ABSTRACT
Aim: to compare between the effect of dexamethasone phonophoresis
with nerve gliding, ketoprofen phonophoresis with nerve gliding and
nerve gliding in management of mild to moderate carpal tunnel
syndrome (CTS).Subjects.Sixty patients suffering from mild to moderate
carpal tunnel syndrome were selected from Department of Neurology,
Mansoura University. Their age ranged between 20 and 30 years old.
They were divided randomly into three equal groups. Group A (study
group); 20 patients receive dexamethasone phonophoresis and nerve
gliding, group B (study group); 20 patients receive
ketoprofen phonophoresis and nerve gliding, and Group (C- control
group); 20 patients receive nerve gliding. All groups were assessed
before and after treatment using visual analogue scale (VAS) for pain,
Semmes Weinstein Monofilaments (SWM) for skin sensation, and
handheld dynamometer (HHD) for hand grip strength.The treatment
program was given 3 times/ week for 6 weeks for the three groups.
Results: There were significant decrease in VAS after-treatment, mean
difference for VAS after-treatment show significance between group A
versus group C (P=0.0001; P<0.05) and group B versus group C
(P=0.0001; P<0.05), but no significant difference between group A
versus group B (P=1.000; P>0.05). Mean differences between groups
showed that the dexamethasone phonophoresis plus nerve gliding group < br />(Group A) give the highest VAS value. The repeated measure ANOVA
revealed that a significant difference among HHD in group A (P=0.0001;
P<0.05), but no significant differences within group B and group C
Egypt. J. of Appl. Sci., 36 (7-8) 2021 94-101
(P=0.118; P>0.05). Mean differences among groups show siginificant
improvent in SWM. Conclusion: it could be concluded that
dexamethasone phonophoresis and ketoprofen phonophoresis combined
with nerve gliding are effective in the treatment of carpal tunnel
syndrome than nerve glid alone.