Tomasz Wolny has completed his PhD in 2006. He is a researcher at the Department of Kinesitherapy and Special Methods in Physiotherapy, The Jerzy Kukuczka Academy of Physical Education in Katowice in Poland. He has published more than 67 papers in reputed journals and has been serving as an editorial board member of repute. For many years he has been evaluating the efficacy of neurodynamic techniques in the treatment of CTS patients.
Objective: The purpose of this study was to compared the efficacy of neurodynamic techniques, with “sham” therapy in the mild and moderate carpal tunnel syndrome (CTS). Methods: The study included 39 CTS patients (the average age 53.2; SD=11.5) who were randomly assigned to the NT group (neurodynamic techniques) or to the CG group (“sham” neurodynamic techniques). Nerve conduction study (NCS), pain severity (NPRS), symptom severity (SSS) and functional status (FSS) (Boston Carpal Tunnel Questionnaire - BCTQ) were assessed pre- and post-treatment. Therapy was conducted twice weekly and both groups received 10 therapy sessions. In the statistical analysis, the ANOVA model was used, supplemented with a post hoc test (p level 0.05). Results: : A baseline assessment revealed no group differences in NCS, NPRS, SSS and FSS (in all cases p>0.05). Four weeks after the last treatment procedure, nerve conduction was examined again. In the NT group, median nerve sensory conduction velocity increased by 53%, motor conduction velocity by 10%, distal motor latency was decreased by 30% (in all cases, p<0.001). There were no significantly changes in NCS of median nerve in the CG group. Immediately after therapy were evaluated NPRS, SSS and FSS. In the MT group NPRS decreased by 308%, SSS decreased by 72% and FSS increased by 49%. There were no significantly changes in NPRS, SSS and FSS in the CG. Conclusion: Neurodynamic techniques had a positive effect on NCS, NPRS, SSS and FSS as compared with “sham” therapy in the mild and moderate CTS patients.
Mei-Hsiang Chen is the associate Professor of Chung Shan Medical University. She is published more than 10 papers in reputed journals.
Rehabilitation products are the most important and indispensable tools. It should be increase treatment effectiveness and motivation for the patients and to reduce the occupational therapists work loading. The purpose of this study was to survey the usage problems and needs of the traditional Stacking cones for stroke patients and occupational therapists by field observe and in-depth interview. The results can be summarized as follows: (1) the improvement suggestions of Stacking cones are to add the friction materials on the bottom of the platform to improve the sliding problem, to provide different sizes and shapes of objects to replacing the cones, to change the way for fingers grasp, to increase the product interesting, to record the track of the movement and the number of movements. (2) The design suggestions of the Stacking cones for home used: to use the items obtained at home (such as: plastic cups, bottles, yogurt bottles and other items) to replace conical cup; Treatment activities, such as: pouring, eating, drinking, wiping the table of action. Based on these suggestions, a Checkerboard upper limb rehabilitation product was designed. The design features are: The magnetic force of the magnet is applied as a frictional force; the backplane has a support frame that adjusts the slope of the platform; depending on the degrees of recovery of the patient's hand function, objects of different sizes can be selected. Further research is needed to examine the effects and intensity of using it in rehabilitation.