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Original Article

The effectiveness of gabapentin and exercises in the treatment of carpal tunnel syndrome : a randomized clinical trial

첫 페이지 보기
  • 발행기관
    한국운동재활학회 바로가기
  • 간행물
    JER SCOPUS KCI 등재 바로가기
  • 통권
    Vol.14 No.6 (2018.12)바로가기
  • 페이지
    pp.1067-1073
  • 저자
    Omid Hesami, Mahsa Haghighatzadeh, Behnam Safarpour Lima, Naghmeh Emadi, Shahin Salehi
  • 언어
    영어(ENG)
  • URL
    https://www.earticle.net/Article/A343997

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초록

영어
Carpal tunnel syndrome (CTS) is one of the reasons for labor abandon-ment due to inability and pain. The aim of this study was to evaluate the effectiveness of gabapentin and exercise training in the treatment of CTS and compare their effects. This single-blind clinical trial was con-ducted on patients referred to the Imam Hossein hospital’s electrodiag-nostic (EDX) unit. The patients randomly assigned into four groups: us-ing nocturnal splint as an approved treatment in the control group; tak-ing 300-mg gabapentin per night and using nocturnal splint; nerve and tendon gliding exercises and using nocturnal splint; and taking 300-mg gabapentin per night, performing same exercise as group 3 and using nocturnal splint. At baseline, four indicators were assessed in all pa-tients, including the Boston carpal tunnel questionnaire, visual ana-logue scale (VAS), pinch and grip strength of the affected hand. One month after the beginning of intervention, participants were reassessed and compared for each of the four indicators. Using nocturnal splint along with exercise and gabapentin significantly improved VAS, pinch and grip strength in moderate CTS compared to control group that only used nocturnal splint. However in mild CTS, grip strength was not sig-nificantly higher compared to control group (P=0.048). Results of this study showed that use of splint alone in mild CTS is an appropriate and sufficient treatment; however, in moderate CTS, receiving gabapentin along with exercise and splinting showed better treatment results com-pared to splinting alone.

목차

Abstract
INTRODUCTION
MATERIALS AND METHODS
Trial design
Inclusion criteria
Intervention
Randomization
Measurement
Self-report questionnaire
Performance-based outcome measures
Tendon gliding exercises
Nerve gliding exercise
Analysis
RESULTS
DISCUSSION
CONFLICT OF INTEREST
REFERENCES

키워드

Boston carpal tunnel questionnaire Carpal tunnel syndrome Exercise Gabapentin Grip and pinch strength Visual analogue scale

저자

  • Omid Hesami [ Department of Neurology, Imam Hossein Hospital, Shahid Beheshti University of Medical Science, Tehran, Iran ]
  • Mahsa Haghighatzadeh [ Department of Neurology, Imam Hossein Hospital, Shahid Beheshti University of Medical Science, Tehran, Iran ]
  • Behnam Safarpour Lima [ Department of Neurology, Imam Hossein Hospital, Shahid Beheshti University of Medical Science, Tehran, Iran ]
  • Naghmeh Emadi [ Dentofacial Deformities Research Center, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran ]
  • Shahin Salehi [ Department of Sports Medicine, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran ] Corresponding Author

참고문헌

자료제공 : 네이버학술정보

간행물 정보

발행기관

  • 발행기관명
    한국운동재활학회 [Korean Society of Exercise Rehabilitation]
  • 설립연도
    2004
  • 분야
    의약학>재활의학
  • 소개
    한국운동재활학회는 사회적, 정신적, 신체적 통합건강복지 이론의 학술연구와 회원 상호간 학술교류 증진을 장려함으로써 학문적 발전을 도모하고 나아가 건강복지선진국 발전에 이바지함을 목적으로 한다.

간행물

  • 간행물명
    JER [Journal of Exercise Rehabilitation]
  • 간기
    격월간
  • pISSN
    2288-176X
  • eISSN
    2288-1778
  • 수록기간
    2013~2026
  • 등재여부
    SCOPUS,KCI 등재
  • 십진분류
    KDC 517 DDC 613

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