The goal of the exercises are to improve the way your tendons move through the carpal tunnel of your wrist and alleviate pain that can limit your ability to perform normal, everyday functions like typing or grasping. Try the following tendon gliding exercises to help decrease the pain and tingling associated with carpal tunnel syndrome. You can also use the exercises to help prevent future problems with carpal tunnel syndrome and promote optimal mobility. Also, consult with your doctor if your symptoms are severe or have been present for more than four weeks.
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E-mail: rk. This article has been cited by other articles in PMC. Abstract [Purpose] The purpose of this study was to assess the quality of evidence for the efficacy of tendon and nerve gliding exercises in the management of carpal tunnel syndrome. Quality assessment was conducted using the Cochrane risk of bias tool. The results of critical appraisal of quality ranged between low and moderate risk of bias. The available data could only be included as a narrative description. Symptom severity decreased and functional status improved with combined treatment, involving a tendon or nerve gliding exercise group plus conventional treatments, compared with the use of conventional treatments alone.
However, further randomized controlled trials designed to assess the effect of tendon and nerve gliding exercises alone are required to investigate the hypothesis that such exercises alleviate carpal tunnel syndrome, and to confirm and further elucidate the efficacy of standardized physical exercise programs in patients with carpal tunnel syndrome. Key words: Tendon and nerve gliding exercises, Carpal tunnel syndrome INTRODUCTION Our hands have a variety of functions, including activities of daily living and job performance 1 ; these functions can be restricted by carpal tunnel syndrome CTS , a compressive neuropathy of the median nerve that occurs within the carpal tunnel at the wrist 2 , 3 , 4 , 5.
The incidence of CTS is reported to be between 2. Conservative treatment options include splinting, specific exercises, paraffin therapy, medications, and therapeutic ultrasound. Of these conservative treatments, tendon and nerve gliding exercises are popular, and have been used since in the management of CTS 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , However, while evidence for the efficacy of tendon and nerve gliding exercises for CTS is emerging, the use of these exercises for the treatment of CTS remains controversial 7 , 10 , It has been stated previously that support for the use of tendon and nerve gliding exercises in the treatment of CTS will require high-quality studies with rigorous methodological approaches 7 , 8 , 9 , 12 , Therefore, the aim of this review was to assess the quality of evidence for the efficacy of tendon and nerve gliding exercises in the management of CTS.
The search terms were carpal tunnel syndrome AND tendon and nerve gliding exercises OR tendon gliding exercises OR nerve gliding exercises.
All potentially eligible studies were retrieved, and the full-text articles were reviewed to determine whether they met the following selection criteria. To be eligible for inclusion, studies had to meet the following conditions: 1 Participants in the trials had to be diagnosed with CTS. The Cochrane risk of bias tool is a 6-item list designed to assess sequence generation, allocation concealment, blinding, incomplete outcome data, selective outcome reporting, and other potential sources of bias.
The level assigned to a study gives an indication of the quality of the trial If the study design fully met all of the preceding 6 criteria, its level was considered to be A low risk of bias. A study was assigned to be the B level when one or more criteria were partly met. If one or more criteria were not met, the study was assigned to be the C level, implying a high risk of bias Any study assigned to the C level was eliminated from this review. After the titles of the articles were retrieved, a total of 48 studies were excluded due to retrieval of duplicate articles, study designs other than RCTs case studies, commentaries, or review articles , or a lack of target concepts in the article i.
The abstracts of the remaining 19 articles were retrieved. After assessing the abstracts, 4 studies were excluded on the basis of an absence of tendon and nerve gliding exercises; thus, a total of 15 potentially relevant trials were identified in the search; all 15 articles were retrieved for evaluation of their full texts. After assessment of the full articles, 11 studies were excluded; 8 studies did not involve a randomized trial, and 3 studies did not contain the full texts of the RCTs.
The literature retrieval process is depicted in Fig. Characteristics of the included studies are presented in Table 1.
4 Tendon Gliding Exercises for Carpal Tunnel Relief
E-mail: rk. This article has been cited by other articles in PMC. Abstract [Purpose] The purpose of this study was to assess the quality of evidence for the efficacy of tendon and nerve gliding exercises in the management of carpal tunnel syndrome. Quality assessment was conducted using the Cochrane risk of bias tool. The results of critical appraisal of quality ranged between low and moderate risk of bias.
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