Effects of Additional Radial Shockwave Therapy to Median Nerve Gliding Exercises on Hand Grip Strength in Carpal Tunnel Syndrome Patients

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Published: 2021-12-30
DOI: https://doi.org/10.36803/ijpmr.v10i02.304
Keywords:
carpal tunnel syndrome, entrapment neuropathies, grip strength, nerve gliding exercise,radial shockwave therapy

Main Article Content

Cornelia Arina Pradipta
Medical Staff
Rudy Handoyo
Medical Staff
Hari Peni Julianti
Medical Staff
Hindun Zuhdiana
Medical Staff
Noviolita Dwi Kusumawati
Medical Staff

Abstract

ABSTRACTIntroduction: Carpal Tunnel Syndrome (CTS) is one of the most common entrapment neuropathiesfound in the upper extremities. Patients with moderate and severe CTS usually experience disturbancesin motor strength. A non-invasive therapeutic method that has recently emerged in the treatment of CTSis Radial Shock Wave Therapy (RSWT). RSWT is a therapy using shock waves and can be added to otherforms of exercise. The addition of RSWT in CTS is expected to increase the grip strength. Research thatdirectly assesses the effect of adding RSWT and median nerve gliding exercises on hand grip strength inCTS patients has not been conducted.Methods: This study was a pre-test/post-test control group design. There were 22 moderate grade CTSsubjects divided into 2 groups, the control group was received median nerve gliding exercise (n=11) andthe treatment group was received additional RSWT on median nerve gliding exercise (n=11). Assessmentof grip strength by Jamar hand dynamometer was performed before and after 4 weeks of treatment. Themean differences before and after treatment, as well as between groups was compared statistically usingan unpaired t-test.Results: There was no significant difference in the handgrip strength of the control group (p = 0.094),and a significant difference in the treatment group (p = 0.009) before and after the intervention. However,there were no significant differences in grip strength between the two groups (p=0.065).Conclusion: There was no significant effect of adding RSWT on improving handgrip strength in CTSpatients who received a median nerve gliding exercise.Keywords: carpal tunnel syndrome, entrapment neuropathies, grip strength, nerve gliding exercise,radial shockwave therapy

Article Details

Issue

Vol. 10 No. 02 (2021): Indonesian Journal Of Physical Medicine and Rehabilitation

Section

Original Article

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Author Biographies

Cornelia Arina Pradipta, Medical Staff

Department of Physical Medicine and Rehabilitation, Faculty of Medicine Diponegoro University, Kariadi General - Hospital, Semarang, Indonesia

Rudy Handoyo, Medical Staff

Department of Physical Medicine and Rehabilitation, Diponegoro University, Semarang, Indonesia

Hari Peni Julianti, Medical Staff

Department of Physical Medicine and Rehabilitation, Diponegoro University, Semarang, Indonesia

Hindun Zuhdiana, Medical Staff

Department of Physical Medicine and Rehabilitation, Diponegoro University, Semarang, Indonesia

Noviolita Dwi Kusumawati, Medical Staff

Department of Physical Medicine and Rehabilitation, Diponegoro University, Semarang, Indonesia

How to Cite

Effects of Additional Radial Shockwave Therapy to Median Nerve Gliding Exercises on Hand Grip Strength in Carpal Tunnel Syndrome Patients. (2021). Indonesian Journal of Physical Medicine and Rehabilitation, 10(02), 67-74. https://doi.org/10.36803/ijpmr.v10i02.304

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