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Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin
DOI: 10.1055/a-2420-1146
Original Article

Is Dorso-Volar Kinesiotape Added to the Home Exercise Program Effective in the Treatment of Carpal Tunnel Syndrome? Randomized Controlled Electrodiagnostic Study

Ist ein von dorsal nach volar appliziertes Kinesiotape zusätzlich zu einem Heimübungsprogramm bei Karpaltunnelsyndrom wirksam? Eine randomisierte, kontrollierte Elektrodiagnostik-Studie
Dilek Ozge Zincir Ercin
1   Department of Physical Medicine and Rehabilitation, Kocaeli Derince EAH, Kocaeli, Turkey (Ringgold ID: RIN375268)
,
Aysun Ozlu
2   Department of Physical Medicine and Rehabilitation, Kütahya Health Sciences University, Kutahya, Turkey (Ringgold ID: RIN552614)
,
Emine Cihan 
3   Theraphy and Rehabilitation, Selcuk Universitesi, Konya, Turkey (Ringgold ID: RIN52993)
› Author Affiliations Clinical Trial:Registration number (trial ID): NCT05997823, Trial registry: ClinicalTrials.gov (http://www.clinicaltrials.gov/), Type of Study: Prospective, Randomized
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Abstract

Objective We aimed to compare the short- and medium-term efficacy of dorso-volar kinesiotape (KT) added to home exercises (HE) with sham-KT and HE alone in the treatment of mild or moderate carpal tunnel syndrome (CTS) in terms of pain, symptom severity, function, gripping strength, and electrophysiological parameters.

Materials and Methods A total of 120 patients (99 females, 21 males) were divided into three groups dorso-volar KT and HE (n=40), sham-KT and HE (n=40), and HE (n=40). Pain (The visual analog scale [VAS]), symptom severity (Boston symptom severity scale [SSS]), functional status (Boston functional status scale [FSS]), nerve conduction study (NCS), hand, finger muscle strength were evaluated pretreatment, at the end of treatment (4th week), and in the third month posttreatment.

Results There were statistically significant improvements in VAS (p<0.001), Boston SSS (except HE group) (p<0.001), and Boston FSS (p<0.001) in all groups posttreatment compared to pretreatment, and more in the dorso-volar KT group than pretreatment and the posivite improvement continued at a decreasing rate in the third month posttreatment. At the end of treatment the dorso-volar KT group showed statistically significant improvement in Boston SSS (p<0.001, p<0.001) and Boston FSS (p<0.001, p<0.001) compared to the sham-KT and HE groups.

Conclusions The combination of dorso-volar KT and HE program makes a more effective and durable contribution to the improvement of CTS symptom severity, pain and functional status, as well as handgrip strength and NCS parameters compared with sham-KT and HE program.

Zusammenfassung

Ziel Ziel unserer Studie war es, die kurz- und mittelfristige Wirksamkeit eines von dorsal nach volar applizierten Kinesiotapes (kinesiologisches Tape, KT) zusätzlich zu einem Heimübungsprogramm (HÜ) mit Schein-KT und HÜ allein bei leichtem oder mittelschwerem Karpaltunnelsyndrom (KTS) in Hinblick auf Schmerzen, Schweregrad der Symptome, Funktion, Griffstärke und elektrophysiologische Parameter zu vergleichen.

Material und Methode Insgesamt wurden 120 Patientinnen und Patienten (99 Frauen, 21 Männer) in die Studie aufgenommen und in drei Gruppen aufgeteilt: dorsal-volares KT und HÜ (n=40), Schein-KT und HÜ (n=40) sowie HÜ (n=40). Zielparameter waren Schmerz (visuelle Analogskala [VAS]), Schweregrad der Symptome (Boston Symptom Severity Scale [SSS]), Funktionsstatus (Boston Functional Status Scale [FSS]), Nervenleitgeschwindigkeit (NLG) sowie Hand- und Fingermuskelkraft.

Ergebnisse Im Vergleich vor und nach der Behandlungen fanden sich in allen Gruppen statistisch signifikante Verbesserungen bei VAS (p<0,001), Boston SSS (außer HÜ-Gruppe) (p<0,001) und Boston FSS (p<0,001) und stärker in der Gruppe mit dorsal-volarem KT im Vergleich zu vor der Behandlung, wobei die Verbesserung im dritten Monat nach der Behandlung bei abnehmender Rateanhielt. Bei Abschluss der Behandlung fand sich für die Gruppe mit dorsal-volarem KT eine statisch signifikante Verbesserung im Vergleich zur Schein-KT- und HÜ-Gruppe hinsichtlich Boston SSS (p<0,001 bzw. p<0,001) und Boston FSS (p<0,001 bzw. p<0,001).

Schlussfolgerung Bei der Therapie des Karpaltunnelsyndroms leistet die Kombination von dorsal-volarem KT und Heimübungsprogramm einen wirksameren und dauerhafteren Beitrag zur Verbesserung des KTS hinsichtlich Schweregrad der Symptome, Schmerz und Funktionsstatus sowie Handgriffstärke und NLG-Parameter im Vergleich zu Schein-KT und Heimübungsprogramm.

Keywords

Electromyography - Muscle strength - Pain - Kinesiotape - Carpal tunnel syndrome

Schlüsselwörter

Elektromyographie - Muskelkraft - Schmerz - Kinesiotape - Karpaltunnelsyndrom


Publication History

Received: 28 December 2023

Accepted after revision: 09 September 2024

Article published online:
21 October 2024

© 2024. Thieme. All rights reserved.

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