Treatment Preferences of Physical Therapists in Management of Carpal Tunnel Syndrome: A Cross Sectional Survey

Abstract

Background: Carpal tunnel syndrome affects one out of ten people throughout their lives, and
repetitive work related conditions affecting wrist and hand are the most common cause of prolonged
absenteeism from work and limited functional ability. Multiple physical therapy interventions have
been used by physical therapists for reducing pain severity, increasing range of motion and decreasing
functional limitations in carpal tunnel syndrome.
Methods: A cross-sectional survey was conducted among 196 physical therapists in Karachi, Pakistan.
Demographic data of physical therapists was obtained, as well as information regarding carpal tunnel
syndrome and its intervention techniques used.
Conclusion: There existed variability among the treatment preferences of physical therapists regarding
the management of carpal tunnel syndrome. A majority of respondents (72.4%) used nerve mobilization
techniques, and therapeutic ultrasound was given by 66.3%. The least common intervention used was
myofascial release (28.1%). Different approaches had been given in combination as well, which showed
that physical therapists are also aware about the recent approaches and their effects for the management
of CTS.