The efficacy of phonophoresis on electrophysiological studies of the patients with carpal tunnel syndrome.
To investigate the efficacy of phonophoresis with nonsteroid anti-inflammatory drugs (P-NSAID) and corticosteroids (P-CS) in the treatment for carpal tunnel syndrome (CTS) and to compare the efficacy of phonophoresis with local CS injection (LCSI) and splinting with a 3-month follow-up. 84 hands of 51 patients with CTS were treated by applying LCSI, P-CS, P-NSAID, and wrist splinting. Electrophysiological studies, grip strength, hand dexterity, and sensory recovery of the first three digits were assessed. Duruöz hand index (DHI) was used to assess the functional hand disability. For clinical evaluation, we used Phalen and Tinnel signs. Pain intensity was evaluated by visual analog scale. The LCIS group showed a significant improvement in pain relief and DHI, but this group had significant deterioration in the results of monofilament and pegboard tests. The P-CS group showed improvement in sensory nerve conduction velocity, distal latency, grip strength, and DHI parameters. There was a significant improvement in grip strength, pegboard test, and pain intensity in the P-NSAID group. There was improvement only in pain intensity in the splinting group. We identified marked improvement in the electrophysiological studies in the P-CS group. Splinting had no effect on hand functions, disability, and electrophysiological studies.
Suleyman Demirel University, Isparta, Turkey. feraysoyupek@yahoo.com
Feray
F
Soyupek
Suleyman
S
Kutluhan
Gokcen
G
Uslusoy
Erdem
E
Ilgun
Sevilay
S
Eris
Ayhan
A
Askin
D000305:Adrenal Cortex Hormones / Q000008:administration & dosage*; D000328:Adult; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage*; D002349:Carpal Tunnel Syndrome / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D003131:Combined Modality Therapy; D004185:Disability Evaluation; D004568:Electrodiagnosis; D005260:Female; D007839:Functional Laterality; D006225:Hand / Q000294:innervation / Q000503:physiopathology*; D018737:Hand Strength; D006801:Humans; D007267:Injections; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D010147:Pain Measurement; D015612:Phonophoresis; D020127:Recovery of Function; D013165:Splints; D013997:Time Factors; D014110:Touch; D016896:Treatment Outcome; D014421:Turkey
D000305:Adrenal Cortex Hormones; D000894:Anti-Inflammatory Agents, Non-Steroidal