Yıl 2016,
Cilt: 3 Sayı: 1, 41 - 46, 04.02.2016
Öz
Karpal tünel sendromu (KTS), median sinirin el bileğindeki karpal tünel içinde kompresyonu sonucu oluşur. En sık görülen üst ekstremite
periferik tuzak nöropatisidir. KTS’ye neden olan birçok hastalık olmasına rağmen genellikle idiopatiktir. Konservatif tedavi istirahat,
nonsteroid antienflamatuvar ilaçlar, istirahat splintleri, egzersiz ve lokal steriod enjeksiyonunu içerir. Cerrahi tedavi endikasyonları,
konservatif tedavinin başarısızlığı veya ciddi KTS’dir. Splintleme ve tendon-sinir kaydırma egzersizleri KTS’de yaygın kullanılan
tedavilerdir. Bu derlemede splintleme ve tendon-sinir kaydırma egzersizlerinin KTS tedavisinde kullanımı ve etkinliklerinin ortaya
konulması amaçlanmıştır.
Anahtar Kelimeler
Kaynakça
- Heebner ML, Roddey TS. The effects of neural mobilization
- in addition to standard care in persons with carpal tunnel
- syndrome from a community hospital. J Hand Ther 2008; 21:
- -40.
- Deskur Z. Deskur A. Zawadzki M. Influence of selected
- physical exercises to improve outcomes in patients operated
- for carpal tunnel syndrome in own material. Centr Eur J
- Sport Sci Med 2014; 8 (4): 47–51.
- 3. Kuran B. Ön kol, el-el bileği ağrılarında egzersiz
- reçeteleme: Derleme. Türk Fiz Tıp Rehab Derg 2014; 60 (özel
- sayı 2): s43-49
- 4. Kaymak B, Özçakar L. Karpal tünel sendromu: Derleme.
- Hacettepe Tıp Dergisi 2007; 38: 141-6.
- 5. Baker, Nancy A. et al. The comparative effectiveness of
- combined lumbrical muscle splints and stretches onsymptoms and function in carpal tunnel syndrome. Archives
- of physical medicine and rehabilitation 93.1 (2012): 1-10.
- Schmid, Annina B. et al. Effect of splinting and exercise on
- intraneural edema of the median nerve in carpal tunnel
- syndrome-an MRI study to reveal therapeutic mechanisms.
- Journal of Orthopaedic Research 30.8 (2012): 1343-1350
- Evans RB. Therapist’s Management of Carpal Tunnel
- Syndrome: A Practical Approach. Rehabilitation of the Hand
- and Upper Extremity. In: Skirven TM, Osterman AL,
- Fedorczyk JM, Amadip PC, eds. 6th ed. Philadelphia:
- Elsevier; 2011. p. 666-7.
- Afşar Sİ, Sarıfakıoğlu B, Akçay Yalbuzdağ Ş. Karpal tünel
- sendromu tedavisinde fizik tedavi modalitelerinin yeri:
- Derleme: Türk Osteoporoz Dergisi 2014; 20: 125-31.
- Carlson, Hans, et al. Current options for nonsurgical
- management of carpal tunnel syndrome. International journal
- of clinical rheumatology 5.1 (2010): 129-142.
- Kirazlı Y. Diyabetik el rehabilitasyonu: Derleme FTR Bil Der
- ; 14 Özel Sayı: 7-11.
- Manente G, Torrieri F, Di Blasio F. et al. An innovative hand
- brace for carpal tunnel syndrome: a randomized controlled
- trial. Muscle Nerve 2001; 24: 1020–1025.
- De Angelis MV, Pierfelice F, Di Giovanni P. et al. Efficacy of
- a soft hand brace and a wrist splint for carpal tunnel
- syndrome: a randomized controlled study. Acta Neurol.
- Scand 2009; 119: 68–74.
