Indian Journal of Physical Medicine and Rehabilitation

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VOLUME 27 , ISSUE 4 ( December, 2016 ) > List of Articles

RESEARCH ARTICLE

A Comparative Study of Local Ultrasound Therapy and Local Steroid Injection in Patients of Carpal Tunnel Syndrome

Neeraj Gupta, Sunil Goenka, Manoj Verma

Citation Information : Gupta N, Goenka S, Verma M. A Comparative Study of Local Ultrasound Therapy and Local Steroid Injection in Patients of Carpal Tunnel Syndrome. Indian J Phy Med Rehab 2016; 27 (4):98-103.

DOI: 10.5005/ijopmr-27-4-98

Published Online: 00-12-2016

Copyright Statement:  Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction

Carpal tunnel syndrome is the most common compressive neuropathy of upper extremity affecting predominantly females of middle age group. Symptoms include pain, paracsthesia, numbness in median nerve distribution of hand.

Study design

Comparative type of interventional study.

Study area

Department of Physical Medicine and Rehabilitation, SMS Medical College and attached group of hospitals, Jaipur.

Duration of study

One and a half years April 2014-October 2015.

Aims and objective

To compare the efficacy of local ultrasound therapy and local corticosteroid injection for carpal tunnel syndrome management.

Study population

A total of sixty patients with CTS (agep>18 years) were randomly assigned to the steroid treatment plus splinting(group A) or ultrasound treatment plus splinting(group B).

Results

The mean age of study population was 45.47±12.24 years with males comprising 13.3% and females 86.6% of whole study. At baseline all outcome variables were comparable statistically in both the groups (p>0.05). In follow-up assessment at 8th week, statistically significant improvement was obtained in all clinical and electrophysiological parameters in group A: Grip strength, symptom severity score, functional status score, median DML, sensory nerve conduction velocity (p<0.001 for each). Also the group B showed improvement in all parameters except grip strength. At the end of 24th week all outcome variables showed decline in improvement as comparative to 8th week, but still they were better than baseline in both groups. There was no significant difference between the groups in outcome variables except for the grip strength.

Conclusion

Ultrasound treatment provided improvement comparable to steroid injection in all clinical and electrophysiological parameters in patients with CTS except grip strength. Overall steroid therapy is more effective than ultrasound therapy. Effectiveness of treatment persist for at least 6 months then it lessens, so long follow-up is required.


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