NGHIÊN CỨU SO SÁNH HIỆU QỦA CỦA PHƯƠNG PHÁP VẬT LÝ TRỊ LIỆU VÀ PHƯƠNG PHÁP PHẪU THUẬT TRONG ĐIỀU TRỊ HỘI CHỨNG ỐNG CỔ TAY

Hùng Phan Hữu; Hoàng Nguyễn Minh; Trí Lê Quang

Keywords:

carpal tunnel syndrome, surgery, physical therapy

Abstract

Objectives: compare the effectiveness of physical therapies and surgical therapy as methods of treatment for carpal tunnel syndrome at 7A Military Hospital. Subject and method: A Randomized Parallel-Group Trial, compared before and after treatment at 7A Military Hospital on 70 patients. Time: From December 2017 to December 2018. Interventions consisted of physical therapies (The first group, n = 37) and decompression of the carpal tunnel (The second group, n = 33). The Quick Dash questionnaire was used. The patients were assessed after the therapies 3 months and 6 months after treatment.

Results: The Quick DASH score of two groups with carpal tunnel syndrome have improved similarly significantly, in the first group: the core before treatment was 73.19 ± 15.00 and after treatment decreased to 34.04 ± 13.15, in the second group: the core before treatment was 75,20 ± 14,40 and after treatment decreased to 32 ± 13,15. In the 3rd month, the pain variations in the two group were similar. After 6 months, the Quick DASH score of the first group were higher than second group᾽s scores (p<0,05).

Conclusion: Symptoms of the disease also improved clearly before and after the study. The long- term results of surgical method are better than physical therapies.

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