ISSN: 2544-4395
Physiotherapy Quarterly
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1/2021
vol. 29
 
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abstract:
Original paper

Shock wave versus iontophoresis in patients with carpal tunnel syndrome

Reda Kotb Abd Elrazik
1
,
Hanan Hosny M. Battesha
2
,
Sara Mohamed Samir
3

1.
Department of Physical Therapy for Musculoskeletal Disorders and Its Surgery, Faculty of Physical Therapy, Benha University, Benha, Egypt
2.
Department of Physical Therapy for Neuromuscular Disorders and Its Surgery, Faculty of Physical Therapy, Modern University for Technology and Information, Cairo, Egypt
3.
Department of Physical Therapy for Musculoskeletal Disorders and Its Surgery, Faculty of Physical Therapy, Cairo University, Cairo, Egypt
Physiother Quart. 2021;29(1):1–6
Online publish date: 2021/03/11
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Introduction
Carpal tunnel syndrome (CTS) is the most commonly encountered nerve entrapment disorder; it causes pain, numbness, tingling sensation in the hands and leads to work disability. The purpose of this study was to analyse the impact of shock wave and iontophoresis in patients with CTS.

Material and methods
This study was conducted in 30 patients with CTS of both sexes, aged 30–50 years. The patients were randomly allocated into 2 groups. Study group A received shock wave therapy and study group B received iontophoresis therapy.

Results
The results revealed a higher improvement in group A than in group B. In group A, there were a significant increase of sensory nerve conduction velocity of median nerve and a significant decrease of pain after treatment, while in group B, there were a less significant increase of sensory nerve conduction and less significant reduction of pain after treatment. The inter-group comparisons showed statistically significant differences in favour of group A.

Conclusions
Shock wave is more effective than iontophoresis in the treatment of patients with CTS.

keywords:

shock wave, iontophoresis, nerve conduction velocity, pain, carpal tunnel syndrome

 
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