Effectiveness of Contrast Bath and Nerve Gliding Exercises in Carpal Tunnel Syndrome Among Software Workers
Life Sciences-Physiotherapy
DOI:
https://doi.org/10.22376/ijlpr.2024.14.4.L20-L25Keywords:
Carpal tunnel syndrome, contrast bath, nerve gliding exercises, NPRS (Numerical pain rating scale), GoniometerAbstract
Carpal Tunnel Syndrome (CTS) is a complex symptom resulting from compression of the median nerve at the carpal tunnel. Locations of monitors, keyboard (or) mouse are associated with musculoskeletal problems. Among musculoskeletal problems, Carpal tunnel syndrome (CTS) is commonly reported in computer professionals. The purpose of this study was to examine the effectiveness of contrast bath and nerve gliding exercises for carpal tunnel syndrome in software workers. 30 subjects (20 males and 10 females) were participating in this study based on inclusion and exclusion criteria. They were assigned into groups Group A and B with 15 subjects each. Group A (Experimental group) received Contrast bath and Nerve Gliding Exercises, while Group B (Control group) received conventional exercises for the wrist. The outcome measures used were NPRS and ROM. Statistical analysis was done using paired-t test. On comparing the pre-test and post-tests within Group A & Group B on the Numerical Pain Rating Scale (NPRS), wrist flexion and extension Range of Motion (ROM) show a significant difference in mean values at P ≤ 0.001. There was a significant difference in the mean values of NPRS (6.33 to 3.40), wrist flexion (54.00 to 72.66), and wrist extension (55.66 to 72.80) in subjects from Group A who underwent contrast bath and nerve gliding exercises, compared to the significant difference in the mean values of NPRS (6.26 to 4.46), wrist flexion (53.66 to 63.00), and wrist extension (56.00 to 61.66) in subjects from Group B, which served as the control group.
References
Punnett L, Bergqvist U. Visual display unit work and upper extremity musculoskeletal disorders. Stockholm: National Institute for Working Life. 1997;997.
Jensen C, Finsen L, Søgaard K, Christensen H. Musculoskeletal symptoms and duration of computer and mouse use. International journal of industrial ergonomics. 2002 Oct 1;30(4-5):265-75.
Jensen C, Ryholt CU, Burr H, Villadsen E, Christensen H. Work-related psychosocial, physical and individual factors associated with musculoskeletal symptoms in computer users. Work & Stress. 2002 Jun 1;16(2):107-20.
Demure B, Luippold RS, Bigelow C, Ali D, Mundt KA, Liese B. Video display terminal workstation improvement program: I. Baseline associations between musculoskeletal discomfort and ergonomic features of workstations. Journal of occupational and environmental medicine. 2000 Aug 1;42(8):783-91.
Karlqvist L. Avoid the mouse-trap! Musculoskeletal injuries can be reduced by placing the mouse within shoulder space. Lakartidningen. 1998 Sep 1;95(36):3768-71.
Bergqvist U, Wolgast E, Nilsson B, Voss M. Musculoskeletal disorders among visual display terminal workers: individual, ergonomic, and work organizational factors. Ergonomics. 1995 Apr 1;38(4):763-76.
McDiarmid M, Oliver M, Ruser J, Gucer P. Male and female rate differences in carpal tunnel syndrome injuries: personal attributes or job tasks?. Environmental research. 2000 May 1;83(1):23-32.
Phillip E, Wright II. Carpal tunnel syndrome and ulnar tunnel syndromes and stenosing tenosynovitis. Campbell’s operative orthopaedics. 9th ed. St. Louis, MO, USA: Mosby. 1998:3685-701.
Dorland WA. Dorland's illustrated medical dictionary. WB Saunders; 1925.
Gorsche RG, Wiley JP, Renger RF, Brant RF, Gemer TY, Sasyniuk TM. Prevalence and incidence of carpal tunnel syndrome in a meat packing plant. Occupational and Environmental Medicine. 1999 Jun 1;56(6):417-22.
Higgins TR, Heazlewood IT, Climstein M. A random control trial of contrast baths and ice baths for recovery during competition in U/20 rugby union. The Journal of Strength & Conditioning Research. 2011 Apr 1;25(4):1046-51.
Osterman AL, Whitman M, Della Porta L. Nonoperative carpal tunnel syndrome treatment. Hand clinics. 2002 May 1;18(2):279-89.
