Evidence map›Paper›PMID 34862562›Full record

SynthesisInternational orthopaedics2022

The effectiveness of manual therapy on pain, physical function, and nerve conduction studies in carpal tunnel syndrome patients: a systematic review and meta-analysis.

Sandra Jiménez-Del-Barrio, Aida Cadellans-Arróniz, Luis Ceballos-Laita, Elena Estébanez-de-Miguel, Carles López-de-Celis, Elena Bueno-Gracia, Albert Pérez-Bellmunt

2 registry-linked trialsOpen access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in International orthopaedics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06399380 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Immediate Effect of Manual Mobilization of the Carpal Bones on the Neural Conduction of the Median Nerve in Patients With Carpal Tunnel Syndrome: Randomized Clinical Trial

TypeinterventionalSponsorUniversidad de ZaragozaRan2024 to 2024Enrolled30ConditionsCarpal Tunnel SyndromeArmsManual mobilization of the carpal bones., Placebo
NCT06686212 nanot yet recruitingnot on this mapstarted 2024, after this paper: background citation

Comparative Effects of Sensory Re-education and Neural Mobilization in Carpal Tunnel Syndrome Patients

TypeinterventionalSponsorRiphah International UniversityRan2024 to 2025Enrolled48ConditionsCarpal Tunnel Syndrome (CTS)ArmsSensory re-education+ strengthening exercises+ kinesio taping, Neural mobilization+ Strengthening exercises+ Kinesio taping.
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Pooled it
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  4. Review
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  8. Effectiveness of prevention exercises protocol among office workers with symptoms of carpal tunnel syndrome.International journal of occupational medicine and environmental health · 2024
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  18. Massage-like stroking produces analgesia in mice.Neurobiology of pain (Cambridge, Mass.)
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Sandra Jiménez-Del-BarrioClinical Research in Health Sciences Group. Department of Surgery, Ophthalmology, Otorhinolaryngology, and Physiotherapy, Faculty of Health Sciences, University of Valladolid, Calle Universidad S/N, 42002, Soria, Spain.
Aida Cadellans-ArrónizPhysiotherapy Department, Faculty of Medicine and Health Sciences, International University of Catalunya, Universitat Internacional de Catalunya, 08195, Sant Cugat del Vallès, Barcelona, Spain.
Luis Ceballos-LaitaClinical Research in Health Sciences Group. Department of Surgery, Ophthalmology, Otorhinolaryngology, and Physiotherapy, Faculty of Health Sciences, University of Valladolid, Calle Universidad S/N, 42002, Soria, Spain. luis.ceballos@uva.es.
Elena Estébanez-de-MiguelDepartment of Physiatrist and Nursery, Faculty of Health Sciences, University of Zaragoza, Calle Domingo Miral S/N, 50009, Zaragoza, Spain.
Carles López-de-CelisPhysiotherapy Department, Faculty of Medicine and Health Sciences, International University of Catalunya, Universitat Internacional de Catalunya, 08195, Sant Cugat del Vallès, Barcelona, Spain.
Elena Bueno-GraciaPhysiotherapy Department, Faculty of Medicine and Health Sciences, International University of Catalunya, Universitat Internacional de Catalunya, 08195, Sant Cugat del Vallès, Barcelona, Spain.
Albert Pérez-BellmuntPhysiotherapy Department, Faculty of Medicine and Health Sciences, International University of Catalunya, Universitat Internacional de Catalunya, 08195, Sant Cugat del Vallès, Barcelona, Spain.
Universitat Internacional de Catalunya · ESUniversidad de Valladolid · ESInstitut Universitari d'Investigació en Atenció Primària Jordi Gol · ESUniversidad de Zaragoza · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aim of the studySystematic review and meta-analysis to assess the effectiveness of manual therapy in improving carpal tunnel syndrome (CTS) symptoms, physical function, and nerve conduction studies.

methodMEDLINE, Web of Science, SCOPUS, Cochrane Library, TRIP database, and PEDro databases were searched from the inception to September 2021. PICO search strategy was used to identify randomized controlled trials applying manual therapy on patients with CTS. Eligible studies and data extraction were conducted independently by two reviewers. Methodology quality and risk of bias were assessed by PEDro scale. Outcomes assessed were pain intensity, physical function, and nerve conduction studies.

resultsEighty-one potential studies were identified and six studies involving 401 patients were finally included. Pain intensity immediately after treatment showed a pooled standard mean difference (SMD) of - 2.13 with 95% confidence interval (CI) (- 2.39, - 1.86). Physical function with Boston Carpal Tunnel Syndrome Questionnaire (BCTS-Q) showed a pooled SMD of - 1.67 with 95% CI (- 1.92, - 1.43) on symptoms severity, and a SMD of - 0.89 with 95% CI (- 1.08, - 0.70) on functional status. Nerve conduction studies showed a SMD of - 0.19 with 95% CI (- 0.40, - 0.02) on motor conduction and a SMD of - 1.15 with 95% CI (- 1.36, - 0.93) on sensory conduction.

conclusionsThis study highlights the effectiveness of manual therapy techniques based on soft tissue and neurodynamic mobilizations, in isolation, on pain, physical function, and nerve conduction studies in patients with CTS.

Indexed as

Carpal Tunnel SyndromeMusculoskeletal ManipulationsHumansNeural ConductionPainPain MeasurementTreatment OutcomeCarpal tunnel syndromeManual therapyMedian nerveMeta-analysisNeuropathies

Identifiers

PMID34862562
PMCPMC8782801
OpenAlexW3214737280

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.