Issue 23-2, 2024
Review article
Сurrent Medical Rehabilitation Methods for Patients after Carpal Tunnel Syndrome Surgical Treatment: a Review
1
Tatiana N. Greben, 1
Anatoliy D. Fesyun, 2
Anastasiya I. Greben
1 National Medical Research Center for Rehabilitation and Balneology, Moscow, Russia
2 City Clinical Hospital № 29 named N.E. Bauman, Moscow, Russia
ABSTRACT
INTRODUCTION. Carpal tunnel syndrome is one of the most common tunnel syndromes types and ranks sixth in the all-occupational diseases’ registry. The high interest in this pathology and its’ postoperative management peculiarities study is due to the disease widespread prevalence, social significance, often unsatisfactory surgical treatment results and a long hand function restoration period. The purpose of this work was to study modern concepts of postoperative rehabilitation of patients with carpal tunnel syndrome.
SOURCE SEARCH METHODOLOGY. When preparing the review, open electronic databases of scientific literature were used: PubMed, ClinicalTrials.gov, eLibrary.ru. The search for medical literature data was carried out using the following keywords: “rehabilitation”, “carpal tunnel syndrome”, “carpal tunnel syndrome”, “median nerve”, “compressive neuropathy”. The criteria for inclusion in the analysis of literature sources were: randomized controlled clinical trials, systematic reviews and meta-analyses. Preference was given to publications over the past 5–10 years.
DISCUSSION. The article presents the most commonly used techniques in the postoperative management of patients with carpal tunnel syndrome, discusses the mechanisms of their action and prospects for the development of this area. The review discussed the following rehabilitation methods: a wide range of methods of hardware physiotherapy, manual therapy, kinesiotaping, manual lymphatic drainage, as well as the possibilities of physical therapy and robotic mechanotherapy. Despite the high level of development of medicine, the long process of rehabilitation of these patients remains an important problem, while the clinical effectiveness of a wider range of proposed techniques still remains poorly understood. Some of the most promising methods of rehabilitation of patients after surgical treatment for carpal tunnel syndrome are methods of robotic mechanotherapy and extracorporeal shock wave therapy.
CONCLUSION. For the effective use of the described techniques as part of the postoperative rehabilitation of patients with carpal tunnel syndrome in clinical practice, further research and study of their long-term effects, as well as comparison of their effectiveness with the aim of the most complete and rapid restoration of the function of the affected hand, is necessary.
KEYWORDS: rehabilitation, carpal tunnel syndrome, median nerve, compression neuropathy, traumatology, shock wave therapy, robotic mechanotherapy
FUNDING: This study was not supported by any external sources of funding.
CONFLICT OF INTEREST: . All authors confirm their authorship according to the international ICMJE criteria (all authors contributed significantly to the conception, study design and preparation of the article, read and approved the final version before publication). Special contributions: Greben T.N. — methodology, research, data analysis, writing the draft manuscript; Fesyun A.D. — checking and editing the manuscript, project supervision, project management; Greben A.I. — data analysis, writing the draft manuscript.
FOR CITATION: Greben T.N., Fesyun A.D., Greben A.I. Сurrent Medical Rehabilitation Methods for Patients after Carpal Tunnel Syndrome Surgical Treatment: a Review. Bulletin of Rehabilitation Medicine. 2024; 23(2):34-41. https://doi.org/10.38025/2078-1962-2024-23-2-34-41 (In Russ.).
FOR CORRESPONDENCE:
Tatiana N. Greben, E-mail: grebentn@nmicrk.ru
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