Auto-kinesio-therapy in the carpal tunnel syndrome

Česká verze

Authors: M. Nakládalová ¹; V. Žídková ¹; I. Brlková ¹; P. Holá ¹; V. Máslová ²; H. Vildová ¹; A. Boriková ¹; H. Kollárová ³
Authors place of work: Klinika pracovního lékařství, LF UP a FN Olomouc přednostka doc. MUDr. Marie Nakládalová, Ph. D. ¹; Ústav ošetřovatelství, Fakulta zdravotnických věd UP v Olomouci přednostka Mgr. Zdeňka Mikšová, Ph. D. ²; Ústav preventivního lékařství, LF UP a FN Olomouc přednostka doc. MUDr. Helena Kollárová, Ph. D. ³
Published in the journal: Pracov. Lék., 68, 2016, No. 3, s. 87-93.
Category: Původní práce

Summary

Introduction and objective:
The carpal tunnel syndrome is the most frequent neuropathy of upper extremities. Our work investigated whether auto-kinesiotherapy with elements of neurodynamic mobilization of nervus medianus is effective as one of the possibilities for treating the carpal tunnel syndrome (CTS). Moreover, we wanted to verify, whether education of the patients and clients regarding the exercise can be provided by general nurses.

Methods:
The cohort included 27 persons (54 cases of CTS), who were educated by a general nurse in the way how to perform auto-kinesiotherapy by three specific exercises and the persons were asked to exercise independently at least once daily for the period of three months. The nurse contacted and stimulated the subjects at least twice by phone during the study. The control group included 12 persons (24 cases of CTS) who did no exercise or were not treated in any way. The extent of subjective complaints regarding each arm was established by a questionnaire survey before and after three months of the study. The questions in the questionnaires were directed to subjective complaints associated with CTS manifestations and fine hand motor. In the conclusion the authors compared the occurrence and degree of the complaints between and after the exercise and compared the effects of exercise in the followed and control groups. Moreover, the effect of exercise in incipient and advanced forms of CTS was investigated.

Results:
Subjective improvement of the complaints occurred significantly more often in the exercising subjects, A subjective improvement of at least on the followed parameters was detected in 40 cases of the carpal tunnel syndrome in the exercising subjects (76.9%), which was significantly more frequent than in the persons who did not exercise (P = 0.0001), where improvement was reported only in five subjects (20.8%). In comparing the effect of exercise by the extent of subjective complaints including the parameters of fine hand motor, there was not any significant difference between incipient and advanced forms of carpal tunnel syndrome.

Conclusion:
Auto-kinesiotherapy is one of the possibilities for prevention and therapy of the carpal tunnel syndrome. Whenever the exercise is practiced, the patients encounter a relief. The study indicates that clients are capable to exercise independently after an entry education by a general nurse.

Keywords:
auto-kinesiotherapy – neurodynamic mobilization – carpal tunnel syndrome – occupational disease

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