TY - JOUR
T1 - The Utilization of Joint Mobilization As Part of a Comprehensive Program to Manage Carpal Tunnel Syndrome
T2 - A Systematic Review
AU - Sault, Josiah D.
AU - Jayaseelan, Dhinu J.
AU - Mischke, John J.
AU - Post, Andrew A.
N1 - Publisher Copyright:
© 2020
PY - 2020/5
Y1 - 2020/5
N2 - Objective: The purpose of this review is to identify the role of joint mobilization for individuals with Carpal tunnel syndrome (CTS). Methods: A systematic search of 5 electronic databases (PubMed, CINAHL, Scopus, Cochrane Central Register of Controlled Trials, and SPORTDiscus) was performed to identify eligible full-text randomized clinical trials related to the clinical question. Joint mobilization had to be included in one arm of the randomized clinical trials to be included. Two reviewers independently participated in each step of the screening process. A blinded third reviewer assisted in cases of discrepancy. The PEDro scale was used to assess quality. Results: Ten articles were included after screening 2068 titles. In each article where joint mobilization was used, positive effects in pain, function, or additional outcomes were noted. In most cases, the intervention group integrating joint mobilization performed better than the comparison group not receiving joint techniques. Conclusion: In the articles reviewed, joint mobilization was associated with positive clinical effects for persons with CTS. No studies used joint mobilization in isolation; therefore, results must be interpreted cautiously. This review indicates that joint mobilization might be a useful adjunctive intervention in the management of CTS.
AB - Objective: The purpose of this review is to identify the role of joint mobilization for individuals with Carpal tunnel syndrome (CTS). Methods: A systematic search of 5 electronic databases (PubMed, CINAHL, Scopus, Cochrane Central Register of Controlled Trials, and SPORTDiscus) was performed to identify eligible full-text randomized clinical trials related to the clinical question. Joint mobilization had to be included in one arm of the randomized clinical trials to be included. Two reviewers independently participated in each step of the screening process. A blinded third reviewer assisted in cases of discrepancy. The PEDro scale was used to assess quality. Results: Ten articles were included after screening 2068 titles. In each article where joint mobilization was used, positive effects in pain, function, or additional outcomes were noted. In most cases, the intervention group integrating joint mobilization performed better than the comparison group not receiving joint techniques. Conclusion: In the articles reviewed, joint mobilization was associated with positive clinical effects for persons with CTS. No studies used joint mobilization in isolation; therefore, results must be interpreted cautiously. This review indicates that joint mobilization might be a useful adjunctive intervention in the management of CTS.
KW - Manipulation
KW - Musculoskeletal Manipulations
KW - Orthopedic
KW - Pain
UR - http://www.scopus.com/inward/record.url?scp=85089866357&partnerID=8YFLogxK
U2 - 10.1016/j.jmpt.2020.02.001
DO - 10.1016/j.jmpt.2020.02.001
M3 - Article
C2 - 32861521
AN - SCOPUS:85089866357
SN - 0161-4754
VL - 43
SP - 356
EP - 370
JO - Journal of Manipulative and Physiological Therapeutics
JF - Journal of Manipulative and Physiological Therapeutics
IS - 4
ER -