| Yazarlar (6) |
Dr. Öğr. Üyesi İsmail CEYLAN
Kırşehir Ahi Evran Üniversitesi, Türkiye |
|
Kırşehir Ahi Evran Üniversitesi, Türkiye |
Prof. Dr. Figen TUNCAY
Kırşehir Ahi Evran Üniversitesi, Türkiye |
Dr. Öğr. Üyesi Mehmet CANLI
Kırşehir Ahi Evran Üniversitesi, Türkiye |
|
Muş Alparslan Üniversitesi, Türkiye |
Dr. Öğr. Üyesi Abdulhamit TAYFUR
Kırşehir Ahi Evran Üniversitesi, 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 yayınlanan 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 | İngilizce |
| Basım Tarihi | 03-2025 |
| Cilt No | 71 |
| Sayı | 3 |
| Doi Numarası | 10.1590/1806-9282.20241815 |
| Makale Linki | https://www.scielo.br/j/ramb/ |