Publication: Revisión Sistemática de la Efectividad de la Movilización Neurodinámica en el Tratamiento del Síndrome del Túnel del Carpo
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2013
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Abstract
El Síndrome del Túnel del Carpo (STC) es resultado de la compresión del nervio mediano en la región de la muñeca como consecuencia de diferentes factores. Los síntomas típicos son dolor eléctrico (frecuentemente nocturno), parestesias, hipoestesia sensorial e incapacidad motora funcional en la distribución del nervio mediano. El tratamiento conservador se reserva para los casos de STC leve y moderado, mientras que el tratamiento quirúrgico se ofrece habitualmente a aquellas personas con síntomas persistentes de STC, alteraciones sensoriales severas o debilidad motora tenar. Existen numerosas opciones no quirúrgicas para el tratamiento del STC. Las técnicas neurodinámicas constituyen una opción de tratamiento que podría mejorar los síntomas relacionados con el STC, sin embargo, existen discrepancias respecto a su eficacia terapéutica. El objetivo de este estudio es llevar a cabo una revisión sistemática de la efectividad de los ejercicios deslizamiento neural del nervio mediano en el STC. La búsqueda se llevó a cabo entre los meses de febrero y junio de 2013. De los estudios hallados, dieciséis, cumplieron los criterios de inclusión. La eficacia del deslizamiento neural no está clara. No se observan resultados consistentemente favorables al ejercicio neurodinámico en el STC, sin embargo, los estudios revelan una posible tendencia a la mejoría de los pacientes con su uso. Se necesitan más estudios para determinar qué población puede responder mejor a este tratamiento.
Carpal tunnel syndrome (CTS) results from the compression of the median nerve at the wrist caused by many different factors. The typical symptoms are pain (more often nocturnal), paraesthesiae, sensorial hypoestesia and loss of motor function in the distribution of the median nerve. There are many conservative treatments commonly used in mild and moderate CTS. Surgical treatment is usually offered to individuals who have persistent CTS symptoms, severe sensory disturbance or thenar motor weakness. There are numerous non-surgical options for the treatment of CTS. Neural gliding exercises are a treatment technique that may improve symptoms relates to CTS, nevertheless, there are discrepancies regarding the efficacy of neural gliding exercises for the management of CTS. The aim of this study is to perform a systematic review assessing the efficacy of neural gliding exercises for the management of CTS. A search was performed between February and June 2013. Sixteen studies met inclusion criteria. There are not consistently favorable results toward neural gliding. However, the studies revealed a possible trend toward improves outcomes with the use of neural gliding. The efficacy of neural gliding is not clear. More research is necessary to determine which population may respond better to this treatment.
Carpal tunnel syndrome (CTS) results from the compression of the median nerve at the wrist caused by many different factors. The typical symptoms are pain (more often nocturnal), paraesthesiae, sensorial hypoestesia and loss of motor function in the distribution of the median nerve. There are many conservative treatments commonly used in mild and moderate CTS. Surgical treatment is usually offered to individuals who have persistent CTS symptoms, severe sensory disturbance or thenar motor weakness. There are numerous non-surgical options for the treatment of CTS. Neural gliding exercises are a treatment technique that may improve symptoms relates to CTS, nevertheless, there are discrepancies regarding the efficacy of neural gliding exercises for the management of CTS. The aim of this study is to perform a systematic review assessing the efficacy of neural gliding exercises for the management of CTS. A search was performed between February and June 2013. Sixteen studies met inclusion criteria. There are not consistently favorable results toward neural gliding. However, the studies revealed a possible trend toward improves outcomes with the use of neural gliding. The efficacy of neural gliding is not clear. More research is necessary to determine which population may respond better to this treatment.
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