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1- Department of Physiotherapy, Faculty of Post Graduated Studies and Research, Palestine Ahliya University, Bethlehem, Palestine.
2- Department of Anatomy, Faculty of medicine, Palestine Polytechnic University, Hebron, Palestine.
2- Department of Anatomy, Faculty of medicine, Palestine Polytechnic University, Hebron, Palestine.
Abstract: (30 Views)
Objectives: The study was conducted to assess the effects of neurodynamic wrist exercises and wrist glide exercises on symptoms severity, range of motion (ROM), grip strength, and hand function in adults diagnosed with mild to moderate CTS.
Methods: A quasi-experimental study with a pre-post intervention design was carried out in a sample of thirty adult patients with mild to moderate CTS occurring on 50 hands that fulfilled the inclusion criteria. The subjects were separated into two intervention groups and one set of them received neurodynamic nerve gliding exercises, and the other group did wrist glide exercises. It took place during four weeks. The Visual Analog Scale (VAS) to measure the intensity of pain, Boston Carpal Tunnel Questionnaire (BCTQ) and Symptom Severity Scale (SSS) and Functional Status Scale (FSS) to assess pain and functional and symptomatic outcome, grip strength, and the wrist ROM were used to assess the pain and functional and symptomatic outcome before and after the intervention. With this design, there were within-group and between-group comparisons aimed at determining the effectiveness of both interventions.
Results: The results indicated a significant decrease in pain levels, shown by the average VAS scores dropping from 7.20 to 2.64 after the intervention. The average grip strength had a significant increase, rising from 227.2 Newtons to a level exceeding 310 Newtons. The SSS and FSS scores shown significant enhancement, with the SSS decreasing from 3.11 to 1.98 and the FSS decreasing from 3.10 to 1.96. The ROM for wrist movements also demonstrated significant improvements. Flexion increased from 71.24 to 76.84 degrees, while extension increased from 72.68 to 77.62 degrees. Significant improvements were observed in ulnar and radial deviations, as well as thumb flexion and abduction.
Discussion: Neurodynamic wrist and gliding exercises markedly alleviated symptoms in individuals with mild to moderate carpal tunnel syndrome, diminishing pain, augmenting grip strength, and enhancing range of motion, particularly in the thumb.
Methods: A quasi-experimental study with a pre-post intervention design was carried out in a sample of thirty adult patients with mild to moderate CTS occurring on 50 hands that fulfilled the inclusion criteria. The subjects were separated into two intervention groups and one set of them received neurodynamic nerve gliding exercises, and the other group did wrist glide exercises. It took place during four weeks. The Visual Analog Scale (VAS) to measure the intensity of pain, Boston Carpal Tunnel Questionnaire (BCTQ) and Symptom Severity Scale (SSS) and Functional Status Scale (FSS) to assess pain and functional and symptomatic outcome, grip strength, and the wrist ROM were used to assess the pain and functional and symptomatic outcome before and after the intervention. With this design, there were within-group and between-group comparisons aimed at determining the effectiveness of both interventions.
Results: The results indicated a significant decrease in pain levels, shown by the average VAS scores dropping from 7.20 to 2.64 after the intervention. The average grip strength had a significant increase, rising from 227.2 Newtons to a level exceeding 310 Newtons. The SSS and FSS scores shown significant enhancement, with the SSS decreasing from 3.11 to 1.98 and the FSS decreasing from 3.10 to 1.96. The ROM for wrist movements also demonstrated significant improvements. Flexion increased from 71.24 to 76.84 degrees, while extension increased from 72.68 to 77.62 degrees. Significant improvements were observed in ulnar and radial deviations, as well as thumb flexion and abduction.
Discussion: Neurodynamic wrist and gliding exercises markedly alleviated symptoms in individuals with mild to moderate carpal tunnel syndrome, diminishing pain, augmenting grip strength, and enhancing range of motion, particularly in the thumb.
Keywords: Carpal Tunnel Syndrome, Nerve Gliding Exercises, Physiotherapy, Hand Function, Non-Surgical Treatment, Symptom Severity
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