Totten PA, Hunter JM. Therapeutic techniques to enhance nerve gliding in thoracic outlet syndrome and carpal tunnel syndrome. Hand Clinics. 1991 Aug 1;7(3):505-20.
Seradge H, Jia YC, Owens W. In vivo measurement of carpal tunnel pressure in the functioning hand. The Journal of hand surgery. 1995 Sep 1;20(5):855-9.
Nathan PA, Meadows KD, Keniston RC. Rehabilitation of carpal tunnel surgery patients using a short surgical incision and an early program of physical therapy. The Journal of hand surgery. 1993 Nov 1;18(6):1044-50.
Byl C, Puttlitz C, Byl N, Lotz J, Topp K. Strain in the median and ulnar nerves during upper-extremity positioning. The Journal of hand surgery. 2002 Nov 1;27(6):1032-40.
Wright TW, Glowczewskie Jr F, Wheeler D, Miller G, Cowin D. Excursion and strain of the median nerve. JBJS. 1996 Dec 1;78(12):1897-903.
Martins A, Sá VW. Variation of skin temperature during and after contrast bath therapy. Revista Andaluza de Medicina del Deporte. 2011;4(4):129-34.
Kleinrensink GJ, Stoeckart R, Vleeming A, Snijders CJ, Mulder PG, van Wingerden JP. Peripheral nerve tension due to joint motion. A comparison between embalmed and unembalmed human bodies. Clinical Biomechanics. 1995 Jul 1;10(5):235-9.
Rozmaryn LM, Dovelle S, Rothman ER, Gorman K, Olvey KM, Bartko JJ. Nerve and tendon gliding exercises and the conservative management of carpal tunnel syndrome. Journal of Hand Therapy. 1998 Jul 1;11(3):171-9.
Akalin E, El Ö, Peker Ö, Senocak Ö, Tamci S, Gülbahar S, Çakmur R, Öncel S. Treatment of carpal tunnel syndrome with nerve and tendon gliding exercises. American journal of physical medicine & rehabilitation. 2002 Feb 1;81(2):108-13.
Byl C, Puttlitz C, Byl N, Lotz J, Topp K. Strain in the median and ulnar nerves during upper-extremity positioning. The Journal of hand surgery. 2002 Nov 1;27(6):1032-40.
Abdolrazaghi HA, Khansari M, Mirshahi M, Ahmadi Pishkuhi M. Effectiveness of tendon and nerve gliding exercises in the treatment of patients with mild idiopathic carpal tunnel syndrome: a randomized controlled trial. Hand. 2023 Mar;18(2):222-9.
Khallaf ME, Ameer MA, Fayed EE. Effect of task specific training and wrist-fingers extension splint on hand joints range of motion and function after stroke. NeuroRehabilitation. 2017 Jan 1;41(2):437-44.
Sobeck C, Lenk L, Knipper S, Rhoda A, Stickler L, Stephenson P. The effectiveness of functional massage on pain and range of motion measurements in patients with orthopedic impairments of the extremities. International Musculoskeletal Medicine. 2016 Jan 2;38(1):21-5.
Stanton DE, Lazaro R, MacDermid JC. A systematic review of the effectiveness of contrast baths. Journal of Hand Therapy. 2009 Jan 1;22(1):57-70.
Janssen RG, Schwartz DA, Velleman PF. A randomized controlled study of contrast baths on patients with carpal tunnel syndrome. Journal of Hand Therapy. 2009 Jul 1;22(3):200-8.
Rozmaryn LM, Dovelle S, Rothman ER, Gorman K, Olvey KM, Bartko JJ. Nerve and tendon gliding exercises and the conservative management of carpal tunnel syndrome. Journal of Hand Therapy. 1998 Jul 1;11(3):171-9.
Oonk JG, Dobbe JG, Strijkers GJ, Van Rijn SK, Streekstra GJ. Kinematic analysis of forearm rotation using four-dimensional computed tomography. Journal of Hand Surgery (European Volume). 2023 May;48(5):466-75.
Badawy WM. Comparative Effectiveness of Low Level Laser Therapy and Nerve Gliding Exercises on Patients with Carpal Tunnel Syndrome: a Randomized Clinical Trial. Chemtech. 2017;10(2):462-7.
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