| Title |
A manual therapy intervention improves symptoms in patients with carpal tunnel syndrome: a pilot study
|
|---|---|
| Published in |
Rheumatology International, October 2012
|
| DOI | 10.1007/s00296-012-2507-0 |
| Pubmed ID | |
| Authors |
Susanna Maddali Bongi, Massimo Signorini, Massimo Bassetti, Angela Del Rosso, Martina Orlandi, Giuseppe De Scisciolo |
| Abstract |
In carpal tunnel syndrome (CTS), manual therapy interventions (MTI) reduce tissue adhesion and increase wrist mobility. We evaluated the efficacy of a MTI in relieving CTS signs and symptoms. Twenty-two CTS patients (pts) (41 hands) were treated with a MTI, consisting in 6 treatments (2/week for 3 weeks) of soft tissues of wrist and hands and of carpal bones. Pts were assessed for hand sensitivity, paresthesia, hand strength, hand and forearm pain, night awakening; Phalen test, thenar eminence hypotrophy and Boston Carpal Tunnel Questionnaire (BCTQ) Symptom Severity Scale (SSS) and Functional Status Scale (FSS). Median nerve was studied by sensory nerve conduction velocity (SNCV) and distal motor latency (DML). CTS was scored as minimal, mild, medium, severe and extreme. We considered as control group the same pts assessed before treatment: at baseline (T0a) and after 12 weeks (T0b). Pts were evaluated at the end of treatment (T1) and after 24-week (T2) follow-up. At T0b, versus T0a, forearm pain and Phalen test positivity were increased and hand strength reduced (p < 0.05). BCTQ-SSS and BCTQ-FSS scores improved at T1 versus T0b (p < 0.05) with the amelioration maintained at T2. At T1, the number of pts with paresthesia, night awakening, hypoesthesia, Phalen test, hand strength reduction and hand sensitivity was reduced with the lacking of symptoms maintained at T2 (p < 0.05). No changes in SNCV, DML and CTS scoring were shown. MTI improved CTS signs and symptoms, with benefits maintained at follow-up. Thus, it may be valid as a conservative therapy. |
X Demographics
The data shown below were collected from the profiles of 4 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Egypt | 1 | 25% |
| Venezuela, Bolivarian Republic of | 1 | 25% |
| United States | 1 | 25% |
| Unknown | 1 | 25% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 2 | 50% |
| Scientists | 1 | 25% |
| Practitioners (doctors, other healthcare professionals) | 1 | 25% |
Mendeley readers
The data shown below were compiled from readership statistics for 186 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 1 | <1% |
| Belgium | 1 | <1% |
| Unknown | 184 | 99% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Bachelor | 37 | 20% |
| Student > Master | 33 | 18% |
| Student > Doctoral Student | 16 | 9% |
| Student > Postgraduate | 14 | 8% |
| Researcher | 12 | 6% |
| Other | 30 | 16% |
| Unknown | 44 | 24% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 57 | 31% |
| Medicine and Dentistry | 53 | 28% |
| Sports and Recreations | 7 | 4% |
| Neuroscience | 5 | 3% |
| Agricultural and Biological Sciences | 3 | 2% |
| Other | 10 | 5% |
| Unknown | 51 | 27% |
Attention Score in Context
This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 12 November 2013.
All research outputs
#15,124,564
of 25,304,569 outputs
Outputs from Rheumatology International
#1,488
of 2,445 outputs
Outputs of similar age
#102,631
of 181,122 outputs
Outputs of similar age from Rheumatology International
#12
of 26 outputs
Altmetric has tracked 25,304,569 research outputs across all sources so far. This one is in the 38th percentile – i.e., 38% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,445 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.0. This one is in the 37th percentile – i.e., 37% of its peers scored the same or lower than it.
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We're also able to compare this research output to 26 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 57% of its contemporaries.