Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Basic Science

Background: Carpal tunnel syndrome (CTS) is a common neuropathy caused by entrapment of the median nerve at the level of the wrist. Neural mobilization is one of the frequently used methods for treating CTS.Objective: The purpose of this study was to investigate and compare the effects of contralateral and ipsilateral neural mobilization of median nerve in cases of unilateral (CTS).Methods: forty five patients of both genders with ages ranged from 30-50 years old were diagnosed as unilateral mild to moderate CTS. They randomly assigned into three groups, each one included 15 patients, all groups received conventional treatment in form of TENS, U.S and infra-red. The first group received contralateral neural mobilization in form of upper limb tension test 1 (ULTT-1) plus conventional treatment, the second group received ipsilateral neural mobilization in the form of (ULTT-1) plus conventional treatment and the third group received only conventional treatment. All groups received 3 treatment sessions per week for 2 weeks. Computerized electromyography was used for measuring median nerve motor and sensory distal latencies before and after the treatment. Pain level and Functional level were measured by Upper Extremity Functional Scale (UEFS) and visual analogue scale (VAS) respectively

Issued also as CD