JOURNAL OF LIAONING TECHNICAL UNIVERSITY

(NATURAL SCIENCE EDITION)

LIAONING GONGCHENG JISHU DAXUE XUEBAO (ZIRAN KEXUE BAN)

辽宁工程技术大学学报(自然科学版)


THERAPEUTIC EFFECT OF NEURODYNAMIC AND ACTIVE RELEASE TECHNIQUE IN CARPAL TUNNEL SYNDROME Randomized Clinical Trial

Sania Naz, Nida Ilahi, Maheen Yousaf, Wasalat Nawaz, Waleed Alam, Maryam Saif, Arhama Jaleel, Iqra Arshad, Muneeba Zafar, Aliyha Marrium, Solat Nawaz, Kashaf Faraz


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Abstract

Background: Carpal tunnel syndrome (CTS) is a common medical condition and one of the most often reported examples of compression of the median nerve. CTS occurs when the median nerve is compressed or pinched as it passes through the wrist. The symptoms of the sickness include tingling in the median nerve distribution, numbness, and discomfort in the hands. Despite the fact that CTS is an idiopathic syndrome, there are risk factors that are linked to the development of this condition. Notable ecological risk factors include extended postures involving wrist flexion or extension, repetitive use of the flexor muscles, and vibration exposure.

Purpose: To compare the Therapeutic Effects of Neurodynamic and Active Release Techniques in Carpal Tunnel Syndrome.

Methods: The study design was a Randomized Clinical Trial. The study was conducted at Rehab Max Physiotherapy and Sports Injury Clinic, Layyah. The participants of these study are 12 of both genders. A randomized clinical trial was conducted in which 12 participants were randomly assigned with pre-diagnosed numbness and tingling in the first three digits, aged 25 to 50 years, having DASH Score ≥ 4. The study was conducted in Rehab Max physiotherapy clinic Layyah within six months. Group A and Group B (Experimental Groups) received neurodynamic and Active Release techniques, respectively. Pain Severity and Disability were assessed using the DASH  scale at baseline, 4th week, and 8th week. Data was analyzed by using SPSS version 24

Results: The study findings were significant for both groups' outcome variables. The result of intra-group analysis (Friedman test) and inter-group analysis obtained value is p<0.05 for all variables.

Conclusions: This study concludes that both Neurodynamic and Active Release Techniques effectively treat Carpal Tunnel Syndrome, but neurodynamic showed more significant results for pain, severity, and disability

Keywords: Carpal Tunnel Syndrome, Neurodynamic Technique, Active Release Technique, Nerve Gliding, Therapeutic Effect

 

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