Publicou 4 edições por ano
ISSN Imprimir: 0896-2960
ISSN On-line: 2162-6553
Indexed in
Carpal Tunnel Syndrome: A Critical Review
RESUMO
Carpal tunnel syndrome: can we scientifically substantiate and improve upon current examination, evaluation, intervention, and patient management techniques? In recent decades, carpal tunnel syndrome (CTS) has been one of the most reported cumulative trauma disorders. Clinically, physicians used different provocative tests to diagnose CTS. Some of those tests include Tinel's sign, Phalen's test, and Semmes-Weinsten Monofilament testing. In addition, some physicians use grip strength and electromyography or nerve conduction» velocities to confirm clinical diagnosis. Depending on diagnosis and severity, there are different treatment approaches to consider implementing. Treatment options include surgery, physical therapy, occupational rehabilitation, drug therapy, and biobehavioral interventions. Although surgery is an available option, conservative therapy should not be ruled out as a first line of treatment. The purposes of this article are to review literature, draw a consensus among the investigators regarding the basic scientific evidence substantiating effective techniques of examination, evaluation, diagnosis, interventions, and care management of patients with CTS synthesized into an integrated, clinically relevant and applicable format, thereby enhancing clinical practice.