Rehabilitation following carpal tunnel release

Peters, Susan, Page, Matthew J., Coppieters, Michel W., Ross, Mark and Johnston, Venerina (2013) Rehabilitation following carpal tunnel release. Cochrane Database of Systematic Reviews, 6: . doi:10.1002/14651858.CD004158.pub2

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Author Peters, Susan
Page, Matthew J.
Coppieters, Michel W.
Ross, Mark
Johnston, Venerina
Title Rehabilitation following carpal tunnel release
Journal name Cochrane Database of Systematic Reviews   Check publisher's open access policy
ISSN 1469-493X
Publication date 2013-01-01
Year available 2013
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1002/14651858.CD004158.pub2
Open Access Status File (Publisher version)
Issue 6
Total pages 157
Place of publication Oxford, United Kingdom
Publisher John Wiley and Sons
Language eng
Formatted abstract
Carpal tunnel syndrome (CTS) is a condition in which a nerve that runs through a tunnel in the wrist is compressed. This leads to pain, numbness and tingling in the hand and sometimes into the forearm. In advanced stages, some patients experience weakness and muscle wasting in the hand. CTS is more common in women and individuals with certain risk factors, such as diabetes, obesity, arthritis, older age, working in certain occupations and having a previous wrist fracture. Many people undergo surgery to reduce the pressure on the nerve and to improve pain, sensation and hand function. Sometimes individuals receive rehabilitation following CTS surgery. Rehabilitation treatments are believed to speed up recovery and manage pain or symptoms from the surgery itself. On 3 April 2012, we searched for all relevant clinical trials in which a rehabilitation treatment was compared to another rehabilitation treatment, no treatment or placebo (sham treatment). We found 20 trials with a total of 1445 participants that assessed the benefits and harms of different rehabilitation treatments following CTS surgery. Based on these studies, we found limited and low quality evidence for
the benefit of the reviewed treatments including: immobilisation with a wrist orthosis (splint), dressings used post surgery, exercise, cold and ice therapy, different types of hand rehabilitation in combination, laser therapy, electrical treatments, scar desensitisation, and arnica. Few studies reported on the safety of these treatments. More research is needed to investigate the effectiveness and safety of the various types of rehabilitation treatments available for people following CTS surgery.

Keyword Outcome Reporting Bias
Hand Surgery
Compressive Neuropathies
Electrical stimulation therapy
Systematic Reviews
Empirical Evidence
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2014 Collection
School of Health and Rehabilitation Sciences Publications
School of Medicine Publications
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