Efficiency of Direct Transcutaneous Electroneurostimulation of the Median Nerve in the Regression of Residual Neurological Symptoms after Carpal Tunnel Decompression Surgery
Carpal tunnel syndrome (CTS) is the most frequent entrapment neuropathy. CTS therapy includes wrist immobilization, kinesiotherapy, non-steroidal anti-inflammatory drugs, carpal tunnel steroid injection, acupuncture, and physical therapy. Carpal tunnel decompression surgery (CTDS) is recommended aft...
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MDPI AG
2023-08-01
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| Online Access: | https://www.mdpi.com/2227-9059/11/9/2396 |
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| author | Mustafa Al-Zamil Inessa A. Minenko Natalia G. Kulikova Numman Mansur Margarita B. Nuvakhova Olga V. Khripunova Irina P. Shurygina Svetlana V. Topolyanskaya Vera V. Trefilova Marina M. Petrova Ekaterina A. Narodova Irina A. Soloveva Regina F. Nasyrova Natalia A. Shnayder |
| author_facet | Mustafa Al-Zamil Inessa A. Minenko Natalia G. Kulikova Numman Mansur Margarita B. Nuvakhova Olga V. Khripunova Irina P. Shurygina Svetlana V. Topolyanskaya Vera V. Trefilova Marina M. Petrova Ekaterina A. Narodova Irina A. Soloveva Regina F. Nasyrova Natalia A. Shnayder |
| author_sort | Mustafa Al-Zamil |
| collection | DOAJ |
| description | Carpal tunnel syndrome (CTS) is the most frequent entrapment neuropathy. CTS therapy includes wrist immobilization, kinesiotherapy, non-steroidal anti-inflammatory drugs, carpal tunnel steroid injection, acupuncture, and physical therapy. Carpal tunnel decompression surgery (CTDS) is recommended after failure of conservative therapy. In many cases, neurological disorders continue despite CTDS. The aim of this study was to investigate the efficiency of direct transcutaneous electroneurostimulation (TENS) of the median nerve in the regression of residual neurological symptoms after CTDS. Material and Methods: 60 patients aged 28–62 years with persisting sensory and motor disorders after CTDS were studied; 15 patients received sham stimulation with a duration 30 min.; 15 patients received high-frequency low-amplitude TENS (HF TENS) with a duration 30 min; 15 patients received low-frequency high-amplitude TENS (LF TENS) with a duration 30 min; and 15 patients received a co-administration of HF TENS (with a duration of15 min) and LF TENS (with a duration of 15 min). Results: Our research showed that TENS significantly decreased the pain syndrome, sensory disorders, and motor deficits in the patients after CTDS. Predominantly, negative and positive sensory symptoms and the pain syndrome improved after the HF TENS course. Motor deficits, reduction of fine motor skill performance, electromyography changes, and affective responses to chronic pain syndrome regressed significantly after the LF TENS course. Co-administration of HF TENS and LF TENS was significantly more effective than use of sham stimulation, HF TENS, or LF TENS in patients with residual neurological symptoms after CTDS. |
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| institution | Directory Open Access Journal |
| issn | 2227-9059 |
| language | English |
| last_indexed | 2024-03-10T23:00:18Z |
| publishDate | 2023-08-01 |
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| spelling | doaj.art-5b801d3ccfb74dddb734e8b00d5dc8db2023-11-19T09:40:43ZengMDPI AGBiomedicines2227-90592023-08-01119239610.3390/biomedicines11092396Efficiency of Direct Transcutaneous Electroneurostimulation of the Median Nerve in the Regression of Residual Neurological Symptoms after Carpal Tunnel Decompression SurgeryMustafa Al-Zamil0Inessa A. Minenko1Natalia G. Kulikova2Numman Mansur3Margarita B. Nuvakhova4Olga V. Khripunova5Irina P. Shurygina6Svetlana V. Topolyanskaya7Vera V. Trefilova8Marina M. Petrova9Ekaterina A. Narodova10Irina A. Soloveva11Regina F. Nasyrova12Natalia A. Shnayder13Department of Physiotherapy, Faculty of Continuing Medical Education, Peoples’ Friendship University of Russia, 117198 Moscow, RussiaDepartment of Restorative Medicine and Neurorehabilitation, Medical Dental Institute, 127253 Moscow, RussiaDepartment of Physiotherapy, Faculty of Continuing Medical Education, Peoples’ Friendship University of Russia, 117198 Moscow, RussiaDepartment of Physiotherapy, Faculty of Continuing Medical Education, Peoples’ Friendship University of Russia, 117198 Moscow, RussiaNational Medical Research Center for Rehabilitation and Balneology, 121099 Moscow, RussiaDepartment of Sports Medicine and Medical Rehabilitation, I.M. Sechenov First Moscow State Medical University, 119991 Moscow, RussiaDepartment of Ophthalmology, Rostov State Medical University, 344022 Rostov, RussiaDepartment of Hospital Therapy No. 2, I.M. Sechenov First Moscow State Medical University, 119991 Moscow, RussiaInstitute of Personalized Psychiatry and