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Published in: Clinical Rheumatology 9/2018

01-09-2018 | Original Article

Comparison of splinting and Kinesio taping in the treatment of carpal tunnel syndrome: a prospective randomized study

Authors: Semra Aktürk, Raikan Büyükavcı, Özlem Aslan, Yüksel Ersoy

Published in: Clinical Rheumatology | Issue 9/2018

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Abstract

The aim of this study was to investigate and compare the effectiveness of splinting and Kinesio taping (KT) as forms of treatment for patients with mild to moderate idiopathic carpal tunnel syndrome (CTS) by evaluating the symptoms and measuring the range of function and electrophysiological findings. This single-blind, randomized, prospective study included 44 patients (58 hands) suffering mild to moderate idiopathic CTS according to nerve conduction studies (NCS). The patients were randomized into two groups and evaluated before treatment and 6 weeks after treatment by means of physical examination findings, NCS, and the Boston Carpal Tunnel Questionnaire (BCTQ) functional status and symptom severity scale scores. When the differences in both groups before and after treatment were compared, a significant improvement was observed in the KT group compared to the splint group in terms of electrophysiological changes, provocative test responses, BCTQ symptom severity, and functional status scores. KT may help prevent the disease from progressing further in mild and moderate idiopathic CTS when applied in time using the appropriate technique and be a good alternative to neutral splinting in terms of patient compliance.
Literature
2.
go back to reference Bongers F, Schellevis F, van den Bosch W, van der Zee J (2007) Carpal tunnel syndrome in general practice (1987 and 2001): incidence and the role of occupational and non occupational factors. Br J Gen Pract 57:36–39PubMedPubMedCentral Bongers F, Schellevis F, van den Bosch W, van der Zee J (2007) Carpal tunnel syndrome in general practice (1987 and 2001): incidence and the role of occupational and non occupational factors. Br J Gen Pract 57:36–39PubMedPubMedCentral
3.
go back to reference Alfonso C, Jann S, Massa R, Torreggiani A (2010) Diagnosis, treatment and follow-up of the carpal tunnel syndrome: a review. Neurol Sci 31(3):243–252CrossRefPubMed Alfonso C, Jann S, Massa R, Torreggiani A (2010) Diagnosis, treatment and follow-up of the carpal tunnel syndrome: a review. Neurol Sci 31(3):243–252CrossRefPubMed
5.
go back to reference Gelberman RH, Hergenroeder PT, Hargens AR, Lundborg GN, Akeson WH (1981) The carpal tunnel syndrome. A study of carpal canal pressures. J Bone Joint Surg Am 63(3):380–383CrossRefPubMed Gelberman RH, Hergenroeder PT, Hargens AR, Lundborg GN, Akeson WH (1981) The carpal tunnel syndrome. A study of carpal canal pressures. J Bone Joint Surg Am 63(3):380–383CrossRefPubMed
6.
go back to reference Luchetti R, Schoenhuber R, Nathan P (1998) Correlation of segmental carpal tunnel pressures with changes in hand and wrist positions in patients with carpal tunnel syndrome and controls. J Hand Surg Br 23(5):598–602CrossRefPubMed Luchetti R, Schoenhuber R, Nathan P (1998) Correlation of segmental carpal tunnel pressures with changes in hand and wrist positions in patients with carpal tunnel syndrome and controls. J Hand Surg Br 23(5):598–602CrossRefPubMed
7.
go back to reference Atchison JW, Stoll S, Gilliar WG (1996) Manipulation, traction and massage. In: Braddom RL (ed) A text book of physical medicine and rehabilitation. W.B. Saunders Company, Philadelphia, pp 421–448 Atchison JW, Stoll S, Gilliar WG (1996) Manipulation, traction and massage. In: Braddom RL (ed) A text book of physical medicine and rehabilitation. W.B. Saunders Company, Philadelphia, pp 421–448
