Neuromodulation of the median nerve in carpal tunnel syndrome, a single-blind, randomized controlled study

Background: This study aimed to evaluate the efficacy of pulsed radiofrequency applied using transcutaneous electrodes in carpal tunnel syndrome (CTS).

Methods: After randomization, the patients received two cycles of noninvasive pulsed radiofrequency (NiPRF), once weekly, or splinting (the control group) for three months. Clinical evaluations were recorded at baseline and weeks 4 and 8. The Boston Carpal Tunnel Syndrome Questionnaire (BCTQ) was used to determine the functional status and symptom severity.

Results: Sixty-two patients were followed up for three months. There was no difference between the groups in the BCTQ scores before and after treatment. The NiPRF group found a significant difference between the BCTQ measurements at all time intervals (paired sample t -test; P < 0.001). In the splint group, there was a significant difference only between the basal-1st month and basal-3rd month (paired samples t -test; P < 0.001). The main effect of the time variable was statistically significant (ANOVA; P < 0.001), but the group variable was not. There was no correlation between the BCTQ results measured at any time and the electroneuromyelogragphy findings in either group.

Conclusions: NiPRF effectively improves symptoms and functionality in patients with CTS for up to 3 months. Thus, NiPRF can be considered an easy, safe, and useful alternative treatment modality for CTS.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:37

Enthalten in:

The Korean journal of pain - 37(2024), 1 vom: 01. Jan., Seite 34-40

Sprache:

Englisch

Beteiligte Personen:

Genç Perdecioğlu, Gevher Rabia [VerfasserIn]
Panpallı Ateş, Mehlika [VerfasserIn]
Yürük, Damla [VerfasserIn]
Akkaya, Ömer Taylan [VerfasserIn]

Links:

Volltext

Themen:

Carpal Tunnel Syndrome
Chronic Pain
Journal Article
Median Neuropathy
Neuralgia
Pain Management
Pulsed Radiofrequency Treatment
Randomized Controlled Trial
Splints

Anmerkungen:

Date Revised 06.01.2024

published: Print-Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.3344/kjp.23232

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM365526630