Neurology, V.M. Bekhterev National Medical Research Centre for Psychiatry and Neurology, 192019 Saint Petersburg, RussiaShared Core Facilities “Molecular and Cell Technologies”, Professor V. F. Voino-Yasenetsky Krasnoyarsk State Medical University, 660022 Krasnoyarsk, RussiaShared Core Facilities “Molecular and Cell Technologies”, Professor V. F. Voino-Yasenetsky Krasnoyarsk State Medical University, 660022 Krasnoyarsk, RussiaShared Core Facilities “Molecular and Cell Technologies”, Professor V. F. Voino-Yasenetsky Krasnoyarsk State Medical University, 660022 Krasnoyarsk, RussiaInstitute of Personalized Psychiatry and Neurology, V.M. Bekhterev National Medical Research Centre for Psychiatry and Neurology, 192019 Saint Petersburg, RussiaInstitute of Personalized Psychiatry and Neurology, V.M. Bekhterev National Medical Research Centre for Psychiatry and Neurology, 192019 Saint Petersburg, RussiaCarpal tunnel syndrome (CTS) is the most frequent entrapment neuropathy. CTS therapy includes wrist immobilization, kinesiotherapy, non-steroidal anti-inflammatory drugs, carpal tunnel steroid injection, acupuncture, and physical therapy. Carpal tunnel decompression surgery (CTDS) is recommended after failure of conservative therapy. In many cases, neurological disorders continue despite CTDS. The aim of this study was to investigate the efficiency of direct transcutaneous electroneurostimulation (TENS) of the median nerve in the regression of residual neurological symptoms after CTDS. Material and Methods: 60 patients aged 28–62 years with persisting sensory and motor disorders after CTDS were studied; 15 patients received sham stimulation with a duration 30 min.; 15 patients received high-frequency low-amplitude TENS (HF TENS) with a duration 30 min; 15 patients received low-frequency high-amplitude TENS (LF TENS) with a duration 30 min; and 15 patients received a co-administration of HF TENS (with a duration of15 min) and LF TENS (with a duration of 15 min). Results: Our research showed that TENS significantly decreased the pain syndrome, sensory disorders, and motor deficits in the patients after CTDS. Predominantly, negative and positive sensory symptoms and the pain syndrome improved after the HF TENS course. Motor deficits, reduction of fine motor skill performance, electromyography changes, and affective responses to chronic pain syndrome regressed significantly after the LF TENS course. Co-administration of HF TENS and LF TENS was significantly more effective than use of sham stimulation, HF TENS, or LF TENS in patients with residual neurological symptoms after CTDS.https://www.mdpi.com/2227-9059/11/9/2396carpal tunnel syndromecarpal tunnel decompression surgerytranscutaneous electro-neurostimulationJebsen–Taylor hand function testelectromyographynegative sensory symptoms |
| spellingShingle | Mustafa Al-Zamil Inessa A. Minenko Natalia G. Kulikova Numman Mansur Margarita B. Nuvakhova Olga V. Khripunova Irina P. Shurygina Svetlana V. Topolyanskaya Vera V. Trefilova Marina M. Petrova Ekaterina A. Narodova Irina A. Soloveva Regina F. Nasyrova Natalia A. Shnayder Efficiency of Direct Transcutaneous Electroneurostimulation of the Median Nerve in the Regression of Residual Neurological Symptoms after Carpal Tunnel Decompression Surgery Biomedicines carpal tunnel syndrome carpal tunnel decompression surgery transcutaneous electro-neurostimulation Jebsen–Taylor hand function test electromyography negative sensory symptoms |
| title | Efficiency of Direct Transcutaneous Electroneurostimulation of the Median Nerve in the Regression of Residual Neurological Symptoms after Carpal Tunnel Decompression Surgery |
| title_full | Efficiency of Direct Transcutaneous Electroneurostimulation of the Median Nerve in the Regression of Residual Neurological Symptoms after Carpal Tunnel Decompression Surgery |
| title_fullStr | Efficiency of Direct Transcutaneous Electroneurostimulation of the Median Nerve in the Regression of Residual Neurological Symptoms after Carpal Tunnel Decompression Surgery |
| title_full_unstemmed | Efficiency of Direct Transcutaneous Electroneurostimulation of the Median Nerve in the Regression of Residual Neurological Symptoms after Carpal Tunnel Decompression Surgery |
| title_short | Efficiency of Direct Transcutaneous Electroneurostimulation of the Median Nerve in the Regression of Residual Neurological Symptoms after Carpal Tunnel Decompression Surgery |
| title_sort | efficiency of direct transcutaneous electroneurostimulation of the median nerve in the regression of residual neurological symptoms after carpal tunnel decompression surgery |
| topic | carpal tunnel syndrome carpal tunnel decompression surgery transcutaneous electro-neurostimulation Jebsen–Taylor hand function test electromyography negative sensory symptoms |
| url | https://www.mdpi.com/2227-9059/11/9/2396 |
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