Effectiveness of Conservative Treatment According to Severity and Systemic Disease in Carpal Tunnel Syndrome: A Systematic Review
(1) Background: Carpal tunnel syndrome (CTS) is the most common peripheral neuropathy in the upper extremity. Conservative treatment has been effective for mild and moderate idiopathic CTS. However, severe CTS and systemic conditions were an exclusion criterion from the studies. The aim of this stud...
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doaj-7149677886e4484b865f37db4fb9370a2021-03-01T00:03:54ZengMDPI AGInternational Journal of Environmental Research and Public Health1661-78271660-46012021-02-01182365236510.3390/ijerph18052365Effectiveness of Conservative Treatment According to Severity and Systemic Disease in Carpal Tunnel Syndrome: A Systematic ReviewMar Hernández-Secorún0Raquel Montaña-Cortés1César Hidalgo-García2Jacobo Rodríguez-Sanz3Jaime Corral-de-Toro4Sofia Monti-Ballano5Sami Hamam-Alcober6José Miguel Tricás-Moreno7María Orosia Lucha-López8Physiotherapy Department, Faculty of Health Sciences, Universidad de Zaragoza, 50009 Zaragoza, SpainPhysiotherapy Department, Faculty of Health Sciences, Universidad de Zaragoza, 50009 Zaragoza, SpainPhysiotherapy Department, Faculty of Health Sciences, Universidad de Zaragoza, 50009 Zaragoza, SpainDepartment of Basic Sciences, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, 08195 Sant Cugat del Vallès, SpainPhysiotherapy Department, Faculty of Health Sciences, Universidad de Zaragoza, 50009 Zaragoza, SpainPhysiotherapy Department, Faculty of Health Sciences, Universidad de Zaragoza, 50009 Zaragoza, SpainUnit of Reconstructive Surgery of the Locomotor System, Hand-Microsurgery, Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Miguel Servet, 50009 Zaragoza, SpainPhysiotherapy Department, Faculty of Health Sciences, Universidad de Zaragoza, 50009 Zaragoza, SpainPhysiotherapy Department, Faculty of Health Sciences, Universidad de Zaragoza, 50009 Zaragoza, Spain(1) Background: Carpal tunnel syndrome (CTS) is the most common peripheral neuropathy in the upper extremity. Conservative treatment has been effective for mild and moderate idiopathic CTS. However, severe CTS and systemic conditions were an exclusion criterion from the studies. The aim of this study is to review the effectiveness of conservative treatment in patients with CTS regardless of the level of severity and the presence or not of systemic diseases in the last ten years. (2) Methods: Randomized controlled clinical trials that compared the effect of conservative treatment on the Boston questionnaire and pain were selected. PubMed, PEDro, Scopus, Cochrane, and Web of Science databases were used. PRISMA statement checklist was performed. (3) Results: 876 studies were recorded, 29 were selected. Pharmacology, Electrotherapy and Manual Therapy had benefits for CTS. Electrotherapy and manual therapy could be effective for severe CTS patients with a systemic condition in the short term, but there was a low percentage of these patients included in the studies. (4) Conclusion: Some pharmacological treatments, manual therapy and electrotherapy have shown benefits for handling CTS, although the most effective combination of techniques is unknown. It would be necessary to include patients with systemic conditions in the selection criteria for future studies.https://www.mdpi.com/1660-4601/18/5/2365carpal tunnel syndromeconservative treatmentdiabetic neuropathyelectric stimulation therapymusculoskeletal manipulationpain |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mar Hernández-Secorún Raquel Montaña-Cortés César Hidalgo-García Jacobo Rodríguez-Sanz Jaime Corral-de-Toro Sofia Monti-Ballano Sami Hamam-Alcober José Miguel Tricás-Moreno María Orosia Lucha-López |
spellingShingle |
Mar Hernández-Secorún Raquel Montaña-Cortés César Hidalgo-García Jacobo Rodríguez-Sanz Jaime Corral-de-Toro Sofia Monti-Ballano Sami Hamam-Alcober José Miguel Tricás-Moreno María Orosia Lucha-López Effectiveness of Conservative Treatment According to Severity and Systemic Disease in Carpal Tunnel Syndrome: A Systematic Review International Journal of Environmental Research and Public Health carpal tunnel syndrome conservative treatment diabetic neuropathy electric stimulation therapy musculoskeletal manipulation pain |
author_facet |
Mar Hernández-Secorún Raquel Montaña-Cortés César Hidalgo-García Jacobo Rodríguez-Sanz Jaime Corral-de-Toro Sofia Monti-Ballano Sami Hamam-Alcober José Miguel Tricás-Moreno María Orosia Lucha-López |
author_sort |
Mar Hernández-Secorún |
title |
Effectiveness of Conservative Treatment According to Severity and Systemic Disease in Carpal Tunnel Syndrome: A Systematic Review |
title_short |
Effectiveness of Conservative Treatment According to Severity and Systemic Disease in Carpal Tunnel Syndrome: A Systematic Review |
title_full |
Effectiveness of Conservative Treatment According to Severity and Systemic Disease in Carpal Tunnel Syndrome: A Systematic Review |
title_fullStr |
Effectiveness of Conservative Treatment According to Severity and Systemic Disease in Carpal Tunnel Syndrome: A Systematic Review |
title_full_unstemmed |
Effectiveness of Conservative Treatment According to Severity and Systemic Disease in Carpal Tunnel Syndrome: A Systematic Review |
title_sort |
effectiveness of conservative treatment according to severity and systemic disease in carpal tunnel syndrome: a systematic review |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1661-7827 1660-4601 |
publishDate |
2021-02-01 |
description |
(1) Background: Carpal tunnel syndrome (CTS) is the most common peripheral neuropathy in the upper extremity. Conservative treatment has been effective for mild and moderate idiopathic CTS. However, severe CTS and systemic conditions were an exclusion criterion from the studies. The aim of this study is to review the effectiveness of conservative treatment in patients with CTS regardless of the level of severity and the presence or not of systemic diseases in the last ten years. (2) Methods: Randomized controlled clinical trials that compared the effect of conservative treatment on the Boston questionnaire and pain were selected. PubMed, PEDro, Scopus, Cochrane, and Web of Science databases were used. PRISMA statement checklist was performed. (3) Results: 876 studies were recorded, 29 were selected. Pharmacology, Electrotherapy and Manual Therapy had benefits for CTS. Electrotherapy and manual therapy could be effective for severe CTS patients with a systemic condition in the short term, but there was a low percentage of these patients included in the studies. (4) Conclusion: Some pharmacological treatments, manual therapy and electrotherapy have shown benefits for handling CTS, although the most effective combination of techniques is unknown. It would be necessary to include patients with systemic conditions in the selection criteria for future studies. |
topic |
carpal tunnel syndrome conservative treatment diabetic neuropathy electric stimulation therapy musculoskeletal manipulation pain |
url |
https://www.mdpi.com/1660-4601/18/5/2365 |
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