Yazarlar (6) |
![]() Kırşehir Ahi Evran Üniversitesi, Türkiye |
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![]() Kırşehir Ahi Evran Üniversitesi, Türkiye |
![]() Türkiye |
![]() Muş Alparslan Üniversitesi, Türkiye |
![]() Türkiye |
Özet |
OBJECTIVE: The aim of this study was to compare the efficacy of radial extracorporeal shock wave therapy administered at low vs. high pressures in patients with carpal tunnel syndrome. METHODS: Patients with carpal tunnel syndrome were randomized into two groups: low-dose group and high-dose group. Each patient underwent a total of four sessions of radial extracorporeal shock wave therapy, administered once a week. The radial extracorporeal shock wave therapy was delivered at 4.0 bars for the high-dose group and 1.5 bars for the low-dose group. Both groups received conventional physical therapy program consisting of transcutaneous electrical nerve stimulation, paraffin wax, orthoses, and tendon gliding exercises, three times per week over a 4-week duration. Outcome measures included pain levels, hand grip strength, pinch strength, the Boston Carpal Tunnel Syndrome Questionnaire, and nerve conduction studies. RESULTS: Both groups exhibited improvements across all measures, except for the nerve conduction studies parameters. In the intragroup analysis, statistically significant differences were observed with small-to-moderate effect sizes for median motor distal latency, median sensory nerve conduction velocity, median sensory distal latency, and the Boston functional status subscale, all favoring the high-dose group (p<0.05). In the low-dose group, a statistically significant difference with a moderate effect size was noted solely for hand grip strength (p<0.05). CONCLUSION: High-dose radial extracorporeal shock wave therapy was significantly better than low-dose radial extracorporeal shock wave therapy with small-to-moderate effect sizes in the recovery of the function and nerve conduction studies parameters of patients with carpal tunnel syndrome. Clinical Trials Registry: The study was registered on the Clinical Trials Registry (registration number: NCT05681663). |
Anahtar Kelimeler |
Carpal tunnel syndrome | Electromyography | Extracorporeal shock wave therapy | Pain | Treatment |
Makale Türü | Özgün Makale |
Makale Alt Türü | SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale |
Dergi Adı | Revista da Associação Médica Brasileira |
Dergi ISSN | 1806-9282 Wos Dergi Scopus Dergi |
Dergi Tarandığı Indeksler | SCI-Expanded |
Dergi Grubu | Q2 |
Makale Dili | Türkçe |
Basım Tarihi | 01-2025 |
Cilt No | 71 |
Sayı | 3 |
Doi Numarası | 10.1590/1806-9282.20241815 |
Makale Linki | https://www.scielo.br/j/ramb/ |