The effectiveness of mobilization with movement on patients with mild and moderate carpal tunnel syndrome: A single-blinded, randomized controlled study

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dc.authoridCeylan, İsmail/0000-0002-6465-0243
dc.authorwosidCeylan, İsmail/GRY-3037-2022
dc.contributor.authorCeylan, Ismail
dc.contributor.authorBuyukturan, Oznur
dc.contributor.authorAykanat, Omer
dc.contributor.authorBuyukturan, Buket
dc.contributor.authorSas, Senem
dc.contributor.authorCeylan, Mehmet Fethi
dc.date.accessioned2024-08-04T20:54:39Z
dc.date.available2024-08-04T20:54:39Z
dc.date.issued2023
dc.departmentİnönü Üniversitesien_US
dc.description.abstractStudy design: Single-blinded, randomized controlled study. Introduction: Carpal Tunnel Syndrome (CTS) causes pain and loss of function in the affected hand. The mobilization with movement (MWM) technique is a manual therapy method applied to correct joint movement limitation and to relieve pain and functional disorders. Purpose of the study: This study aimed to examine the effectiveness of MWM technique on pain, grip strength, range of motion, edema, hand reaction, nerve conduction, and functional status in patients with CTS. Methods: A total of 45 patients enrolled in the study. The MWM group ( n = 18) completed a 4-week combined conservative physiotherapy and MWM program, whereas the control group ( n = 18) received only the 4 weeks of conservative physiotherapy. Pain severity according to the numerical rating scale was used as primary outcome. Results: We found an improvement within the subjects in resting pain (MWMG:5.1 +/- 3.6 vs 1.1 +/- 2.4, Effect Size (ES) = 1.3; CG:4.5 +/- 3.3 vs 1.0 +/- 2.2, ES = 1.1), in activity pain (MWMG:6.5 +/- 3.7 vs 1.1 +/- 2.4, ES = 1.5; CG:4.8 +/- 3.4 vs 2.2 +/- 2.3, ES = 1) and in night pain (MWMG:5.9 +/- 3.2 vs 1.8 +/- 2.5, ES = 1.2; CG:5.3 +/- 4.2 vs +/- 2.3 +/- 3.5, ES = 0.9). For between the groups, a statistical difference was found for the activity pain, Disabilities of the Arm Shoulder and Hand Questionnaire score (MWMG:52.2 +/- 23.8 vs 27 +/- 24.7, ES = 1.3; CG:47.0 +/- 24.8 vs 41.5 +/- 22.1, ES = 0.2), Michigan Hand Outcomes Questionnaire (MHQ-1), (MWMG:44.4 +/- 23.7 vs 74.7 +/- 24.5, ES = 1.3; CG:44.8 +/- 17.4 vs 57.4 +/- 21.7, ES = 0.9) and MHQ-5 (MWMG:68.8 +/- 13.1 vs 82.5 +/- 11.5, ES = 0.9; CG:63.4 +/- 26.7 vs 59.3 +/- 25.8, ES = 0.1) parameters in favour of MWM group. Discussion: This study showed that MWM compared to conservative physiotherapy might be more effective in reducing perceived symptoms in mild and moderate CTS patients. Conclusions: MWM produced a small benefit to recovery of activity pain and upper extremity functionality level outcomes of patients with mild to moderate CTS when added to a traditional CTS physical therapy program. (c) 2023 Elsevier Inc. All rights reserved.en_US
dc.identifier.doi10.1016/j.jht.2023.02.004
dc.identifier.endpage785en_US
dc.identifier.issn0894-1130
dc.identifier.issn1545-004X
dc.identifier.issue4en_US
dc.identifier.pmid37573157en_US
dc.identifier.scopus2-s2.0-85169907044en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage773en_US
dc.identifier.urihttps://doi.org/10.1016/j.jht.2023.02.004
dc.identifier.urihttps://hdl.handle.net/11616/101560
dc.identifier.volume36en_US
dc.identifier.wosWOS:001154303400001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherHanley & Belfus-Elsevier Incen_US
dc.relation.ispartofJournal of Hand Therapyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCarpal tunnel syndromeen_US
dc.subjectMobilization with movementen_US
dc.subjectManual therapyen_US
dc.titleThe effectiveness of mobilization with movement on patients with mild and moderate carpal tunnel syndrome: A single-blinded, randomized controlled studyen_US
dc.typeArticleen_US

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