- Gerritsen AA, de Vet HC, Scholten RJ. et al. Splinting vs
- surgery in the treatment of carpal tunnel syndrome: a
- randomized controlled trial. JAMA 2002; 288: 1245–1251.
- Brininger TL, Rogers JC, Holm MB. et al. Efficacy of a
- fabricated customized splint and tendon and nerve gliding
- exercises for the treatment of carpal tunnel syndrome: a
- randomized controlled trial. Arch. Phys. Med. Rehabil 2007;
- : 1429–1435.
- Bulut GT, Çaglar NS, Aytekin E.et al. Comparison of static
- wrist splint with static wrist and metacarpophalangeal splint
- in carpal tunnel syndrome. J Back Musculoskeletal reh 00
- ; 1-7
- Yagci I, Elmas O, Akcan E. ve ark. Comparison of splinting
- and splinting plus low-level laser therapy in idiopathic carpal
- tunnel syndrome. Clin Rheumatol 2009; 28: 1059-65.
- Povlsen B, Bashir M, Wong F. Long-term result and patient
- reported outcome of wrist splint treatment for carpal tunnel
- syndrome. J Plast Surg Hand Surg 2014; 48(3): 175-8.
- Seradge H, Parker W, Baer C et al. Conservative treatment of
- carpal tunnel syndrome. An outcome study of adjunct
- exercises. J Okla State Med Assoc 2002; 95: 7-14.
- Keilani MY, Crevenna R, Fialka-Moser V. Postoperative
- rehabilitation of patients with carpal tunnel syndrome. Wien
- Med. Wochenschr 2012; 152: 479-480.
- Dilek Keskin, Halil Uçan, Lale Akbulut ve ark. Açık Karpal
- Tünel Serbestleştirme Operasyonu Sonrasında Sinir ve
- Tendon Kaydırma Egzersizlerinin Etkinliği, FTR Bil Der J
- PMR Sci 2008; 11: 15-20.
- Biçer M, Çabalar M, Ecerkale Ö. Karpal tünel sendromu
- tedavisinde B vitamin ile tendon-sinir germe egzersizlerinin
- klinik ve elektrofizyolojik parametrelere etkisi. İstanbul Med J
- ; 15: 16-20.
- Page MJ, O’Connor D, Pitt V. et al. Exercise and
- mobilisation interventions for carpal tunnel syndrome.
- Cochrane Database Syst Rev. 2012; 6: CD009899
Yıl 2016,
Cilt: 3 Sayı: 1, 41 - 46, 04.02.2016
Öz
Kaynakça
- Heebner ML, Roddey TS. The effects of neural mobilization
- in addition to standard care in persons with carpal tunnel
- syndrome from a community hospital. J Hand Ther 2008; 21:
- -40.
- Deskur Z. Deskur A. Zawadzki M. Influence of selected
- physical exercises to improve outcomes in patients operated
- for carpal tunnel syndrome in own material. Centr Eur J
- Sport Sci Med 2014; 8 (4): 47–51.
- 3. Kuran B. Ön kol, el-el bileği ağrılarında egzersiz
- reçeteleme: Derleme. Türk Fiz Tıp Rehab Derg 2014; 60 (özel
- sayı 2): s43-49
- 4. Kaymak B, Özçakar L. Karpal tünel sendromu: Derleme.
- Hacettepe Tıp Dergisi 2007; 38: 141-6.
- 5. Baker, Nancy A. et al. The comparative effectiveness of
- combined lumbrical muscle splints and stretches onsymptoms and function in carpal tunnel syndrome. Archives
- of physical medicine and rehabilitation 93.1 (2012): 1-10.
- Schmid, Annina B. et al. Effect of splinting and exercise on
- intraneural edema of the median nerve in carpal tunnel
- syndrome-an MRI study to reveal therapeutic mechanisms.
- Journal of Orthopaedic Research 30.8 (2012): 1343-1350
- Evans RB. Therapist’s Management of Carpal Tunnel
- Syndrome: A Practical Approach. Rehabilitation of the Hand
- and Upper Extremity. In: Skirven TM, Osterman AL,
- Fedorczyk JM, Amadip PC, eds. 6th ed. Philadelphia:
- Elsevier; 2011. p. 666-7.
