The Effect Radial Shock Wave Therapy on Median Nerve Gliding Exercise to Pain Degree and Hand Function in Patient with Carpal Tunnel Syndrome

Authors

  • Nurika Amalina Program Studi Ilmu Kedokteran Fisik dan Rehabilitasi Fakultas Kedokteran Universitas Diponegoro Semarang, Indonesia
  • Lanny Indriastuti 1Program Studi Ilmu Kedokteran Fisik dan Rehabilitasi Fakultas Kedokteran Universitas Diponegoro Semarang, Indonesia
  • Hari Peni Julianti Program Studi Ilmu Kedokteran Fisik dan Rehabilitasi Fakultas Kedokteran Universitas Diponegoro Semarang, Indonesia
  • Hindun Zuhdiana KSM Rehabilitasi Medik RSUD KRMT Wongsonegoro Semarang, Indonesia
  • Noviolita Dwi Kusumawati KSM Rehabilitasi Medik RSUD KRMT Wongsonegoro Semarang, Indonesia

DOI:

https://doi.org/10.36408/mhjcm.v8i3.616

Keywords:

radial shock wave therapy, carpal tunnel syndrome, gliding exercise

Abstract

Background: Carpal tunnel syndrome (CTS), which was resulted from local compression of the median nerve, was a common entrapment neuropathy. Median nerve gliding exercise required a combination of other conservative therapies to provide optimal clinical improvement in CTS. Radial shock wave therapy (RSWT) was a safe, effective, practical, and non-invasive therapeutic method, can be used as a additional therapy for relieving pain and disability in CTS patients.

 

Objective: This study was aimed to examine the effect of RSWT on median nerve gliding exercise on improving the degree of pain and hand functional scores in patients with CTS.

 

Method: This study was a randomized controlled trial. The subjects were 22 patients from the Physical Medicine and Rehabilitation Polyclinic of RSUD KRMT Wongsonegoro, Semarang. They were divided into 2 groups randomly. The intervention group (n=11) was received RSWT 4 times in median nerve gliding exercise 3 times a day, every day for 4 weeks. The control group (n=11) was received only median nerve gliding exercise. The degrees of pain were measured with a manual algometer and hand functional scores were assessed by BCTQ.

 

Results: The mean of improving pain degree were 2,53 + 0,74 kg/cm2 and 2,38 + 1,25 kg/cm2 in intervention and control group, respectively. An independent t-test showed that there were significant differences in improving pain degree between intervention and control group (p=0,016). The mean of improving BCTQ scores were -11,36 + 4,59 and -6,18 + 3,76 in intervention and control group, respectively. An independent t-test showed that there were significant differences in improving BCTQ scores between intervention and control group (p=0,009).

 

Conclusion: RSWT was improved the degree of pain and increased the hand functional scores of CTS patients who received median nerve gliding exercises.

 