8.
go back to reference Host HH (1995) Scapular taping in the treatment of anterior shoulder impingement. Phys Ther 75:803–812CrossRefPubMed Host HH (1995) Scapular taping in the treatment of anterior shoulder impingement. Phys Ther 75:803–812CrossRefPubMed
9.
go back to reference Bicici S, Karatas N, Baltacı G (2012) Effect of athletic taping and kinesiotaping® on measurements of functional performance in basketball players with chronic inversion ankle sprains. Int J Sports Phys Ther 7:154–158PubMedPubMedCentral Bicici S, Karatas N, Baltacı G (2012) Effect of athletic taping and kinesiotaping® on measurements of functional performance in basketball players with chronic inversion ankle sprains. Int J Sports Phys Ther 7:154–158PubMedPubMedCentral
10.
go back to reference Castro-Sánchez AM, Lara-Palomo IC, Matarán-Pe-arrocha GA, Fernández-Sánchez M, Sánchez-Labraca N, Arroyo-Morales M (2012) Kinesio taping reduces disability and pain slightly in chronic non-specific low back pain: a randomised trial. J Physiother 58:89–95CrossRefPubMed Castro-Sánchez AM, Lara-Palomo IC, Matarán-Pe-arrocha GA, Fernández-Sánchez M, Sánchez-Labraca N, Arroyo-Morales M (2012) Kinesio taping reduces disability and pain slightly in chronic non-specific low back pain: a randomised trial. J Physiother 58:89–95CrossRefPubMed
11.
go back to reference Çeliker R, Guven Z, Aydog T, Bagis S, Atalay A, Yagci H, Korkmaz N (2011) The kinesiologic taping technique and its applications/Kinezyolojik bantloma teknigi ve uygulama alanlari. Turk J Phys Med Rehab 57(4):225–236CrossRef Çeliker R, Guven Z, Aydog T, Bagis S, Atalay A, Yagci H, Korkmaz N (2011) The kinesiologic taping technique and its applications/Kinezyolojik bantloma teknigi ve uygulama alanlari. Turk J Phys Med Rehab 57(4):225–236CrossRef
12.
go back to reference Bland JD (2000) A neurophysiological grading scale for carpal tunnel syndrome. Muscle Nerve 23:1280–1283CrossRefPubMed Bland JD (2000) A neurophysiological grading scale for carpal tunnel syndrome. Muscle Nerve 23:1280–1283CrossRefPubMed
13.
go back to reference Rükşen S, Öz B, Ölmez N, Memiş A (2011) Karpal Tünel Sendromunda Kortikosteroid Fonoforezi ve Lokal Kortikosteroid Enjeksiyonu Tedavilerinin Klinik Etkinliğinin Karşılaştırılması. Turk J Phys Med Rehab 57:119–123CrossRef Rükşen S, Öz B, Ölmez N, Memiş A (2011) Karpal Tünel Sendromunda Kortikosteroid Fonoforezi ve Lokal Kortikosteroid Enjeksiyonu Tedavilerinin Klinik Etkinliğinin Karşılaştırılması. Turk J Phys Med Rehab 57:119–123CrossRef
14.
go back to reference (1999) Practice parameter for electrodiagnostic studies in ulnar neuropathy at the elbow: summary statement. American Association of Electrodiagnostic Medicine, American Academy of Physical Medicine and Rehabilitation, American Academy of Neurology. Arch Phys Med Rehabil 80:357–359 (1999) Practice parameter for electrodiagnostic studies in ulnar neuropathy at the elbow: summary statement. American Association of Electrodiagnostic Medicine, American Academy of Physical Medicine and Rehabilitation, American Academy of Neurology. Arch Phys Med Rehabil 80:357–359
15.
go back to reference Kimura J (2001) Electrodiagnosis in diseases of nerve and muscle: principles and practice, 3rd edn. Oxford University Press, New York Kimura J (2001) Electrodiagnosis in diseases of nerve and muscle: principles and practice, 3rd edn. Oxford University Press, New York
16.
go back to reference Yağcı İ, Uçan H, Yılmaz L, Yağmurlu F, Keskin D, Bodur H (2006) Karpal Tünel Sendromu Tedavisinde Splint, Splint ile Lokal Steroid Enjeksiyonu ve Cerrahinin Karsılastırılması. Türk Fiz Tıp Rehab Derg 52:55–60 Yağcı İ, Uçan H, Yılmaz L, Yağmurlu F, Keskin D, Bodur H (2006) Karpal Tünel Sendromu Tedavisinde Splint, Splint ile Lokal Steroid Enjeksiyonu ve Cerrahinin Karsılastırılması. Türk Fiz Tıp Rehab Derg 52:55–60
