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Comparative Studies | Physiotherapy | India | Volume 13 Issue 3, March 2024 | Popularity: 5.3 / 10
A Comparative Study on the Efficacy of Fascial Manipulation and Maitland Mobilization in the Management of Pain and Dysfunction among Subjects with Carpal Tunnel Syndrome
Vigneshprabhu Dhandapani, Jenifer Blessy S., Balasubramaniam K.
Abstract: Introduction: Carpal tunnel syndrome (CTS) is the most common compression neuropathy and is due to compression of the median nerve. The exact cause of carpal tunnel syndrome is unknown. Carpal tunnel syndrome can be associated with any condition that causes pressure on the median nerve at the wrist. Some common conditions that can lead to carpal tunnel syndrome include obesity, oral contraceptives, hypothyroidism, arthritis, diabetes, and trauma. Compression of the median nerve at the carpal tunnel is the result of a discrepancy between the volume of the contents of the canal and its relative size. The condition may be caused by inflammation of the digital tendon sheaths, fluid retention, excessive exercises, infection and repetitive activities. Aim of the study: The study was aimed to introduce Fascial manipulation and Maitland mobilization for reducing pain and dysfunction among carpal tunnel syndrome subjects. The other motive was to popularize this technique among Physiotherapy population. Background of the study: Carpal tunnel syndrome results in considerable discomfort and pain, limitations of daily living activities. So, this study emphasizes the importance of the Fascial mobilization and Maitland mobilization in reducing the pain and dysfunction. Materials & Methodology: The study design was a pre and post - test experimental study.30 patients were randomly selected who fulfilled the inclusion and exclusion criteria and were divided in two groups. Group A treated with Fascial manipulation and Group B with Maitland mobilization. Both the groups received their programs for 5 weeks; 5 sessions per week. The pre and post - test values for pain and dysfunction were collected using respective measurement scales. The collected data were analysed; paired 't' test to find out significant difference between pre and post value of experimental groups and further unpaired 't' test was applied to find out the difference between the groups. Conclusion: Facial manipulation is more effective in reducing pain and improving wrist extension range of motion than Carpal bone mobilization among carpal tunnel syndrome patients.
Keywords: Carpal Tunnel Syndrome, Fascial Mobilization, Maitland Mobilization, Carpal Bone Mobilization, Fascia, Wrist Dysfunction
Edition: Volume 13 Issue 3, March 2024
Pages: 1404 - 1412
DOI: https://www.doi.org/10.21275/SR24321123805
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