Median nerve mobilization techniques in the treatment of carpal tunnel syndrome: A systematic review
MetadataShow full item record
© 2017 Hanley & Belfus. Study Design: Systematic review. Introduction: 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. Purpose of the Study: 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.
Showing items related by title, author, creator and subject.
Szikszay, T.; Hall, Toby; Von Piekartz, H. (2017)© 2017 - IOS Press and the authors. All rights reserved. BACKROUND: The mechanical behavior of the peripheral nervous system under elongation and tension has not been adequately established in vivo. OBJECTIVE: The purpose ...
Nelson, R.; Hall, Toby (2011)Exercise-related lower limb pain represents one of the most common presentations in sports medicine practice. This is usually caused by musculoskeletal overuse injuries but not uncommonly, a neuropathic cause may be ...
Clinical validity of the nerve root sedimentation sign in patients with suspected lumbar spinal stenosisBarz, T.; Staub, L.; Melloh, Markus; Hamann, G.; Lord, S.; Chatfield, M.; Bossuyt, P.; Lange, J.; Merk, H. (2014)Background context: The nerve root sedimentation sign in transverse magnetic resonance imaging has been shown to discriminate well between selected patients with and without lumbar spinal stenosis (LSS), but the performance ...