American journal of physical medicine & rehabilitation · 2026
Investigation of the Effectiveness of Extracorporeal Shock Wave Therapy and Kinesiotaping in Individuals With Carpal Tunnel Syndrome: A Randomized Controlled Trial.
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Kocaman Hikmet, Canli Mehmet, Ceylan İsmail, Valamur İrem, Yetiş Aysu, Yildirim Hasan, Alkan Halil
Аннотация
BACKGROUND: The aim of this study is to compare the clinical and electrophysiological effects of different treatment protocols in individuals diagnosed with CTS.
MATERIALS AND METHOD: The study included 54 individuals diagnosed with mild to moderate CTS and randomly divided into three groups. The control group received only wrist splinting and nerve-tendon gliding exercises (NTGEs). The ESWT group received extracorporeal shock wave therapy (ESWT) in addition to splinting and NTGEs. The ESWT+Taping group received kinesiotaping (KT) in addition to splinting, NTGEs and ESWT. Pain was assessed using the VAS, hand grip strength was assessed using a hand dynamometer, symptom severity and functional status were assessed using the Boston Carpal Tunnel Questionnaire, and electrophysiological data were assessed using median nerve conduction measurements.
RESULTS: Significant improvements were observed in all three groups. However, the ESWT+Taping group demonstrated significantly greater improvement across all outcome measures compared to the other groups (P<0.05).
CONCLUSION: The addition of KT to splinting, NTGEs, and ESWT enhances symptomatic, functional, and electrophysiological recovery. These findings support the use of multimodal treatment strategies in CTS rehabilitation.
CLINICAL TRIAL REGISTRATION: The study was registered at the Clinical Trial Registry (NCT06981715).
MATERIALS AND METHOD: The study included 54 individuals diagnosed with mild to moderate CTS and randomly divided into three groups. The control group received only wrist splinting and nerve-tendon gliding exercises (NTGEs). The ESWT group received extracorporeal shock wave therapy (ESWT) in addition to splinting and NTGEs. The ESWT+Taping group received kinesiotaping (KT) in addition to splinting, NTGEs and ESWT. Pain was assessed using the VAS, hand grip strength was assessed using a hand dynamometer, symptom severity and functional status were assessed using the Boston Carpal Tunnel Questionnaire, and electrophysiological data were assessed using median nerve conduction measurements.
RESULTS: Significant improvements were observed in all three groups. However, the ESWT+Taping group demonstrated significantly greater improvement across all outcome measures compared to the other groups (P<0.05).
CONCLUSION: The addition of KT to splinting, NTGEs, and ESWT enhances symptomatic, functional, and electrophysiological recovery. These findings support the use of multimodal treatment strategies in CTS rehabilitation.
CLINICAL TRIAL REGISTRATION: The study was registered at the Clinical Trial Registry (NCT06981715).