Eficácia das técnicas de terapia manual aplicadas no tratamento da síndrome do túnel do carpo: revisão de literatura

Abstract

INTRODUCTION: Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy in the upper limbs, caused by entrapment and compression of the median nerve at the wrist within the carpal tunnel. In many cases, repetitive overuse/trauma and prolonged incorrect position of the hand or wrist during occupational activities are the main causes of CTS. Clinical guidelines recommend conservative treatment to control symptoms and loss of function in patients with mild to moderate CTS. The main conservative treatments are splints, steroid injection, electrotherapy and manual therapy. OBJECTIVES: is to carry out a literature review on the effectiveness of manual therapy techniques applied in the treatment of Carpal Tunnel Syndrome. METHODOLOGY: This is an exploratory literature review study carried out through a literature review. To survey the articles, a search was used in the Scientific Electronic Library Online (SciELO), Latin American and Caribbean Literature on Health Sciences (LILACS) and Pubmed, from 2012 to 2022. RESULTS: The results of this study showed that manual therapy is effective in patients with CTS. CONCLUSION: It was demonstrated in the course of this literature review that manual therapy interventions are effective in the treatment of patients with CTS. This method improves pain, reduces tissue adhesion and increases wrist mobility. Manual therapy techniques are part of the physiotherapeutic treatment of CTS that are classified into two groups, including nerve mobilization and mechanical interface mobilization.