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Effectiveness of a home-based training program on hand function after carpal tunnel release: A prospective
A Uerschels1, Y Habib2, V Braun2
1Department of Neurosurgery, University Hospital Essen, Essen, Germany.
Background:
Carpal tunnel syndrome (CTS) is a condition that affects the wrist and is characterized by compression of the median nerve. Symptoms include pain, numbness and tingling in the hand, weakness and muscle wasting. Many people undergo surgery to reduce pressure on the nerve. It is likely that regular training following surgery has a positive effect on outcome. However, the recommendations regarding physical activity and exercise are inconsistent. The study aims to determine whether a home-based hand training program improves hand function and patient satisfaction.
Methods:
The study was conducted as a prospective, randomized, multicenter trial. Between August 2022 and May 2025 80 consecutive cases of surgically treated CTS were included. All clinical data was recorded uniformly and grip strength was measured. Patients were randomly allocated to training group (T) and control group (C). All patients had open median nerve decompression via mini incision. After two weeks wound healing period the training group received specific instructions with therapeutic modelling clay and a training diary. All test subjects were examined six weeks after the operation.
Results:
Significant hand strength improvement was seen after 4 weeks of home training compared to the standard therapy group. Patient satisfaction with the additional therapy was high.
Conclusion:
Carrying out regular home training after carpal tunnel surgery can improve both hand function and patient satisfaction. This is particularly relevant for patients who do not have easy access to rehabilitative services.
