Extracorpeal Shock Wave Therapy Versus Ultrasound for Carpal Tunnel Syndrome in Post Menopausal Women, SOHEIR M. EL-KOSERY, GHADA E. EL-REFAYE, ABD-ELATIF G. EL-KHOLY and AMANY M. EL-AHWAL
Abstract
Aim: To differentiate between the effect of extracopreal shock wave therapy and ultrasound therapy in the treatment of carpal tunnel syndrome in post-menopausal women.
Subjects: Forty women were selected from Damietta Specialist Hospital; their age ranged from 50-60 years and their body mass index (BMI) was than 30Kg/m2. The partic-ipants were assigned into two groups of equal numbers, study and control groups 20 women each.
Methods: The study group (A) received shock wave therapy and wore cock-up splint which adjusted at neutral angle at night time, while the control group (B) pulsed ultra-sound and wore cock-up splint which adjusted at neutral angle at night time. 3 days per week for a successive 4 weeks for both group.
Main measures: The measurement outcome was pressure pain intensity by visual analog scale and nerve study by EMG.
Results: Both group showed statistically significant improvement of the measured variables, but in favor of the group 1.
Conclusion: Both groups improved by the end of the program in nerve conduction study and visual analog scale. However shock wave therapy was effective improving pain intensity perception, increasing conduction velocity, decreasing sensory and motor nerve latency of median nerve.