Additional contribution of phonophoresis and low-level laser therapy to exercise in the treatment of carpal tunnel syndrome: A clinical, electrophysiological, and ultrasonographic evaluation

ISSN : 1300-0012 E-ISSN 2458-9446

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Volume: 36 Issue: 3 Year: 2024

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Additional contribution of phonophoresis and low-level laser therapy to exercise in the treatment of carpal tunnel syndrome: A clinical, electrophysiological, and ultrasonographic evaluation [A�r�]

A�r�. 2024; 36(1): 29-37 | DOI: 10.14744/agri.2023.00878

Additional contribution of phonophoresis and low-level laser therapy to exercise in the treatment of carpal tunnel syndrome: A clinical, electrophysiological, and ultrasonographic evaluation

Nazl� Karaman¹, Zeliha �nl�², Deniz Sel�uki³, Lale Cerraho�lu²
¹Department of Physical Medicine and Rehabilitation, Bigadi� State Hospital, Bal�kesir, T�rkiye
²Department of Physical Medicine and Rehabilitation, Celal Bayar University Faculty of Medicine, Manisa, T�rkiye
³Department of Neurology, Celal Bayar University Faculty of Medicine, Manisa, T�rkiye

Objectives: Carpal Tunnel Syndrome (CTS) is the most common peripheral nerve compression syndrome. This study aims to evaluate the additive contribution of phonophoresis and low-level laser therapy (LLLT) to tendon and nerve gliding exercises electrophysiologically, ultrasonographically, and clinically in the treatment of moderate CTS.
Methods: The sample consisted of 45 patients with moderate CTS, randomized into three groups. Group 1 received phonophoresis and exercise, Group 2 received LLLT and exercise, and Group 3 received exercise alone. Participants were evaluated electrophysiologically, clinically, and ultrasonographically before treatment and at the 6th and 12th weeks after the treatment.
Results: An improvement was observed in clinical parameters (Boston Functional Status Scale, Boston Symptom Severity Scale, visual analog scale at rest, and visual analog scale during activity) for all groups at the 6th and 12th weeks after the treatment (p<0.05). An improvement was also noted in the ultrasonographic parameter (cross-sectional area) for all groups at the 12th week after the treatment (p=0.017).
Conclusion: Phonophoresis and LLLT do not provide additional effects to exercise therapy. Exercise therapy alone may positively contribute to ultrasonographic and clinical outcomes in the treatment of moderate CTS.

Keywords: Carpal tunnel syndrome, electromyography, exercise, median neuropathy, nerve compression syndromes, pain, pain management, physical therapy modalities, ultrasonography.

Karpal t�nel sendromunun tedavisinde fonoforez ve d��k seviyeli lazer tedavisinin egzersize ek katk�s�n�n klinik, elektrofizyolojik ve ultrasonografik olarak de�erlendirilmesi

Nazl� Karaman¹, Zeliha �nl�², Deniz Sel�uki³, Lale Cerraho�lu²
¹Bigadi� Devlet Hastanesi, Fiziksel T�p ve Rehabilitasyon Klini�i, Bal�kesir, T�rkiye
²Celal Bayar �niversitesi T�p Fak�ltesi, Fiziksel T�p ve Rehabilitasyon Anabilim Dal�, Manisa, T�rkiye
³Celal Bayar �niversitesi T�p Fak�ltesi, N�roloji Anabilim Dal�, Manisa, T�rkiye

Ama�: Karpal t�nel sendromu (KTS), en s�k g�r�len periferik sinir s�k��ma sendromudur. Bu �al��ma, fonoforez ve d��k seviyeli lazer tedavisinin (LLLT) orta dereceli KTS�nin tedavisinde tendon ve sinir kayd�rma egzersizlerine ek katk�s�n� elektrofizyolojik, ultrasonografik ve klinik olarak de�erlendirmeyi ama�lamaktad�r.
Gere� ve Y�ntem: �rneklem, orta dereceli KTS�li 45 hastadan olu�makta ve �� gruba randomize edilmi�tir. Grup 1�e fonoforez ve egzersiz, Grup 2�ye LLLT ve egzersiz, Grup 3�e ise sadece egzersiz uyguland�. Kat�l�mc�lar tedavi �ncesi ve tedavi sonras� 6. ve 12. haftalarda elektrofizyolojik, klinik ve ultrasonografik olarak de�erlendirildi.
Bulgular: Tedavi sonras� 6. ve 12. haftalarda t�m gruplarda klinik parametrelerde (Boston Fonksiyonel Durum Skalas�, Boston Semptom �iddet Skalas�, istirahat viz�el analog skalas� ve aktivite viz�el analog skalas�) d�zelme saptand� (p<0.05). Tedavi sonras� 12. haftada t�m gruplarda ultrasonografik parametrede (kesit alan�) d�zelme saptand� (p=0.017).
Sonu�: Fonoforez ve LLLT, egzersiz tedavisine ek bir etki sa�lamamaktad�r. Egzersiz tedavisi, orta derecede KTS�nin tedavisinde ultrasonografik ve klinik sonu�lara olumlu katk� sa�layabilir.

Anahtar Kelimeler: A�r�, a�r� y�netimi, elektromiyografi, egzersiz, fizik tedavi modaliteleri, karpal t�nel sendromu, medyan n�ropati, sinir s�k��mas� sendromlar�, ultrasonografi.

Nazl� Karaman, Zeliha �nl�, Deniz Sel�uki, Lale Cerraho�lu. Additional contribution of phonophoresis and low-level laser therapy to exercise in the treatment of carpal tunnel syndrome: A clinical, electrophysiological, and ultrasonographic evaluation. A�r�. 2024; 36(1): 29-37

Corresponding Author: Nazl� Karaman, T�rkiye

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