Study on the effect, safety, prognosis quality and application value of extracorporeal shock wave based neural activity in carpal tunnel syndrome patients

Abstract Background Mild to moderate CTS is the most common median nerve compression disease in middle-aged and elderly women, mainly manifested by hand numbness and pain. This paper analyzes the extracorporeal shock wave of patients with mild to moderate CTS after nerve mobilization. Methods The cl...

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Main Authors: Haiou Zhang, Weiyan Zhao, Man Jiang, Yang Song
Format: Article
Language:English
Published: BMC 2023-03-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12891-023-06285-1
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author Haiou Zhang
Weiyan Zhao
Man Jiang
Yang Song
author_facet Haiou Zhang
Weiyan Zhao
Man Jiang
Yang Song
author_sort Haiou Zhang
collection DOAJ
description Abstract Background Mild to moderate CTS is the most common median nerve compression disease in middle-aged and elderly women, mainly manifested by hand numbness and pain. This paper analyzes the extracorporeal shock wave of patients with mild to moderate CTS after nerve mobilization. Methods The clinical data of 92 patients with CTS from June 2020 to June 2022 are analyzed and randomly divided into extracorporeal shock wave group (n = 47) and routine group (n = 45). The routine group undergoes nerve mobilization, and the extracorporeal shock wave group receives extracorporeal shock wave therapy on the basis of the routine group. The clinical efficacy, symptom improvement, pain score, median nerve electrophysiological examination results, upper limb symptom and function scores, and ADL scores before and after treatment are observed. The Spearman correlation coefficient is used to analyze the correlation between upper limb function and ADL score, and the incidence of complications after treatment is analyzed. Results The clinical efficacy, symptom improvement, pain score, median nerve electrophysiological examination results, upper limb symptom and function score, ADL score and the incidence of complications in the extracorporeal shock wave group are significantly better than those in the conventional group (P < 0.05). ADL scores are negatively correlated. Conclusion Extracorporeal shock wave combined with nerve mobilization has a significant effect in the treatment of CTS patients, which can significantly improve the symptoms and pain scores of patients, and enhance the function of patients’ upper limbs. At the same time, the incidence of complications in patients is less, and it has high safety.
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spelling doaj.art-41fad707228b4ae9a6c17bb44b6c6d922023-03-22T10:02:58ZengBMCBMC Musculoskeletal Disorders1471-24742023-03-012411710.1186/s12891-023-06285-1Study on the effect, safety, prognosis quality and application value of extracorporeal shock wave based neural activity in carpal tunnel syndrome patientsHaiou Zhang0Weiyan Zhao1Man Jiang2Yang Song3Department of Hand and Foot Surgery, Affiliated Hospital of Beihua UniversityDepartment of Hand and Foot Surgery, Affiliated Hospital of Beihua UniversityDepartment of Hand and Foot Surgery, Affiliated Hospital of Beihua UniversityDepartment of orthopaedics, Affiliated Hospital of Beihua UniversityAbstract Background Mild to moderate CTS is the most common median nerve compression disease in middle-aged and elderly women, mainly manifested by hand numbness and pain. This paper analyzes the extracorporeal shock wave of patients with mild to moderate CTS after nerve mobilization. Methods The clinical data of 92 patients with CTS from June 2020 to June 2022 are analyzed and randomly divided into extracorporeal shock wave group (n = 47) and routine group (n = 45). The routine group undergoes nerve mobilization, and the extracorporeal shock wave group receives extracorporeal shock wave therapy on the basis of the routine group. The clinical efficacy, symptom improvement, pain score, median nerve electrophysiological examination results, upper limb symptom and function scores, and ADL scores before and after treatment are observed. The Spearman correlation coefficient is used to analyze the correlation between upper limb function and ADL score, and the incidence of complications after treatment is analyzed. Results The clinical efficacy, symptom improvement, pain score, median nerve electrophysiological examination results, upper limb symptom and function score, ADL score and the incidence of complications in the extracorporeal shock wave group are significantly better than those in the conventional group (P < 0.05). ADL scores are negatively correlated. Conclusion Extracorporeal shock wave combined with nerve mobilization has a significant effect in the treatment of CTS patients, which can significantly improve the symptoms and pain scores of patients, and enhance the function of patients’ upper limbs. At the same time, the incidence of complications in patients is less, and it has high safety.https://doi.org/10.1186/s12891-023-06285-1Extracorporeal shock waveNerve mobilizationCarpal tunnel syndromePain scoreUpper limb function
spellingShingle Haiou Zhang
Weiyan Zhao
Man Jiang
Yang Song
Study on the effect, safety, prognosis quality and application value of extracorporeal shock wave based neural activity in carpal tunnel syndrome patients
BMC Musculoskeletal Disorders
Extracorporeal shock wave
Nerve mobilization
Carpal tunnel syndrome
Pain score
Upper limb function
title Study on the effect, safety, prognosis quality and application value of extracorporeal shock wave based neural activity in carpal tunnel syndrome patients
title_full Study on the effect, safety, prognosis quality and application value of extracorporeal shock wave based neural activity in carpal tunnel syndrome patients
title_fullStr Study on the effect, safety, prognosis quality and application value of extracorporeal shock wave based neural activity in carpal tunnel syndrome patients
title_full_unstemmed Study on the effect, safety, prognosis quality and application value of extracorporeal shock wave based neural activity in carpal tunnel syndrome patients
title_short Study on the effect, safety, prognosis quality and application value of extracorporeal shock wave based neural activity in carpal tunnel syndrome patients
title_sort study on the effect safety prognosis quality and application value of extracorporeal shock wave based neural activity in carpal tunnel syndrome patients
topic Extracorporeal shock wave
Nerve mobilization
Carpal tunnel syndrome
Pain score
Upper limb function
url https://doi.org/10.1186/s12891-023-06285-1
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