Vongvachvasin 2024 | CTS | FSW
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Vongvachvasin P, Phakdepiboon T, Chira-Adisai W, Siriratna P. Efficacy of focused shockwave therapy in patients with moderate-to-severe carpal tunnel syndrome: a preliminary study. J Rehabil Med. 2024 Feb 8;56:jrm13411.
Single-blind randomized controlled trial. 24 patients with moderate-to-severe carpal tunnel syndrome were randomly allocated into 2 groups: • Focused ESWT (0.01-0.15 mJ/mm², 4-5Hz, 1500 shocks, 3 weekly sessions) + conservative treatment (gliding exercises for carpal tunnel syndrome, a night wrist splint, and lifestyle modification) • Conservative treatment only Results: • Outcomes regarding symptoms & function (Thai version of Boston CT questionnaire), distal sensory & motor latency (nerve conduction tests) were significantly more improved in the FSW group than the control group.
Key message Focused ESWT added to conservative treatment demonstrated significant benefits with respect to short- term symptomatic relief, improved function, and improved nerve conduction in patients with moderate- to-severe CTS
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