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. 2017 Oct 23;7(5):e14621.
doi: 10.5812/aapm.14621. eCollection 2017 Oct.

The Effect of Scaphoid and Hamate Mobilization on Treatment of Patients with Carpal Tunnel Syndrome

Vida Dinarvand  1 , Iraj Abdollahi  2 , Seyed Ahmad Raeissadat  3 , Mohammad Ali Mohseni Bandpei  2 , Marzieh Babaee  3 , Ailin Talimkhani  1
Affiliations

The Effect of Scaphoid and Hamate Mobilization on Treatment of Patients with Carpal Tunnel Syndrome

Vida Dinarvand et al. Anesth Pain Med. .

Abstract

Background: This study was to evaluate the effect of hamate and scaphoid bone mobilization alongside splinting in women with carpal tunnel syndrome.

Methods: In this randomized clinical trial, 40 participants were randomly assigned into 2 groups. The intervention group received splinting with scaphoid and hamate mobilization, while the control group received splinting only. Outcome variables were pain (based on visual analogue scale), symptom severity and functional status (based on Boston questionnaire), and nerve conduction study measured before and 10 weeks after the treatments.

Results: At the end of study, both groups showed an improvement in pain and symptom severity, functional status as well as median nerve conduction study. Although there was no statistically significant difference between groups regarding changes in median nerve sensory and motor distal latencies; the improvement was significantly higher in pain and symptom severity as well as functional status in mobilization group (P-Value < 0.05).

Conclusions: Hamate and scaphoid mobilization can be used as an effective option in women with mild to moderate carpal tunnel syndrome. Further investigation is required for determining long-term effects and cost-effectiveness of mobilization in carpal tunnel syndrome.

Keywords: Carpal Tunnel Syndrome; Mobilization; Scaphoid and Hamate; Splint.

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Figure 1.. CONSORT Flow Diagram
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