MARC details
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03037nas a22002537a 4500 |
| 003 - CONTROL NUMBER IDENTIFIER |
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OSt |
| 005 - DATE AND TIME OF LATEST TRANSACTION |
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20210315162542.0 |
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| 007 - PHYSICAL DESCRIPTION FIXED FIELD--GENERAL INFORMATION |
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ta |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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171219t2015 sp ||||| |||| 00| 0 spa | |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
1526-5900 |
| 040 ## - CATALOGING SOURCE |
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| Transcribing agency |
Salus Infirmorum |
| 245 00 - TITLE STATEMENT |
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| Title |
Manual Physical Therapy Versus Surgery for Carpal Tunnel Syndrome: A Randomized Parallel-Group Trial /<br/> |
| Statement of responsibility, etc. |
Cesar Fernandez-de-las Penas, Ricardo Ortega-Santiago,y Ana I. de la Llave-Rincon,y Almudena Martínez-Perez,Homid Fahandezh-Saddi Díaz,x Javier Martínez-Martín,x Juan A. Pareja,and Maria L. Cuadrado-Perez |
| 500 ## - GENERAL NOTE |
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| General note |
PDF en biblioteca |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE |
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| Bibliography, etc. note |
Bibliografía: p. 1093-1094 |
| 520 8# - SUMMARY, ETC. |
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| Summary, etc. |
Abstract: This randomized clinical trial investigated the effectiveness of surgery compared with physical therapy consisting of manual therapies including desensitization maneuvers in carpal tunnel syndrome (CTS). The setting was a public hospital and 2 physical therapy practices in Madrid, Spain.<br/>One hundred twenty women with CTS were enrolled between February 2013 and January 2014, with 1-year follow-up completed in January 2015. Interventions consisted of 3 sessions of manual therapies including desensitization maneuvers of the central nervous system (physical therapy group, n = 60) or decompression/release of the carpal tunnel (surgical group, n = 60). The primary outcome was pain intensity (mean pain and the worst pain), and secondary outcomes included functional status and symptoms severity subscales of the Boston Carpal Tunnel Questionnaire and the selfperceived improvement. They were assessed at baseline and 1, 3, 6, and 12 months by a blinded assessor. Analysis was by intention to treat. At 12 months, 111 (92%) women completed the follow-up (55/60 physical therapy, 56/60 surgery). Adjusted analyses showed an advantage (all, P < .01) for physical therapy at 1 and 3 months in mean pain (D 2.0 [95% confidence interval (CI) 2.8 to 1.2]/1.3 [95% CI 2.1 to .6]), the worst pain (D 2.9 [4.0 to 2.0]/2.0 [3.0 to .9]), and function (D .8 [1.0 to .6]/.3 [.5 to .1]), respectively. Changes in pain and function were similar between the groups at 6 and 12 months. The 2 groups had similar improvements in the symptoms severity subscale of the Boston Carpal Tunnel Questionnaire at all follow-ups. In women with CTS, physical therapy may result in similar outcomes on pain and function to surgery.<br/>Trial registration: http://www.clinicaltrials.gov, ClinicalTrials.gov, NCT01789645.<br/>Perspective: This study found that surgery and physical manual therapies including desensitization maneuvers of the central nervous system were similarly effective at medium-term and long-term follow-ups for improving pain and function but that physical therapy led to better outcomes in the short term. |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
Carpal tunnel syndrome |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
surgery |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
physical therapy |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
manual therapy |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
pain |
| 773 ## - HOST ITEM ENTRY |
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| Related parts |
-- 2015, v 16, n 11, p.1087-1094 |
| Title |
The Journal of Paint |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Source of classification or shelving scheme |
Universal Decimal Classification |
| Koha item type |
Artículo de revista |
