Reham Hamoda

Citation:

, EFFECT OF MYOFASCIAL RELEASE ON CARPAL TUNNEL SYNDROME DURING PREGNANCY, , 2014.

Abstract:

This study was conducted to examine the effect of myofascial release on carpal tunnel syndrome (CTS) during pregnancy. Thirty pregnant women had CTS, their age ranged from 25-35 years, were selected from the Obstetric Out-patient Clinic, El-Sahel Teaching Hospital and were participated in this study. All pregnant women were assigned randomly into two groups equal in number, Group (A) control group: was worn natural wrist splint while sleeping for four weeks. And group (B) study group: they received myofascial release in addition to natural wrist splint for 4 weeks.
Evaluations of all pregnant women in both groups (A&B) were done before starting and after the end of the study (4 weeks), through Phalen's test, median nerve distal motor latency (DML) and Boston carpal tunnel questionnaire to assess pain, numbness & tingling sensation severity and hand function. The results of this study showed that statistically significant decrease (P< 0.001) in numbness & tingling sensation severity in group (A) as well as group (B). A statistically significant decrease (P< 0.001) in median nerve DML, pain intensity and weakness &difficulty in grasping severity in group (B), while group (A) showed statistically non-significant decrease (P> 0.05) in median nerve DML, pain intensity, numbness & tingling sensation severity and weakness & difficulty in grasping severity. Comparison between both groups (A&B) before starting the study reveals statistically non-significant difference between them. While after the end of the study, there was statistically significance decrease (P< 0.001) in median nerve DML, pain intensity, numbness & tingling sensation severity and weakness & difficulty in grasping severity, which in favor to group (B). Accordingly, it could be concluded that myofascial release is considered safe, non-invasive and simple method for decreasing pain intenisty, numbness & tingling sesation severity and improve the hand function in CTS during pregnancy.
Key words: Carpal tunnel syndrome, Myofascial release, Boston carpal tunnel questionnaire, Median nerve distal motor latency.