Effect of physiotherapy and rehabilitation on pain, functionality and quality of life in patients with carpal tunnel syndrome Purpose: In our study, we aimed to know the effect of physiotherapy and rehabilitation (PR) on the pain, functionality and quality of life in patients with carpal tunnel syndrome (CTS). Methods: Demographic and physical measurements of patients with CTS were performed by a physiotherapist. Pain levels were evaluated Visuel Analog Scale (VAS), functionality by Boston Carpal Tunnel Syndrome Scale (BKTS) and quality of life by Short Form 12 (SF-12). Results scored with BKTS-Symptom Severity Scale (SSS) and BKTS-Functional Status Scale (FSS), SF-12 Physical Component Summary (PCS) and SF-12 Mental Component Summary (MCS).
A post hoc-pair-wise comparison test was done to obtain the mean change among the three treatment groups with p values. P values that was greater than 0.5 were considered to be significant for the study. The author found that there were some changes in the participants physical activities where the TENS unit had caused the Fibromyalgia pain to subside where patients were able to have an improved quality of life. The effectiveness of this study does remain controversial due to TENS unit being self-administered by the
The goal of occupational therapy is to assist people with fibromyalgia in regaining, developing and building skills, maximizing function in activities of daily living (Luedtke et al., 2005). Within the context of chronic pain, occupational therapist focuses on activity modification principles which include interview and activity analysis to assess the impact of pain on the client's desired activity and independence (Luedtke et al., 2005). Upon the intervention, symptom reduction strategies, muscle strengthening activities and adaptive equipment for specific activities are provided by the occupational therapist (Radomski & Latham, 2013).
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There is multiple injuries one encounter in everyday life, especially in the workplace that requires the care and assistance of a professional staff. However, injuries such as, thumbs sprains and ankle sprains requires medical attention from an occupational therapist. According to previous studies in this class, Occupational Therapy is a health and rehabilitation profession that provides therapeutic assistance to individuals in different areas of care. These are areas such as developmental, social, and emotional and physical conditions to name a few. Each of these areas is beneficial in the maintenance and productivity of care in one returning to a meaningful and independent stage. Therefore,
Carpal Tunnel syndrome (CTS). The rationale for choosing CTS as the most likely differential diagnosis is based on the subjective, objective data and T.R occupation. Evidence: CTS are caused by excessive used and repetitive movements of the wrist, which cause a loss of space and impingement of the median nerve. A type of activity that is associated with CTS, is computer use (Goolsby & Grubbs, 2011). CTS is a common musculoskeletal disorder affects approximately 1.5% to 2.8% Americans. The yearly costs estimated at $2 billion. The most common involve joints are the first (thumb), second (index finger), third (middle finger), and fourth (ring finger) metacarpophalangeal. CTS symptoms include: tingling, numbness, burning, or pain usually affects the anterior part of the wrist, medial palm and the first three digits on the hand (Thiese, Gerr, Hegmann, Harris-Adamson, Dale, Evanoff, & Rempel, 2014).
Carpal Tunnel Syndrome (CTS) is numbness, tingling, weakness, and other problems in the hand caused by pressure on the median nerve in the wrist. The median nerve along with tendons run along the forearm to the hand into a small space in the wrist. Adding pressure along the median nerve causes the carpal tunnel to become smaller. Additional causes for this disease is injury or trauma to the wrist such as a sprain or a fracture. Medical problems such as an enlarged pituitary gland, hypothyroidism, and fluid retention during menopause can all cause this disease. According to the National Institute of Neurological Disorders and strokes states that women are more likely to have this disorder compared to men because a women’s carpel tunnel is smaller.
