Presentation on theme: "Effective Intervention Strategies to Promote Occupational Performance Among Individuals with Carpal Tunnel Syndrome Madalyn Payne, OTS."— Presentation transcript:
1 Effective Intervention Strategies to Promote Occupational Performance Among Individuals with Carpal Tunnel SyndromeMadalyn Payne, OTS
2 Identification of Topic Level II FieldworkIreland Army Community Hospital, Fort Knox, KYCarpal Tunnel Syndrome in today’s societyMy mother
3 Carpal Tunnel Syndrome Compression of median nerveNumbness, tingling, painSensory nerve distributionMotor distributionMost common nerve entrapment
4 How is it diagnosed? Subjective statements Provocative tests TinelsPhalensEMG/Nerve conduction study
5 Occupational Performance! Why do we care?Occupational Performance!CTS can greatly effect a person’s occupational performance. The numbness, tingling, and pain associated with CTS can cause a decrease in occupational performance.** anecdote: Patient that I treated while at clinicals waited too long to seek treatment for CTS and she was starting to drop items that she was holding and did not have any control over her grip.
6 Evidence-Based Treatments Tendon and nerve gliding exercises
7 Evidence-Based Treatments Massage techniquesIschemic compressionCTS targetedSoft tissue mobilizationGraston InstrumentDeep tissue massage to release trigger points to help increase blood flow to increase healing among the proximal UE where median nerve can be entrapped
8 Evidence-Based Treatments Splinting combined with lumbrical stretches
9 Evidence-Based Treatments Full time splinting and formal educationKetoprofen phonophoresis combined with splintingWrist cock-up splint; formal education included classes on self-management to teach causes of CTS and ways to prevent such as decreasing repetitive movementsUsing ultrasound with steroid medication to decrease inflammation to decrease compression of median nerve
10 Clinical Implications for OT Conservative treatment options to prevent/prolong surgeryAll have been shown to decrease signs and symptomsTreatment post-surgeryScar managementROMOccupation-based treatmentsNeed is only going to increaseGetting back to function!!
11 ReferencesBurke, J., Buchberger, D. J., Carey-Loghmani, M. T., Doughtery, P. E., Greco, D., & Dishman, D. (2007). A pilot study comparing two manual therapy interventions for carpal tunnel syndrome. Journal of Manipulative and Physiological Therapeutics, 30(1), doi:Hains, G., Descarreaux, M., Lamy, A., & Hains, F. (2010). A randomized controlled (intervention) trial of ischemic compression therapy for chronic carpal tunnel syndrome. Journal Of The Canadian Chiropractic Association, 54(3),Horng, Y., Hsieh, S., Tu, Y., Lin, M., Horng, Y., & Wang, J. (2011). The Comparative Effectiveness of Tendon and Nerve Gliding Exercises in Patients with Carpal Tunnel Syndrome: A Randomized Trial. American Journal Of Physical Medicine & Rehabilitation, 90(6), doi: /PHM.0b013e318214eaafMoraska, A., Chandler, C., Edmiston-Schaetzel, A., Franklin, G., Calenda, E. L., & Enebo, B. (2008). Comparison of a Targeted and General Massage Protocol on Strength, Function, and Symptoms Associated with Carpal Tunnel Syndrome: A Randomized Pilot Study. Journal Of Alternative & Complementary Medicine, 14(3), doi: /acmNancy A. Baker, Krissy K. Moehling, Elaine N. Rubinstein, Ronit Wollstein, Norman P. Gustafson, Mark Baratz, (2012). The Comparative Effectiveness of Combined Lumbrical Muscle Splints and Stretches on Symptoms and Function in Carpal Tunnel Syndrome, Archives of Physical Medicine and Rehabilitation, Volume 93, Issue 1, January 2012, Pages 1-10, ISSN ,
12 Questions Any questions/comments about CTS research? Other comments/suggestions…