Article

Median nerve mobilization is one
of the interventions used in the treatment of carpal tunnel syndrome (CTS).
However, it is uncertain how many types of mobilization techniques are described
in the current literature or the relative effectiveness of these techniques in
treating CTS. The aim of this review was to describe the
types and effectiveness of median nerve mobilization techniques studied in the
CTS literature. METHODS: Electronic searches of 5 databases and manual searches
of references lists located randomized controlled trials studies published
between 2000 and April 2015. Quality appraisal for each study was conducted using
the Standard Quality Assessment Criteria for Evaluating Primary Research Papers
from a Variety of Fields by 2 independent reviewers. RESULTS: Nine randomized
controlled trial studies describing various median nerve mobilization techniques
used in the treatment of CTS were included. All studies were rated as of
"adequate", "good", or "strong" quality for the Standard Quality Assessment
Criteria. Three techniques of median nerve mobilization were described. Treatment
outcomes included measures of electrodiagnostic testing, functional performance,
pain, physical examination, sensation, and strength. Standardized mean
differences for the treatment outcomes ranged from very small to large
(0.05-1.71). CONCLUSION:
The findings are inconclusive regarding the
effectiveness of each mobilization technique due to methodological limitations in
the current body of research. Therefore, there is a clear need for high-quality
controlled studies to examine various approaches to median nerve mobilization
techniques in the treatment of CTS. LEVEL OF EVIDENCE: 2a.
CI - Copyright (c) 2017 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS