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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.
Brain & Spine
|July 6, 2026
Summary
Regular home training after carpal tunnel syndrome (CTS) surgery significantly improves hand strength and patient satisfaction. This approach is especially beneficial for individuals with limited access to rehabilitation services.
Area of Science:
- Orthopedics
- Neurosurgery
- Physical Therapy
Background:
- Carpal tunnel syndrome (CTS) involves median nerve compression in the wrist, causing pain, numbness, and weakness.
- Surgical decompression is common, but post-operative rehabilitation recommendations, including exercise, are inconsistent.
- The effectiveness of home-based hand training programs following CTS surgery requires further investigation.
Purpose of the Study:
- To evaluate the impact of a home-based hand training program on functional recovery after carpal tunnel surgery.
- To assess patient satisfaction with a structured post-operative hand training regimen.
Main Methods:
- A prospective, randomized, multicenter trial included 80 patients undergoing open median nerve decompression for CTS.
- Patients were assigned to either a training group (receiving therapeutic modeling clay and a diary) or a control group.
- Grip strength was measured, and all participants were examined six weeks post-operation.
Main Results:
- The training group demonstrated significant improvements in hand strength after four weeks compared to the standard therapy group.
- High levels of patient satisfaction were reported for the additional home training intervention.
Conclusions:
- Home-based hand training programs can enhance both hand function and patient satisfaction after carpal tunnel surgery.
- This intervention offers a valuable solution for patients lacking easy access to formal rehabilitative services.
