Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/10959
Title: Ultrasonographic imaging of the effects of continuous, pulsed or sham ultrasound treatments on carpal tunnel syndrome: A randomized controlled study
Authors: Çatalbas, N.
Akkaya, Nuray
Atalay, N.S.
Sahin, F.
Keywords: Carpal tunnel syndrome
continuous ultrasound
imaging
pulsed ultrasound
ultrasonography
adult
aged
Article
carpal tunnel syndrome
controlled study
echography
female
hand strength
human
latent period
major clinical study
male
median nerve
motor distal latency
paresthesia
priority journal
sensorial distal latency
visual analog scale
diagnostic imaging
middle aged
nerve conduction
pathophysiology
physiology
procedures
randomized controlled trial
splint
treatment outcome
ultrasound therapy
Adult
Aged
Carpal Tunnel Syndrome
Female
Humans
Male
Median Nerve
Middle Aged
Neural Conduction
Splints
Treatment Outcome
Ultrasonic Therapy
Ultrasonography
Publisher: IOS Press
Abstract: BACKGROUND: Clinical and electrophysiological effects of therapeutic ultrasound (US) were researched in many studies on patients with CTS with conflicting results. OBJECTIVE: To assess the effects of continuous and pulsed US treatments by ultrasonographic imaging in addition to clinical and electrophysilogical parameters in patients with carpal tunnel syndrome (CTS). METHOD: Fifty-four patients with idiopathic CTS were randomly divided into three groups. All patients used night splints for two weeks. In addition to splint therapy, continuous, pulsed or sham US treatments were applied to patients 10 min/session, 5 sessions/week for two weeks. Clinical situation (pain, hand function, strength), electrophysiological studies (motor distal latency, MDL, sensorial distal latency, SDL), and ultrasonographic area measurements of median nerve were evaluated. All evaluations were applied at pretreatment (baseline), posttreatment (2nd week) and in the 6th week. RESULTS: Whereas significant differences were detected for clinical, functional and ultrasonographic imaging findings in each group in the 2nd week and 6th week compared to baseline (p< 0.0167 for both), no electrophysiological improvements were detected in pulsed-US (p> 0.0167) and only improvement for SDL in sham US group in the 2nd week evaluation (p< 0.0167). CONCLUSION: According to the results of this study, continuous, pulsed or sham US treatments combined with splinting had similar effects on clinical, electrophysiological and ultrasonographic imaging improvements. Additionally, ultrasonographic imaging may be a preferable objective evaluation tool to prove the early posttreatment clinical improvements when electrophysiological changes could not be detected. © 2018 - IOS Press and the authors. All rights reserved.
URI: https://hdl.handle.net/11499/10959
https://doi.org/10.3233/BMR-160652
ISSN: 1053-8127
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Tıp Fakültesi Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

Show full item record



CORE Recommender

SCOPUSTM   
Citations

8
checked on Nov 30, 2024

WEB OF SCIENCETM
Citations

9
checked on Dec 2, 2024

Page view(s)

50
checked on Aug 24, 2024

Google ScholarTM

Check




Altmetric


Items in GCRIS Repository are protected by copyright, with all rights reserved, unless otherwise indicated.