COMBINED METHODS OF PHYSIOTHERAPY IN CASE OF CARPAL TUNNEL SYNDROME

ABSTRACT Purpose: This study aims to compare the efficacy of two different physiotherapy methods for relieving the symptoms of carpal tunnel syndrome (CTS), to supplement already imposed methods, and to summarize a new methodology for prevention. Relevance: Improving the overall physical condition of patients, combating a sedentary lifestyle, and training in the correct body position is the way to prevent the disease. Our study provides scientific evidence to justify the role of physiotherapy for the treatment and prevention of relapses in this condition. Subjects: The randomized controlled trial has been conducted since January 2016 in a private physiotherapy practice. A total of 111 patients with clinically confirmed idiopathic CTS were divided in two groups of treatment. Interventions consisted of 15 physiotherapy sessions for at least 10 weeks and with two different physiotherapy programs -Group A (68 patients) and Group B (42 others). Material and methods: Manual muscle stretching and relaxation techniques, joint mobilization therapy and active exercises, strengthening program, soft tissue mobilization therapy, and mobilization of the nervous system in the wrist, and forearm area were already part of their treatment program. When contingent and conducting tests for functional examination showed us the presence of Upper cross syndrome in over 75% of cases participants. Manual therapy on the “Manuthera” table and the combination of active training with Electro Muscle Stimulation to overcome muscle dysbalance. Results: Analysis of the results so far shows that the findings are empirical data difference is not random, so the methodology has a proven effect. During the experiment, the experimental group realized statistically significant results related to the symptoms and complaints typical of the syndrome. Conclusion: The results showed great statistical significance in proving the effect from the conducted experimental methodology.