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CURRENT ISSUEEUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events

Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,063

Frequency: Bi-Monthly

ISSN 1973-9087

Online ISSN 1973-9095

 

European Journal of Physical and Rehabilitation Medicine 2015 October;51(5):521-8

    ORIGINAL ARTICLES

Extracorporeal shock wave therapy and ultrasound therapy improve pain and function in patients with carpal tunnel syndrome. A randomized controlled trial

Paoloni M. 1, Tavernese E. 2, Cacchio A. 3, D’orazi V. 4, Ioppolo F. 5, Fini M. 6, Santilli V. 1, 5, Mangone M. 1

1 Department of Physical Medicine and Rehabilitation, Sapienza University of Rome, Rome, Italy;
2 Pediatric Neuro‑Rehabilitation Division, Bambino Gesù Children’s Hospital, IRCCS, Rome, Italy;
3 Department of Life, Health and Environmental Sciences, School of Medicine, University of L’Aquila, L’Aquila, Italy;
4 Department of Surgical Sciences, Sapienza University of Rome, Rome, Italy;
5 Physical Medicine and Rehabilitation, Azienda Policlinico Umberto I, Rome, Italy;
6 IRCSS San Raffaele, Rome, Italy

BACKGROUND: Ultrasound (US) therapy improves symptoms in carpal tunnel syndrome (CTS) patients. Extracorporeal shock wave therapy (ESWT) uses acoustic energy to determine its clinical effects, as US-therapy does.
AIM: The aim of this study was to compare the short-term efficacy of US and ESWT on mild and moderate CTS.
STUDY DESIGN: Randomized controlled trial.
SETTING: University outpatient service.
POPULATION: Twenty-five patients with mild to moderate CTS, for a total of 42 wrists.
METHODS: patients were randomized to receive US, cryo-US or ESWT, and were evaluated for pain and function before treatment started, at the end of treatment, and four and 12 weeks after the end of the treatment.
RESULTS: Significant improvement was noted in all groups for pain (P<0.05) and functionality (P<0.05). Patients in ESWT group show greater pain improvement at 12-weeks follow-up when compared with both US and cryo-US groups (P<0.05).
CONCLUSION: Patients affected by CTS might benefit from the application of US, cryo-US or ESWT. Benefits persist 3 months after the end of treatment.
CLINICAL REHABIL IMPACT: Clinicians might consider the possibility of a short-term non-surgical management for mild-to-moderate CTS.

language: English


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