract

Objective: To evaluate the effectiveness of physical therapy in patients with carpal tunnel syndrome (CTS) of all degrees, with or without comorbidities. Material and method: Literature review on pain relief, symptom improvement, function and neurophysiological parameters of physical therapy methods in the treatment of carpal tunnel syndrome from articles on two Pubmed databases and PEDro. Result: Of the 11 studies included in the systematic review, most of the studies were performed on patients with mild and moderate severity, only 3 studies were performed on patients with severe severity. Physiotherapeutic methods were effective in improving clinical signs such as pain intensity, nocturnal pain severity, symptoms and function as well as neurophysiological indices of the upper extremities. Additionally, physiotherapy treatments can also be effectively combined with other noninvasive treatment options. Conclusion: Patients with mild to severe carpal tunnel syndrome have nonsurgical treatment options to reduce pain intensity, symptom severity, and improve hand function and neurophysiology. The effectiveness of physiotherapy interventions can be achieved earlier and last equivalently when compared to surgical methods. Combining treatment methods has also been shown to be more effective.