Carpal Tunnel Syndrome

Publication Title: 
Journal of Neurology

Carpal tunnel syndrome (CTS) is a common disorder, for which various conservative treatment options are available. The objective of this study is to determine the efficacy of the various conservative treatment options for relieving the symptoms of CTS. Computer-aided searches of MEDLINE (1/1966 to 3/2000), EMBASE (1/1988 to 2/2000) and the Cochrane Controlled Trials Register (2000, issue 1) were conducted, together with reference checking.

Author(s): 
Gerritsen, Annette A. M.
de Krom, Marc C. T. F. M.
Struijs, Margaretha A.
Scholten, Rob J. P. M.
de Vet, Henrica C. W.
Bouter, Lex M.
Publication Title: 
Annals of Family Medicine

BACKGROUND: We undertook a literature review to produce evidence-based recommendations for nonsurgical family physician management of carpal tunnel syndrome (CTS). METHODS: Study design was systematic review of randomized controlled trials (RCTs) on CTS treatment. Data sources were English publications from all relevant databases, hand searches, and guidelines. Outcomes measured were nonsurgical management options for CTS. RESULTS: We assessed 2 systematic reviews, 16 RCTs, and 1 before-and-after study using historical controls. A considerable percentage of CTS resolves spontaneously.

Author(s): 
Goodyear-Smith, Felicity
Arroll, Bruce
Publication Title: 
Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists

The purpose of this study was to determine the effectiveness of hand therapy interventions for carpal tunnel syndrome (CTS) based on the best available evidence. A qualitative systematic review was conducted. A literature search using 40 key terms was conducted from the earliest available date to January 2003 using seven databases. Articles were randomly assigned to two of five reviewers and evaluated according to predetermined criteria for inclusion at each of the title, abstract, and article levels.

Author(s): 
Muller, Monique
Tsui, Deborah
Schnurr, Ronda
Biddulph-Deisroth, Lori
Hard, Julie
Macdermid, Joy C.
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Non-surgical treatment for carpal tunnel syndrome is frequently offered to those with mild to moderate symptoms. The effectiveness and duration of benefit from non-surgical treatment for carpal tunnel syndrome remain unknown. OBJECTIVES: To evaluate the effectiveness of non-surgical treatment (other than steroid injection) for carpal tunnel syndrome versus a placebo or other non-surgical, control interventions in improving clinical outcome.

Author(s): 
O'Connor, D.
Marshall, S.
Massy-Westropp, N.
Publication Title: 
Clinical Rehabilitation

OBJECTIVE: To assess the effectiveness of conservative therapy in carpal tunnel syndrome. DATA SOURCES: A computer-aided search of MEDLINE and the Cochrane Collaboration was conducted for randomized controlled trials (RCTs) from January 1985 to May 2006. REVIEW METHODS: RCTs were included if: (1) the patients, with clinically and electrophysiologically confirmed carpal tunnel syndrome, had not previously undergone surgical release, (2) the efficacy of one or more conservative treatment options was evaluated, (3) the study was designed as a randomized controlled trial.

Author(s): 
Piazzini, D. B.
Aprile, I.
Ferrara, P. E.
Bertolini, C.
Tonali, P.
Maggi, L.
Rabini, A.
Piantelli, S.
Padua, L.
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Non-surgical treatment, including exercises and mobilisation, has been offered to people experiencing mild to moderate symptoms arising from carpal tunnel syndrome (CTS). However, the effectiveness and duration of benefit from exercises and mobilisation for this condition remain unknown. OBJECTIVES: To review the efficacy and safety of exercise and mobilisation interventions compared with no treatment, a placebo or another non-surgical intervention in people with CTS.

Author(s): 
Page, Matthew J.
O'Connor, Denise
Pitt, Veronica
Massy-Westropp, Nicola
Publication Title: 
Rheumatology (Oxford, England)

OBJECTIVE: To evaluate the quality of evidence and the strength of recommendation for yoga as an ancillary intervention in rheumatic diseases. METHODS: Medline/PubMed, Scopus, the Cochrane Library and IndMED were searched through February 2013. Randomized controlled trials (RCTs) comparing yoga with control interventions in patients with rheumatic diseases were included. Two authors independently assessed the risk of bias using the Cochrane Back Review Group risk of bias tool.

Author(s): 
Cramer, Holger
Lauche, Romy
Langhorst, Jost
Dobos, Gustav
Publication Title: 
Journal of Neurology

Carpal tunnel syndrome (CTS) is a common disorder, for which various conservative treatment options are available. The objective of this study is to determine the efficacy of the various conservative treatment options for relieving the symptoms of CTS. Computer-aided searches of MEDLINE (1/1966 to 3/2000), EMBASE (1/1988 to 2/2000) and the Cochrane Controlled Trials Register (2000, issue 1) were conducted, together with reference checking.

Author(s): 
Gerritsen, Annette A. M.
de Krom, Marc C. T. F. M.
Struijs, Margaretha A.
Scholten, Rob J. P. M.
de Vet, Henrica C. W.
Bouter, Lex M.
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Non-surgical treatment for carpal tunnel syndrome is frequently offered to those with mild to moderate symptoms. The effectiveness and duration of benefit from non-surgical treatment for carpal tunnel syndrome remain unknown. OBJECTIVES: To evaluate the effectiveness of non-surgical treatment (other than steroid injection) for carpal tunnel syndrome versus a placebo or other non-surgical, control interventions in improving clinical outcome.

Author(s): 
O'Connor, D.
Marshall, S.
Massy-Westropp, N.
Publication Title: 
Annals of Family Medicine

BACKGROUND: We undertook a literature review to produce evidence-based recommendations for nonsurgical family physician management of carpal tunnel syndrome (CTS). METHODS: Study design was systematic review of randomized controlled trials (RCTs) on CTS treatment. Data sources were English publications from all relevant databases, hand searches, and guidelines. Outcomes measured were nonsurgical management options for CTS. RESULTS: We assessed 2 systematic reviews, 16 RCTs, and 1 before-and-after study using historical controls. A considerable percentage of CTS resolves spontaneously.

Author(s): 
Goodyear-Smith, Felicity
Arroll, Bruce

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