Combined Effects of Neurodynamics With PNF on Pain and ROM in Patients With CTS.

Experimental: Neurodynamic with PNF

PNF technique include Rhythmic Initiation along with agonistic reversals. Neurodynamics includes the distal nerve tension technique along with nerve sliding.

Otro: Neurodynamic and PNF

These 2 exercises were provided in 10 repetitions for 2 weeks (duration), 5 days per week (frequency).

i) PNF techniques used in carpal tunnel treatment includes

1. Rhythmic Initiation
2. Agonistic Reversals. ii) For Neurodynamic

(1) Distal nerve tension technique :Hand was placed in six different positions each position maintained for 7 second and have 5 repetitions for each step this is done in median nerve tension technique (2) nerve slide

Otros nombres:

• Neurodinámica
• Proprioceptive Neuromuscular Facilitation technique

Comparador activo: Baseline treatment

Wrist splint along with ultrasound therapy, cold therapy, and medication like NSAIDs.

Otro: Baseline Treatment

They were provided with common conservative physical therapy treatment for 2 weeks, 5 days per week, following carpal tunnel syndrome.

These treatments included use of a wrist splint, especially at night, along with 10-15 min of cold and ultrasound therapy. Medications like NSAIDs were given for 5 days.

Otros nombres:

• Terapia de ultrasonido
• medicamento
• Terapia de frío
• férula para muñeca

Quick DASH Questionnaire

Changes from Baseline Quick DASH questionnaire (Quick Disabilities of the Arm, Shoulder, and Hand) is a concise version of the DASH questionnaire. It consists of 11 items, with each item scored from 1 (no difficulty) to 5 (unable to perform), assessing daily activities, pain, and social functioning, along with optional modules for work or sports/performing arts. The total score ranges from 0 to 100, where 0 indicates no disability and 100 indicates the most severe disability.

Score Ranges:

0-20: Minimal disability 21-40: Mild to moderate disability 41-60: Moderate to severe disability 61-100: Extreme disability The score is calculated by summing responses, dividing by the number of items (n), subtracting 1, and multiplying by 25.

Visual Analog Scale

The Visual Analog Scale (VAS) is a frequently utilized tool in clinical and research settings to measure subjective experiences like pain. It was first developed in 1921 by psychologists Mary H.S. Hayes and Donald G. Paterson as a "graphic rating" method for subjective assessments, later adopted and adapted for measuring pain and clinical symptoms in the 1960s. It consists of a 10 cm line where patients spot their pain intensity, from 0 "no pain" at one end to 10 "unbearable pain" at the other.