17.
go back to reference Sezgin M, Incel NA, Serhan S, Camdeviren H, As I, Erdoğan C (2006) Assessment of symptom severity and functional status in patients with carpal tunnel syndrome: reliability and functionality of the Turkish version of the Boston Questionnaire. Disabil Rehabil 30(28):1281–1285CrossRef Sezgin M, Incel NA, Serhan S, Camdeviren H, As I, Erdoğan C (2006) Assessment of symptom severity and functional status in patients with carpal tunnel syndrome: reliability and functionality of the Turkish version of the Boston Questionnaire. Disabil Rehabil 30(28):1281–1285CrossRef
18.
go back to reference Kruger VL, Kraft GH, Deitz JC, Ameis A, Polissar L (1991) Carpal tunnel syndrome: objective measures and splint use. Arch Phys Med Rehabil 72(7):517–520PubMed Kruger VL, Kraft GH, Deitz JC, Ameis A, Polissar L (1991) Carpal tunnel syndrome: objective measures and splint use. Arch Phys Med Rehabil 72(7):517–520PubMed
19.
go back to reference Manente G, Torrieri F, Di Blasio F, Staniscia T, Romano F, Uncini A (2001) An innovative hand brace for carpal tunnel syndrome: a randomized controlled trial. Muscle Nerve 24(8):1020–1025CrossRefPubMed Manente G, Torrieri F, Di Blasio F, Staniscia T, Romano F, Uncini A (2001) An innovative hand brace for carpal tunnel syndrome: a randomized controlled trial. Muscle Nerve 24(8):1020–1025CrossRefPubMed
20.
go back to reference Gerritsen AA, de Vet HC, Scholten RJ, Bertelsmann FW, de Krom MC, Bouter LM (2002) Splinting vs surgery in the treatment of carpal tunnel syndrome: a randomized controlled trial. Jama 288(10):1245–1251CrossRefPubMed Gerritsen AA, de Vet HC, Scholten RJ, Bertelsmann FW, de Krom MC, Bouter LM (2002) Splinting vs surgery in the treatment of carpal tunnel syndrome: a randomized controlled trial. Jama 288(10):1245–1251CrossRefPubMed
21.
go back to reference Öncü J, İlişer R, Yılmaz FK, Kuran B (2014) Efficacy of Kinesiotaping on Symptoms, Hand Functions, and Hand Grip Strength in Carpal Tunnel Syndrome: A Single-Blind and Randomized Controlled Study. Turk J Phys Med Rehab 60(Supp. 1):43–51 Öncü J, İlişer R, Yılmaz FK, Kuran B (2014) Efficacy of Kinesiotaping on Symptoms, Hand Functions, and Hand Grip Strength in Carpal Tunnel Syndrome: A Single-Blind and Randomized Controlled Study. Turk J Phys Med Rehab 60(Supp. 1):43–51
22.
go back to reference Kalichman L, Vered E, Volchek L (2010) Relieving symptoms of meralgia paresthetica using Kinesio taping: a pilot study. Arch Phys Med Rehabil 91:1137–1139CrossRefPubMed Kalichman L, Vered E, Volchek L (2010) Relieving symptoms of meralgia paresthetica using Kinesio taping: a pilot study. Arch Phys Med Rehabil 91:1137–1139CrossRefPubMed
23.
go back to reference Park YD, Park YJ, Park SS, Lee HL, Moon HH, Kim MK (2017) Effects of taping therapy for carpal space expansion on electrophysiological change in patients with carpal tunnel syndrome. J Exerc Rehabil 13(3):359–362CrossRefPubMedPubMedCentral Park YD, Park YJ, Park SS, Lee HL, Moon HH, Kim MK (2017) Effects of taping therapy for carpal space expansion on electrophysiological change in patients with carpal tunnel syndrome. J Exerc Rehabil 13(3):359–362CrossRefPubMedPubMedCentral
Metadata
Title
Comparison of splinting and Kinesio taping in the treatment of carpal tunnel syndrome: a prospective randomized study
Authors
Semra Aktürk
Raikan Büyükavcı
Özlem Aslan
Yüksel Ersoy
Publication date
01-09-2018
Publisher
Springer London
Published in
Clinical Rheumatology / Issue 9/2018
Print ISSN: 0770-3198
Electronic ISSN: 1434-9949
DOI
https://doi.org/10.1007/s10067-018-4176-1

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