The effectiveness of conservative treatments of carpal tunnel syndrome: splinting, ultrasound, and low-level laser therapies.
OBJECTIVE
The objective of this study was to investigate the effectiveness of splinting, ultrasound (US), and low-level laser (LLL) in the management of carpal tunnel syndrome (CTS).


BACKGROUND
CTS is the entrapment mononeuropathy most frequently seen in clinical practice, caused by compression of the median nerve at the wrist. Although several treatment modalities are routinely in use, there is no consensus about the best way to manage CTS.


METHODS
In our study, patients were randomly allocated to three groups that received the following treatment protocols: splinting only, splinting plus US, and splinting plus LLL therapy. Patients were assessed with the Boston Questionnaire, patient satisfaction inquiry, visual analogue scale for pain, and electroneuromyography.


CONCLUSIONS
The study was completed with a total of 100 hands of 50 women patients with bilateral CTS at 3 mo after treatment. At the end of the follow-up period, each of the groups had improvements to varying degrees. It appeared that the combinations of US or LLL therapy with splinting were more effective than splinting alone in treating CTS. However, LLL therapy plus splinting was more advantageous than US therapy plus splinting, especially for the outcomes of lessening of symptom severity, pain alleviation, and increased patient satisfaction.
Dincer
Umit
U
Department of Physical Medicine and Rehabilitation, Gulhane Military Medical Academy, Haydarpasa Training Hospital, Istanbul, Turkey.
Cakar
Engin
E
Kiralp
Mehmet Zeki
MZ
Kilac
Hilmi
H
Dursun
Hasan
H
D002349:Carpal Tunnel Syndrome / Q000503:physiopathology / Q000628:therapy*; D005260:Female; D006801:Humans; D028022:Low-Level Light Therapy; D008875:Middle Aged; D009431:Neural Conduction; D010147:Pain Measurement; D012720:Severity of Illness Index; D013165:Splints; D014464:Ultrasonic Therapy