Elena Muñoz-Gómez, Marta Aguilar-Rodríguez, Marta Inglés, Sara Mollà-Casanova, Núria Sempere-Rubio, Pilar Serra-Añó
{"title":"镜像疗法对单侧腕管综合征患者疼痛、敏感性和功能的影响。随机对照试验。","authors":"Elena Muñoz-Gómez, Marta Aguilar-Rodríguez, Marta Inglés, Sara Mollà-Casanova, Núria Sempere-Rubio, Pilar Serra-Añó","doi":"10.1080/09638288.2023.2280705","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the effects of mirror therapy (MT) and therapeutic exercise (TE) with the unaffected hand, on pain, sensitivity and functionality in individuals with unilateral carpal tunnel syndrome (CTS).</p><p><strong>Material and methods: </strong>A randomized controlled trial was carried out. Thirty-nine adults with unilateral CTS were included and randomly allocated to a six-week training programme based on MT (<i>n</i> = 20) or TE (<i>n</i> = 19). Visual Analogue Scale, Semmes-Weinstein monofilament test, Two-point discrimination (2PD), Disabilities of the Arm, Shoulder and Hand (DASH) and Boston Carpal Tunnel Questionnaire (BCTQ) were assessed before (T0) and after the intervention (T1), and at one-month follow-up (T2).</p><p><strong>Results: </strong>At T1, MT and TE showed significant improvements in pain (<i>p</i> = 0.001 and <i>p</i> = 0.03, respectively), however, only MT maintained the achieved effects at T2 (<i>p</i> = 0.01). In addition, 2PD significantly improved in MT in the first (<i>p</i> = 0.04) and fourth fingers (<i>p</i> = 0.02) at T1. The DASH score decreased at T1 in MT (<i>p</i> < 0.001) and TE (<i>p</i> = 0.01). Additionally, the BCTQ score improved in MT (<i>p</i> < 0.001), and TE (<i>p</i> < 0.001) at T1. The effects were maintained at T2 for DASH and BCTQ scores.</p><p><strong>Conclusions: </strong>Training of the unaffected hand resulted in a significant improvement of the affected hand in both groups; nevertheless, MT achieved a longer duration of the effects.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":2.1000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effects of mirror therapy on pain, sensitivity and functionality in patients with unilateral carpal tunnel syndrome. Randomised control trial.\",\"authors\":\"Elena Muñoz-Gómez, Marta Aguilar-Rodríguez, Marta Inglés, Sara Mollà-Casanova, Núria Sempere-Rubio, Pilar Serra-Añó\",\"doi\":\"10.1080/09638288.2023.2280705\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To investigate the effects of mirror therapy (MT) and therapeutic exercise (TE) with the unaffected hand, on pain, sensitivity and functionality in individuals with unilateral carpal tunnel syndrome (CTS).</p><p><strong>Material and methods: </strong>A randomized controlled trial was carried out. Thirty-nine adults with unilateral CTS were included and randomly allocated to a six-week training programme based on MT (<i>n</i> = 20) or TE (<i>n</i> = 19). Visual Analogue Scale, Semmes-Weinstein monofilament test, Two-point discrimination (2PD), Disabilities of the Arm, Shoulder and Hand (DASH) and Boston Carpal Tunnel Questionnaire (BCTQ) were assessed before (T0) and after the intervention (T1), and at one-month follow-up (T2).</p><p><strong>Results: </strong>At T1, MT and TE showed significant improvements in pain (<i>p</i> = 0.001 and <i>p</i> = 0.03, respectively), however, only MT maintained the achieved effects at T2 (<i>p</i> = 0.01). In addition, 2PD significantly improved in MT in the first (<i>p</i> = 0.04) and fourth fingers (<i>p</i> = 0.02) at T1. The DASH score decreased at T1 in MT (<i>p</i> < 0.001) and TE (<i>p</i> = 0.01). Additionally, the BCTQ score improved in MT (<i>p</i> < 0.001), and TE (<i>p</i> < 0.001) at T1. The effects were maintained at T2 for DASH and BCTQ scores.</p><p><strong>Conclusions: </strong>Training of the unaffected hand resulted in a significant improvement of the affected hand in both groups; nevertheless, MT achieved a longer duration of the effects.</p>\",\"PeriodicalId\":50575,\"journal\":{\"name\":\"Disability and Rehabilitation\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2024-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Disability and Rehabilitation\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/09638288.2023.2280705\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/11/10 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Disability and Rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/09638288.2023.2280705","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/11/10 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}
Effects of mirror therapy on pain, sensitivity and functionality in patients with unilateral carpal tunnel syndrome. Randomised control trial.
Purpose: To investigate the effects of mirror therapy (MT) and therapeutic exercise (TE) with the unaffected hand, on pain, sensitivity and functionality in individuals with unilateral carpal tunnel syndrome (CTS).
Material and methods: A randomized controlled trial was carried out. Thirty-nine adults with unilateral CTS were included and randomly allocated to a six-week training programme based on MT (n = 20) or TE (n = 19). Visual Analogue Scale, Semmes-Weinstein monofilament test, Two-point discrimination (2PD), Disabilities of the Arm, Shoulder and Hand (DASH) and Boston Carpal Tunnel Questionnaire (BCTQ) were assessed before (T0) and after the intervention (T1), and at one-month follow-up (T2).
Results: At T1, MT and TE showed significant improvements in pain (p = 0.001 and p = 0.03, respectively), however, only MT maintained the achieved effects at T2 (p = 0.01). In addition, 2PD significantly improved in MT in the first (p = 0.04) and fourth fingers (p = 0.02) at T1. The DASH score decreased at T1 in MT (p < 0.001) and TE (p = 0.01). Additionally, the BCTQ score improved in MT (p < 0.001), and TE (p < 0.001) at T1. The effects were maintained at T2 for DASH and BCTQ scores.
Conclusions: Training of the unaffected hand resulted in a significant improvement of the affected hand in both groups; nevertheless, MT achieved a longer duration of the effects.
期刊介绍:
Disability and Rehabilitation along with Disability and Rehabilitation: Assistive Technology are international multidisciplinary journals which seek to encourage a better understanding of all aspects of disability and to promote rehabilitation science, practice and policy aspects of the rehabilitation process.