Carpal tunnel syndrome within the context of functional disorders of the musculoskeletal system

Česká verzia

Authors: R. Poděbradská ^1,2; L. Máchová ^2,3
Authors place of work: Rehabilitace Lipová-lázně, REHEX – EDU, v. o. s., Horní Lipová ¹; Katedra podpory zdraví, FSpS MU Brno ²; Rehaspiro Praha ³
Published in the journal: Cesk Slov Neurol N 2018; 81(2): 174-179
Category: Review Article
doi: https://doi.org/10.14735/amcsnn2018174

Summary

Carpal tunnel syndrome summarizes a set of signs manifesting tunnel hypertension in the carpal tunnel. The cause of tunnel hypertension is usually multifactorial, and it may include both structural and functional etiology. While the structural causes are well described, functional disorders of the musculoskeletal system, manifesting themselves in the area of the wrist as a carpal tunnel syndrome, are often neglected. Carpal tunnel syndrome is often resolved via surgical cutting of the ligamentum carpi transversum. Such intervention does, on one hand, bring about the regress of clinical problems in the area of the wrist, but it does not necessarily resolve the functional segment of the carpal tunnel syndrome etiology. The functional disorder of the musculoskeletal system may then become generalized, and it may eventually manifest itself in another part of the musculoskeletal system. Complex therapy of carpal tunnel syndrome should therefore, in indicated cases, also include a complex kinesiology analysis, which is a part of the examination by a physiotherapist, to assess the functional segment of the carpal tunnel syndrome etiology, therefore leading not only to the elimination of the clinical expression of the disorder in the area of the wrist, but also to the elimination of the cause of the disorder in the musculoskeletal system as a whole. Physiotherapy is suitable both in patients indicated for surgery and in post-surgical care with respect to a complex solution of this disease. The article brings a clear summary of the functional etiology of musculoskeletal system disorders and different options of physiotherapy in carpal tunnel syndrome.

Key words:
carpal tunnel syndrome – functional disorders of the musculoskeletal system – rehabilitation – complex kinesiology analysis

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.

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