Effectiveness of conservative treatment according to severity and systemic disease in carpal tunnel syndrome: a systematic review
Author
Hernández-Secorún, Mar
Montaña-Cortés, Raquel
Hidalgo-García, César
Corral-de-Toro, Jaime
Monti-Ballano, Sofía
Hamam-Alcober, Sami
Tricás-Moreno, José Miguel
Lucha-López, María Orosia
Publication date
2021ISSN
1660-4601
Abstract
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. 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. 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. 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.
Document Type
Article
Document version
Published version
Language
English
Subject (CDU)
61 - Medical sciences
Keywords
Neuropatia
Dolor
Fisioteràpia
Electroteràpia
Sistema nervioso -- Enfermedades
Dolor
Fisioterapia
Electroterapia
Neuropathy
Pain
Physiotherapy
Electrotherapy
Pages
34
Publisher
MDPI
Collection
18; 5
Is part of
International Journal of Environmental Research and Public Health
Citation
Hernández-Secorún, Mar; Montaña-Cortés, Raquel; Hidalgo-García, César [et al.]. 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, 2021, 18(5), 2365. Disponible en: <https://www.mdpi.com/1660-4601/18/5/2365/htm>. Fecha de acceso: 14 abr. 2021. DOI: 10.3390/ijerph18052365
This item appears in the following Collection(s)
- Ciències de la Salut [745]
Rights
© 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
Except where otherwise noted, this item's license is described as http://creativecommons.org/licenses/by/4.0/