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  1. 1 Medical Review

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  1. 1 Andrzej Kwolek A.

  2. 1 Jolanta Zwolińska J.

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  1. 1 2012

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in the keywords:  treatment, nerve glide exercises, rehabilitation
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Skuteczność leczenia fijoterapeutycznego pacjentów z zespołem cieśni kanału nadgarstka

100%
Jolanta Zwolińska J., Andrzej Kwolek A.
Medical Review
|
2012
|
issue 4
428–445
XX
Carpal tunnel syndrome is the most commonly occurring neuropathy and main cause of median nerve dysfunction. Advancements in civilization and poor working conditions have often resulted in a signifiant increase in the number of cases. The variety of therapeutic agents applied in conservative and post-surgery treatment of carpal tunnel syndrome necessitates the need to evaluate their efficy in order to improve applicable rehabilitation programs. The aim of the paper was to assess the physiotherapeutic effctiveness of sonotherapy, whirl massage and physiotherapy applied on patients with carpal tunnel syndrome. A total of 30 people referred for physiotherapy in accordance with approved research program because of a single or bilateral carpal tunnel syndrome were covered by the study. A total of 48 arms were analyzed in all. Both subjective and objective clinical syndromes were evaluated. With the use of electrodiagnostic testing device hand measurements were made in areas of joint motions as well as the power grip. The nerve excitability of thenar muscles was evaluated using the traditional electrodiagnostic methods. The studies were performed prior to the implementation of rehabilitation programs and after their completion. The program covered sonotherapy, whirl massage and neuro-mobilization of the median nerve. A reduction in the severity of clinical symptoms as well as complete relief from some others was obtained. Results of computer measurements in respect of motion and muscle strength confimed the improved hand function. A statistically significant improvement in the two-pointConclusions. A combination of antiretroviral therapy in the form of sonotherapy together with hydro-therapy and kinesitherapy allows for reducing the severity of clinical symptoms as well as improve the hand function in patients with carpal tunnel syndrome (CTS). discrimination sensory quality was obtained while changes in electro-diagnostic parameters such as rheobasis, chronaxie and accommodation rate were statistically insignifiant.
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