OBJECTIVE: To determine the short-term effects of local microwave hyperthermia on pain and function in patients with mild to moderate idiopathic carpal tunnel syndrome. DESIGN: Double-blind randomized sham-controlled trial. SETTING: Outpatient clinic of the Department of Physical Medicine and Rehabilitation, University Hospital. PARTICIPANTS: Twenty-two patients with idiopathic carpal tunnel syndrome, 12 of whom had bilateral involvement, for a total of 34 wrists, divided into two groups: a hyperthermia active treatment group (number of wrists = 17) and a sham-controlled group (number of wrists = 17). INTERVENTION: Six sessions, two per week, of either hyperthermia or sham treatment were provided over a period of three weeks. MAIN MEASURES: Visual analogue scale, Levine-Boston Self-Assessment Questionnaire (part I: evaluation of pain intensity; part II: evaluation of functional status) and neurophysiological assessments, were determined at baseline and at the end of the treatment. RESULTS: The hyperthermia group experienced a significant improvement in pain (visual analogue scale: P = 0.002; Levine-Boston part I: P < 0.0001) and functional status (Levine-Boston part II: P = 0.002) relative to baseline. No improvements in pain intensity or functionality were observed in the sham-treated group. Changes in pain severity between baseline and the end of treatment were larger in the hyperthermia group than in the sham-controlled group (Δ visual analogue scale P = 0.004; Δ Levine-Boston part I: P = 0.009). No differences either intra or between groups were observed for median nerve conduction velocity. CONCLUSION: Hyperthermia provides short-term improvements in pain and function in patients with mild to moderate carpal tunnel syndrome

Frasca, G., Maggi, L., Padua, L., Ferrara, P. E., Granata, G., Minciotti, I., Marzetti, E., Specchia, A., Ronconi, G., Rabini, A., Bertolini, C., Piazzini, D. B., Short-term effects of local microwave hyperthermia on pain and function in patients with mild to moderate carpal tunnel syndrome: A double blind randomized sham-controlled trial., <<CLINICAL REHABILITATION>>, 2011; 25 (12): 1109-1118 [http://hdl.handle.net/10807/5414]

Short-term effects of local microwave hyperthermia on pain and function in patients with mild to moderate carpal tunnel syndrome: A double blind randomized sham-controlled trial.

Frasca, Giuseppina;Maggi, Loredana;Padua, Luca;Ferrara, Paola Emilia;Granata, Giuseppe;Marzetti, Emanuele;Specchia, Alessandro;Ronconi, Gianpaolo;Rabini, Alessia;Bertolini, Carlo;Piazzini, Diana Barbara
2011

Abstract

OBJECTIVE: To determine the short-term effects of local microwave hyperthermia on pain and function in patients with mild to moderate idiopathic carpal tunnel syndrome. DESIGN: Double-blind randomized sham-controlled trial. SETTING: Outpatient clinic of the Department of Physical Medicine and Rehabilitation, University Hospital. PARTICIPANTS: Twenty-two patients with idiopathic carpal tunnel syndrome, 12 of whom had bilateral involvement, for a total of 34 wrists, divided into two groups: a hyperthermia active treatment group (number of wrists = 17) and a sham-controlled group (number of wrists = 17). INTERVENTION: Six sessions, two per week, of either hyperthermia or sham treatment were provided over a period of three weeks. MAIN MEASURES: Visual analogue scale, Levine-Boston Self-Assessment Questionnaire (part I: evaluation of pain intensity; part II: evaluation of functional status) and neurophysiological assessments, were determined at baseline and at the end of the treatment. RESULTS: The hyperthermia group experienced a significant improvement in pain (visual analogue scale: P = 0.002; Levine-Boston part I: P < 0.0001) and functional status (Levine-Boston part II: P = 0.002) relative to baseline. No improvements in pain intensity or functionality were observed in the sham-treated group. Changes in pain severity between baseline and the end of treatment were larger in the hyperthermia group than in the sham-controlled group (Δ visual analogue scale P = 0.004; Δ Levine-Boston part I: P = 0.009). No differences either intra or between groups were observed for median nerve conduction velocity. CONCLUSION: Hyperthermia provides short-term improvements in pain and function in patients with mild to moderate carpal tunnel syndrome
Inglese
Frasca, G., Maggi, L., Padua, L., Ferrara, P. E., Granata, G., Minciotti, I., Marzetti, E., Specchia, A., Ronconi, G., Rabini, A., Bertolini, C., Piazzini, D. B., Short-term effects of local microwave hyperthermia on pain and function in patients with mild to moderate carpal tunnel syndrome: A double blind randomized sham-controlled trial., <>, 2011; 25 (12): 1109-1118 [http://hdl.handle.net/10807/5414]
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10807/5414
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