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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >Median nerve mobilization techniques in the treatment of carpal tunnel syndrome: A systematic review
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Median nerve mobilization techniques in the treatment of carpal tunnel syndrome: A systematic review

机译：腕管综合征治疗中位神经动员技术：系统评价

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Abstract Study Design Systematic review. Introduction Median nerve mobilization is one of the interventions used in the treatment of carpal tunnel syndrome (CTS). However, it is uncertain how many types of mobilization techniques are described in the current literature or the relative effectiveness of these techniques in treating CTS. Purpose of the Study The aim of this review was to describe the types and effectiveness of median nerve mobilization techniques studied in the CTS literature. Methods Electronic searches of 5 databases and manual searches of references lists located randomized controlled trials studies published between 2000 and April 2015. Quality appraisal for each study was conducted using the Standard Quality Assessment Criteria for Evaluating Primary Research Papers from a Variety of Fields by 2 independent reviewers. Results Nine randomized controlled trial studies describing various median nerve mobilization techniques used in the treatment of CTS were included. All studies were rated as of “adequate”, “good”, or “strong” quality for the Standard Quality Assessment Criteria. Three techniques of median nerve mobilization were described. Treatment outcomes included measures of electrodiagnostic testing, functional performance, pain, physical examination, sensation, and strength. Standardized mean differences for the treatment outcomes ranged from very small to large (0.05-1.71). Conclusion The findings are inconclusive regarding the effectiveness of each mobilization technique due to methodological limitations in the current body of research. Therefore, there is a clear need for high-quality controlled studies to examine various approaches to median nerve mobilization techniques in the treatment of CTS. Level of Evidence 2a.
机译：抽象研究设计系统评价。引言中位神经动员是治疗腕管综合征（CTS）的干预措施之一。然而，它不确定在当前文献中描述了多种类型的动员技术或在处理CTS中的这些技术的相对有效性。研究目的的目的是描述CTS文献中研究中位神经动员技术的类型和有效性。方法使用2000年至2015年间的随机对照试验研究，电子搜索的5个数据库和手动搜索列表定位。使用标准质量评估标准进行每项研究的质量评估，用于评估来自各种田地的主要研究文件2独立审稿人。结果包括九种随机对照试验研究，描述用于治疗CTS的各种中位神经动员技术。所有研究都被评为标准质量评估标准的“足够”，“良好”或“强烈”质量。描述了中位神经动员的三种技术。治疗结果包括电源性测试，功能性能，疼痛，体检，感觉和力量。对治疗结果的标准化平均差异从非常小到大（0.05-1.71）。结论由于目前研究体内的方法论局限性，每个动员技术的有效性不确定。因此，可以清楚地需要高质量的受控研究，以检查CTS治疗中位神经动员技术的各种方法。证据级别2a。

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