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Effect of Manual Therapy and Neurodynamic Techniques vs Ultrasound and Laser on Two-Point Discrimination in CTS

Journal of Hand Therapy (2016) · Tomasz Wolny, Edward Saulicz, Pawel Linek, Andrzej Mysliwiec, Mariola Saulicz

Full Title

Effect of Manual Therapy and Neurodynamic Techniques vs Ultrasound and Laser on 2PD in Patients with CTS: A Randomized Controlled Trial

Summary

This randomized controlled trial investigated the effects of manual therapy and neurodynamic techniques versus ultrasound and laser therapy on two-point discrimination (2PD) in carpal tunnel syndrome (CTS) patients. Participants were divided into two groups: one received neurodynamic mobilization and manual therapy, while the other underwent electrophysical modalities (red/infrared laser and ultrasound). After 20 therapy sessions over 10 weeks, both groups showed significant improvement in 2PD in symptomatic hands (p < .001). However, no statistically significant difference was observed between the two treatments, indicating that both approaches were equally effective in improving sensory function in CTS patients.

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