Critical Reviews™ in Physical and Rehabilitation Medicine

ISSN for PRINT: 0896-2960

For Online Access

Best Paper Award Selection - Editorial Board Site

2001, Volume13

Issue 1

94 pages

Issue price - $163.00

David E. Kipp
U.S.Healthworks, Inc., 3151 East Center Street, Warsaw, IN 46580

Julie K. Wilson
Department of Performance Dynamics, 22021 North Glenwood Avenue, Muncie, IN 47304

Carpal tunnel syndrome: can we scientifically substantiate and improve upon current examination, evaluation, intervention, and patient management techniques? In recent decades, carpal tunnel syndrome (CTS) has been one of the most reported cumulative trauma disorders. Clinically, physicians used different provocative tests to diagnose CTS. Some of those tests include Tinel's sign, Phalen's test, and Semmes-Weinsten Monofilament testing. In addition, some physicians use grip strength and electromyography or nerve conduction» velocities to confirm clinical diagnosis. Depending on diagnosis and severity, there are different treatment approaches to consider implementing. Treatment options include surgery, physical therapy, occupational rehabilitation, drug therapy, and biobehavioral interventions. Although surgery is an available option, conservative therapy should not be ruled out as a first line of treatment. The purposes of this article are to review literature, draw a consensus among the investigators regarding the basic scientific evidence substantiating effective techniques of examination, evaluation, diagnosis, interventions, and care management of patients with CTS synthesized into an integrated, clinically relevant and applicable format, thereby enhancing clinical practice.

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