- 作者：Francisco Bautista Aguirrea ; PT ; DO<sup>asup><sup> ; sup><sup>osteopacobautista@gmail.comsup> ; Juan José ; Boscá ; Gandí ; aa ; PT-DO-MRO<sup>asup> ; Vicente Hervá ; s Brizb ; MD<sup>bsup> ; Jesú ; s Oliva Pascual-Vacaa ; PT<sup>asup>
- 关键词：Sí ; ndrome del tú ; nel carpiano ; Fuerza prensil ; Umbral de dolor a la presió ; n ; Manipulació ; n vertebral cervical ; Á ; rea de secció ; n transversal
- 刊名：Osteopat铆a Cient铆fica
- 出版年：2011
- 期刊代码：pca274_18869297
- 类别：med
- 出版时间：January-April 2011
- 卷：6
- 期：1
- 页码：35-43
- 文件大小：636 K
ss="h4">Objectives
To describe the use of the osteopathic approach in carpal tunnel syndrome (CTS) and in particular cervicothoracic junction manipulation and stretching of the annular ligament of the carpus.
ss="h4">Clinical characteristics
A 43-year-old woman sought osteopathic treatment with a 2-month history of predominantly left incipient bilateral CTS unresponsive to drug therapy.
ss="h4">Intervention and results
Five treatment sessions were carried out in which the thumb move technique was applied to C7/T1 combined with stretching of the carpal ligament for 5 minutes, both on a bilateral basis. The cross-sectional area of the median nerve changed from 10.8 to 5.0 mm<sup>2sup> for the left nerve and from 10.6 to 7.8 mm<sup>2sup> for the right nerve, values consistent with a change from CTS to normal status. Increases in both manual grip strength and pain threshold to pressure on the carpal tunnel nerve were achieved.
ss="h4">Conclusions
The satisfactory results obtained in this patient and the improvement in the variables analyzed highlights the importance of osteopathy and, specifically, of the techniques used in the treatment of mild and moderate CTS.