Karpal Tünel Sendromlu Hastalarda Retinaculum Musculorum Flexorum’un Miyofasyal Olarak Gevşetilmesi, Median Sinir Mobilizasyonu ve Tendon Kaydırma Egzersizlerinin Kinezyo Bantlama Tekniğiyle Karşılaştırılması

Yıl 2019, Cilt: 1 Sayı: 2, 41 - 47, 01.12.2019

Mine Arğalı Deniz , Nihat Ekinci , Evren Köse Zuhal Altay

Öz

Amaç: Karpal tünel sendromu (KTS) tedavisinde,
kinesio taping bantlama tekniğinin ne kadar etkin olduğunu araştırmak ve bu
teknik ile retinaculum musculorum flexorum’un myofascial gevşetilmesi, n.
medianus mobilizasyonu ve tendon gliding egzersizlerinin üçünün birlikte
yapıldığı tedavi programının etkinliğini karşılaştırmaktır.

Materyal
ve Metod: Gönüllü KTS’li 40 bayan
hasta, rastgele 20 kişilik iki gruba ayrıldı ve 4 hafta tedaviye alındı. Grup
1’e haftada 5 gün retinaculum musculorum flexorum’un myofascial olarak
gevşetilmesi, n. medianus mobilizasyonu ve tendon gliding egzersizleri; Grup
2’ye pazartesi-perşembe günleri haftada 2 defa kinesio taping bantlama tekniği
uygulandı. Her bir hasta tedavi öncesi ve sonrası Boston Semptom Şiddeti
Skalası ve Boston Fonksiyonel Kapasite Skalası ile değerlendirilip, her grubun
tedavisinin kendi içinde etkinliğine ve iki grubun tedavi etkinliğinin
birbiriyle karşılaştırılması yapıldı.

Bulgular: Her iki grupta da tedavi öncesi ve sonrası
Boston Semptom Şiddeti Skalası ve Boston Fonksiyonel Kapasite Skalası değerleri
istatistiksel olarak anlamlı şekilde azalmıştır. Egzersiz grubu ve bantlama
grubu Boston Semptom Şiddeti Skalası’nda tedavi öncesi ve sonrası arasındaki
fark karşılaştırıldığında istatistiksel olarak anlamlı bir fark bulunmazken, Boston
Fonksiyonel Kapasite Skalası’nda iki grup arasında anlamlı bir fark tespit
edildi.

Sonuç: Her iki grupta da KTS semptomları açısından
olumlu etkiler sağlandığı tespit edilmiş, gruplar arasında istatistiksel olarak
fark bulunmamıştır. KTS fonksiyonları açısından değerlendirildiğinde egzersiz
grubu bantlama grubundan daha etkin çıkmıştır. 

Anahtar Kelimeler

Karpal tünel sendromu, miyofasyal gevşetme, n. medianus mobilizasyonu, tendon kaydırma egzersizleri;, kinezyo bantlama tekniği

Comparison of Kinesio Taping Technique with Myofacial Releasing of Retinaculum Musculorum Flexorum, Mobilization of the Median Nerve, and Tendon Gliding Exercises in Patients with Carpal Tunnel Syndrome

Öz

Aim:
We aimed to investigate the efficiency
of the kinesiotaping technique and to compare efficacy of this technique with a
treatment programme using all three types of myofacial releasing of flexor
retinaculum, mobilization of the median nerve, and tendon gliding exercises in
the Carpal Tunnel Sendrome (CTS).

Material
and Methods: Forty volunteer female
patients with CTS, divided into randomly two groups consisted of twenty
patients and received treatment for 4 weeks. Group 1 was put on mobilization of
the median nerve, myofascial releasing of flexor retinaculum, and tendon
gliding exercises therapy for 5 days per week, while Group 2 recieved the
kinesiotaping technique two times per week on Mondays and Thursdays. Every
patient was evaluated within the group and compared with the other group
according to Boston Symptom Severity Scale and Boston Functional Capacity Scale
pretreatment and posttreatment programme to compare the efficiencies of the
methods.

Results: In both groups, statisticaly significant
reductions were observed according to Boston Symptom Severity Scale and Boston
Functional Capacity Scale scores pretreatment and posttreatment. Although the
difference between exercises and taping groups was not statistically
significant according to Boston Symptom Severity Scale, a statistically
significant difference was noted according to Boston Functional Capacity Scale.

Conclusion:
Positive effects on CTS symptoms
were observed in both groups, but statistically significant difference was not
observed between groups. Excercise group was superior to taping group when we
compare two groups according to improvement of hand functions.

Anahtar Kelimeler

Carpal tunnel sendrome, myofacial releasing, mobilization of the median nerve, tendon gliding exercises, kinesio taping technique

Kaynakça

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