- Afşar Sİ, Sarıfakıoğlu B, Akçay Yalbuzdağ Ş. Karpal tünel
- sendromu tedavisinde fizik tedavi modalitelerinin yeri:
- Derleme: Türk Osteoporoz Dergisi 2014; 20: 125-31.
- Carlson, Hans, et al. Current options for nonsurgical
- management of carpal tunnel syndrome. International journal
- of clinical rheumatology 5.1 (2010): 129-142.
- Kirazlı Y. Diyabetik el rehabilitasyonu: Derleme FTR Bil Der
- ; 14 Özel Sayı: 7-11.
- Manente G, Torrieri F, Di Blasio F. et al. An innovative hand
- brace for carpal tunnel syndrome: a randomized controlled
- trial. Muscle Nerve 2001; 24: 1020–1025.
- De Angelis MV, Pierfelice F, Di Giovanni P. et al. Efficacy of
- a soft hand brace and a wrist splint for carpal tunnel
- syndrome: a randomized controlled study. Acta Neurol.
- Scand 2009; 119: 68–74.
- Gerritsen AA, de Vet HC, Scholten RJ. et al. Splinting vs
- surgery in the treatment of carpal tunnel syndrome: a
- randomized controlled trial. JAMA 2002; 288: 1245–1251.
- Brininger TL, Rogers JC, Holm MB. et al. Efficacy of a
- fabricated customized splint and tendon and nerve gliding
- exercises for the treatment of carpal tunnel syndrome: a
- randomized controlled trial. Arch. Phys. Med. Rehabil 2007;
- : 1429–1435.
- Bulut GT, Çaglar NS, Aytekin E.et al. Comparison of static
- wrist splint with static wrist and metacarpophalangeal splint
- in carpal tunnel syndrome. J Back Musculoskeletal reh 00
- ; 1-7
- Yagci I, Elmas O, Akcan E. ve ark. Comparison of splinting
- and splinting plus low-level laser therapy in idiopathic carpal
- tunnel syndrome. Clin Rheumatol 2009; 28: 1059-65.
- Povlsen B, Bashir M, Wong F. Long-term result and patient
- reported outcome of wrist splint treatment for carpal tunnel
- syndrome. J Plast Surg Hand Surg 2014; 48(3): 175-8.
- Seradge H, Parker W, Baer C et al. Conservative treatment of
- carpal tunnel syndrome. An outcome study of adjunct
- exercises. J Okla State Med Assoc 2002; 95: 7-14.
- Keilani MY, Crevenna R, Fialka-Moser V. Postoperative
- rehabilitation of patients with carpal tunnel syndrome. Wien
- Med. Wochenschr 2012; 152: 479-480.
- Dilek Keskin, Halil Uçan, Lale Akbulut ve ark. Açık Karpal
- Tünel Serbestleştirme Operasyonu Sonrasında Sinir ve
- Tendon Kaydırma Egzersizlerinin Etkinliği, FTR Bil Der J
- PMR Sci 2008; 11: 15-20.
- Biçer M, Çabalar M, Ecerkale Ö. Karpal tünel sendromu
- tedavisinde B vitamin ile tendon-sinir germe egzersizlerinin
- klinik ve elektrofizyolojik parametrelere etkisi. İstanbul Med J
- ; 15: 16-20.
- Page MJ, O’Connor D, Pitt V. et al. Exercise and
- mobilisation interventions for carpal tunnel syndrome.
- Cochrane Database Syst Rev. 2012; 6: CD009899
Toplam 75 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Orjinal makale |
| Yazarlar | |
| Yayımlanma Tarihi | 4 Şubat 2016 |
| Yayımlandığı Sayı | Yıl 2016 Cilt: 3 Sayı: 1 |