Keywords: radial shock wave therapy, carpal tunnel syndrome, gliding exercise

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References

1. Yücel H, Seyithano?lu H. Choosing the most efficacious scoring method for carpal tunnel syndrome. Acta Orthop Traumatol Turc. 2015;49(1):23-9.
2. Zhao M, Burke D. Median neuropathy (carpal tunnel syndrome). In: Frontera W, Silver J, ed. Essential of Physical Medicine and Rehabilitation. 3rd ed. Elsevier; 2015:174-9.
3. Ballestero-Pérez R, Plaza-Manzano G, Urraca-Gesto A, et al. Effectiveness of Nerve Gliding Exercises on Carpal Tunnel Syndrome: A Systematic Review. J Manipulative Physiol Ther. 2017;40(1):50-9.
4. Huisstede BM, Hoogvliet P, Franke TP, Randsdorp MS, Koes BW. Carpal Tunnel Syndrome: Effectiveness of Physical Therapy and Electrophysical Modalities. An Updated Systematic Review of Randomized Controlled Trials. Arch Phys Med Rehabil. 2018;99(8):1623-34.
5. Kim SD. Efficacy of tendon and nerve gliding exercises for carpal tunnel syndrome: A systematic review of randomized controlled trials. J Phys Ther Sci. 2015;27(8):2645-8.
6. Kim JC, Jung SH, Lee SU, Lee SY. Effect of extracorporeal shockwave therapy on carpal tunnel syndrome: A systematic review and meta-analysis of randomized controlled trials. Med (United States). 2019;98(33).
7. Rashad UM, Kishk NA, Mansour WT, et al. Effect of extracorporeal shock wave therapy on different severities of carpal tunnel syndrome. Egypt J Neurol Psychiatry Neurosurg. 2020;56(1).
8. Wu YT, Ke MJ, Chou YC, et al. Effect of radial shock wave therapy for carpal tunnel syndrome: A prospective randomized, double-blind, placebo-controlled trial. J Orthop Res. 2016;34(6):977-84.
9. Ke MJ, Chen LC, Chou YC, et al. The dose-dependent efficiency of radial shock wave therapy for patients with carpal tunnel syndrome: A prospective, randomized, single-blind, placebo-controlled trial. Sci Rep. 2016;6(161):2-11.
10. Atthakomol P, Manosroi W, Phanphaisarn A, Phrompaet S, Iammatavee S, Tongprasert S. Comparison of single-dose radial extracorporeal shock wave and local corticosteroid injection for treatment of carpal tunnel syndrome including mid-term efficacy: A prospective randomized controlled trial. BMC Musculoskelet Disord. 2018;19(1):1-9.
11. Martins RS, Siqueira MG. Conservative therapeutic management of carpal tunnel syndrome. Arq Neuropsiquiatr. 2017;75(11):819-24.
12. De-La-Llave-Rincon AI, Ortega-Santiago R, Ambite-Quesada S, et al. Response of pain intensity to soft tissue mobilization and neurodynamic technique: A series of 18 patients with chronic carpal tunnel syndrome. J Manipulative Physiol Ther. 2012;35(6):420-7.
13. Horng YS, Hsieh SF, Tu YK, Lin MC, Horng YS, Wang J Der. The comparative effectiveness of tendon and nerve gliding exercises in patients with carpal tunnel syndrome: A randomized trial. Am J Phys Med Rehabil. 2011;90(6):435-42.
14. Duymaz T, Sindel D, Kesikta? N, Müslümano?lu L. Efficacy of some combined conservative methods in the treatment of carpal tunnel syndrome: A randomized controlled clinical and electrophysiological trial. Turkish J Rheumatol. 2012;27(1):38-46.
15. Physics of shock waves. Diunduh dari : http://www.slideshare.net/Onurozbulut/physics-of-shock-waves.
16. Raissi GR, Ghazaei F, Forogh B, Madani SP, Daghaghzadeh A, Ahadi T. The Effectiveness of Radial Extracorporeal Shock Waves for Treatment of Carpal Tunnel Syndrome: A Randomized Clinical Trial. Ultrasound Med Biol. 2017;43(2):453-60.
17. Hakim AL, Tjandra R, Tunnel C, Assessment S. Hubungan Tingkat Keparahan Gejala Dan Status Fungsional Pada Pasien Carpal Tunnel Syndrome Diukur Menggunakan Carpal Tunnel Syndrome Assessment. Diponegoro Med J (Jurnal Kedokt Diponegoro). 2016;5(3):174-87.
18. Padua L, Coraci D, Erra C, et al. Carpal tunnel syndrome: clinical features, diagnosis, and management. Lancet Neurol. 2016;15(12):1273-84.

Additional Files

Published

2021-11-05

How to Cite

1.
Amalina N, Indriastuti L, Julianti HP, Zuhdiana H, Kusumawati ND. The Effect Radial Shock Wave Therapy on Median Nerve Gliding Exercise to Pain Degree and Hand Function in Patient with Carpal Tunnel Syndrome. Medica Hospitalia J. Clin. Med. [Internet]. 2021 Nov. 5 [cited 2024 Nov. 15];8(3):335-43. Available from: http://medicahospitalia.rskariadi.co.id/medicahospitalia/index.php/mh/article/view/616

Issue

Vol. 8 No. 3 (2021): Med Hosp; Nov 2021

Section

Original Article

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