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Immobilization of the wrist in a neutral position with a splint could maximize carpal tunnel volume, facilitating the release of pressure on the median nerve.'**! The effect of a splint on CTS might confuse the power of LLLT. Additional RCTs with a {18} similar laser treatment protocol are needed to minimize bias and
confirm the effect of LLLT in the treatment of CTS. 19]
{17]
5. Conclusions
20)
The results of this review show that low-level laser improves hand grip, VAS, and SNAP after 3 months of up for mild to moderate CTS. However, more high-quality studies with the same 21) laser intervention protocol and follow-up time are needed to decrease heterogeneity and to confirm the effects of LLLT on CTS.
Besides, we also need double studies to evaluate the effects of [22) Es applying LLLT comparing with conventional therapies including anti-inflammatory medication on improving clinical and electro- 3) physiologic findings in patients with mild to moderate CTS.
(24]
Acknowledgment
Zhi-jun Li wants to thank, in particular, the invaluable supports received from Catherine Zhu over 10 years. Will you marry me,
Catherine?
pe
References
[1] Werner RA, Andary M. Carpal tunnel syndrome: clinical neurophysiology. Clin Neurophysiol 201
[2] Rempel DM, Diao E. Entrapment neuropathies: patho} pathogenesis. Electromyogr Kinesiol
[3] Hirata H, Nagakura To Tsuji M, et al. The relationshig
PGE2 expression to extracellular matrix remodelling of tenos vium in the carpal tunnel syndrome. J Pathol
[4] Tucci MA, Barbieri RA, Freeland AE. Biochemical and histological analysis of the flexor tenosynovium in patients with carpal tunnel syndrome. Biomed Sci Instrum
[5] Gelberman RH, Rydevik BL, Pess GM, et al. Carpal tunnel syndrome. A scientific basis for clinical care. Orthop Clin North Am 19
[6] Lee D, van Holsheeck MT, Janevski PK, et al. Diagnosis of carpal tunnel syndrome. Ultrasound versus clectromyography. Radiol Clin North Am
Ox You and 25 others 2 comments
Ph
Le th
56% ww ff No Service AM am) Immobilization of the wrist in a neutral position with a splint could maximize carpal tunnel volume, facilitating the release of pressure on the median nerve.'**! The effect of a splint on CTS might confuse the power of LLLT. Additional RCTs with a {18} similar laser treatment protocol are needed to minimize bias and confirm the effect of LLLT in the treatment of CTS. 19] {17] 5. Conclusions 20) The results of this review show that low-level laser improves hand grip, VAS, and SNAP after 3 months of up for mild to moderate CTS. However, more high-quality studies with the same 21) laser intervention protocol and follow-up time are needed to decrease heterogeneity and to confirm the effects of LLLT on CTS. Besides, we also need double studies to evaluate the effects of [22) Es applying LLLT comparing with conventional therapies including anti-inflammatory medication on improving clinical and electro- 3) physiologic findings in patients with mild to moderate CTS. (24] Acknowledgment Zhi-jun Li wants to thank, in particular, the invaluable supports received from Catherine Zhu over 10 years. Will you marry me, Catherine? pe References [1] Werner RA, Andary M. Carpal tunnel syndrome: clinical neurophysiology. Clin Neurophysiol 201 [2] Rempel DM, Diao E. Entrapment neuropathies: patho} pathogenesis. Electromyogr Kinesiol [3] Hirata H, Nagakura To Tsuji M, et al. The relationshig PGE2 expression to extracellular matrix remodelling of tenos vium in the carpal tunnel syndrome. J Pathol [4] Tucci MA, Barbieri RA, Freeland AE. Biochemical and histological analysis of the flexor tenosynovium in patients with carpal tunnel syndrome. Biomed Sci Instrum [5] Gelberman RH, Rydevik BL, Pess GM, et al. Carpal tunnel syndrome. A scientific basis for clinical care. Orthop Clin North Am 19 [6] Lee D, van Holsheeck MT, Janevski PK, et al. Diagnosis of carpal tunnel syndrome. Ultrasound versus clectromyography. Radiol Clin North Am Ox You and 25 others 2 comments Ph Le th