Please list the references and clinical resources that you use in your review of this document. These references should support any clinical or extensive revisions or additions that you make. If your edits are based on your own clinical experience or opinion, please indicate this. References and resources used:
As a direct result of acquiring AC, secondary conditions can develop. Chronic pain (often severe) affects sleep patterns, avoidance of activities and movement due to pain (fear avoidance) resulting in the withdrawal from normal daily activities and social settings (Ding, Tang, Xue, Yang, Li and He, 2014). As the condition can last up to 3 years the development of mental health conditions, anxiety and/or depression is a significant risk. A clinical study investigating the correlation between AC/FS report that 28.2% and 24.2% of the AC participants had a high risk of depression and anxiety. Patients with a clinical diagnosis of anxiety or depression reported an increase in shoulder pain, higher restriction of ROM and prevalence of sleep disturbances (Ding, Tang, Xue, Yang, Li and He, 2014). If the dominate hand is affected retraining is required to function on the non-dominate hand.
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Carpal Tunnel Syndrome (CTS) or a pinched Median Nerve, is a very common syndrome which is more prominent in women than men due to the anatomy difference. The syndrome is caused by pressure on the median nerve which runs along the arm down into the hand. It controls sensory and motor functions of the hand and wrist (other than the pinky). This nerve passes through a passage in the wrist known as the carpal tunnel. The syndrome is caused by the carpal tunnel putting pressure on the median nerve mainly due to swelling around the nerve.
Due to a schedule conflict my co-worker Chris Callahan attended the appointment with Mr. Price and Dr. Werner on 6/15/16. Mr. Price said that he has difficulty gripping with the right hand. He also reports numbness and tingling to the first three fingers. He stated this has been consistent since the injury. Dr. Werner reviewed the EMG report. Grip test showed that his right hand is weaker than the left. Dr. Werner did tapping and repositioning of the hands and wrist which resulted in numbness to the first four fingers of the right hand. Tapping to the elbow also caused the fifth finger to go numb. Ms. Callahan asked for clarification on the cause of the Carpal Tunnel (CTS) diagnosis. Dr. Werner stated that changes in the right shoulder
The use of ultrasound therapy prior to client engagement in functional activity will increase tissue extensibility, increase collagen deposition, increase blood flow, increase sensory/motor nerve conduction velocity, and decrease muscle spasms. The use of paraffin therapy prior to client engagement in functional activity will decrease pain, joint stiffness and increase range of motion in the hands. Both of these modalities have a great impact on clinical practice to more efficiently and effectively treat clinical conditions.
Carpal Tunnel Syndrome (CTS) occurs when the median nerve, that runs from the neck, under the armpit, along the forearm and into the palm of the hand, becomes compressed in the wrist. This compression is a result of the reduction in the space of the carpal tunnel, due to swelling of the surrounding tissue. This can cause numbness, tingling, burning, pin-and needle sensations and pain in the thumb, index, middle and half of the ring finger. The carpal tunnel is the area, where bones and ligament in the wrist provide a small, rigid passageway that houses the median nerve. The median nerve runs through the first 4 digits of the hand, excluding the little finger. It provides sensation and locomotion in the hand. And controls the thumb muscles.
Physiotherapy is typically unheeded when equated to medical or surgical regimens in the management of less-debated health concerns like fibromyalgia. However, as per a research report, almost millions of individuals are presently suffering from fibromyalgia across the globe. The authentic pathogenesis of fibromyalgia is not very well understood, so it is a disorder of unidentified etiology. However, just lately, a number of research studies have verified that physiotherapy can manage the signs of fibromyalgia without imposing the need of any supplementary therapy. Fibromyalgia is categorized by a horde of symptoms affecting muscles and skeletal system. It is marked by temperate to severe malicious pain, stiffness encompassing muscles and joints, tenderness in joints and other portions of the body, numbness or tingling feeling in the limbs and other broad-spectrum symptoms that embrace fatigue, drowsiness, psychological problems and sleeping problems.
This study combines Cognitive rehabilitation (CR) and Cognitive-behavioral (CB) interventions in assessing the outcome of improved function of activities of daily living. “Cognitive-behavioral interventions include enhancement of pleasant activities and stimulation of positive memories have been shown