Effectiveness of Neurodynamic Mobalization on Pain and Functional Disability in Patients with Carpal Tunnel Syndrome’a Randomised Control Trial


Authors : Aditi Manohar Yeole; Dr. Datri Bhattacharyya

Volume/Issue : Volume 10 - 2025, Issue 8 - August


Google Scholar : https://tinyurl.com/2h3re7f4

Scribd : https://tinyurl.com/36h6whef

DOI : https://doi.org/10.38124/ijisrt/25aug1580

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Abstract : Introduction Carpal tunnel is a very common dysfunction of wrist the incidence rate of wrist pain is seen up to 30% to 45%. Nerve gliding techniques along with conventional therapy has proven to be very beneficial in treating carpal tunnel syndrome.  Methodology A pre-post experimental study was conducted on 40 participants aged 18–55 years with active wrist. Pain and disability were assessed using the Numerical Pain Rating Scale (NPRS) and Boston Carpal tunnel Questionnaire (BCTQ) before and after Treatment.  Results Patients in Group A showed a greater percentage decrease in NPRS scores (46.07%) compared to Group B (35.18%). Similarly, Group A demonstrated a higher percentage reduction in BCT scores (28.77%) than Group B (16.78%). These findings indicate that the intervention in Group A was more effective in reducing both pain and functional disability.  Conclusion Both nerve gliding exercises and conventional physiotherapy interventions were effective in decreasing pain and disability. However, nerve gliding offered superior improvement in functional recovery and should be considered as an effective component of conservative CTS management.

Keywords : Carpal Tunnel, Nerve Gliding, Ultrasound, Wr.

References :

  1. 1.Ballestero-Pérez, R., Plaza-Manzano, G., Urraca-Gastón, A., Romo-Romo, F., Atín-Arratibel, M. de los Á., Pecos-Martín, D., & Romero-Franco, N. (2017). Effectiveness of nerve gliding exercises on carpal tunnel syndrome: A systematic review. Journal of Manipulative and Physiological Therapeutics, 40(1), 50–59. https://doi.org/10.1016/j.jmpt.2016.10.004
  2. Pinar, L., Eroğlu, H., Ada, S., & Güngör, N. (2005). Can we use nerve gliding exercises in women with carpal tunnel syndrome? Advances in Therapy, 22(5), 467–475. https://doi.org/10.1007/BF02849867
  3. Pieters, C. M., & Alshami, A. M. (2007). Longitudinal excursion and strain in the median nerve during novel nerve gliding exercises for carpal tunnel syndrome. Journal of Orthopaedic Research, 25(7), 972–980. https://doi.org/10.1002/jor.20382
  4. Heebner, M. L., & Roddey, T. S. (2008). The effects of neural mobilization in addition to standard care in persons with carpal tunnel syndrome from a community hospital. Journal of Hand Therapy, 21(3), 229–240. https://doi.org/10.1197/j.jht.2007.12.005
  5. Mohamed, F. I., Hassan, A. A., Abdel-Magied, R. A., & Wageh, R. N. (2016). Manual therapy intervention in the treatment of patients with carpal tunnel syndrome: Median nerve mobilization versus medical treatment. Egyptian Rheumatology and Rehabilitation, 43(1), 27–34. https://doi.org/10.4103/1110-161X.177424
  6. Lim, Y. H., Chee, D. Y., Girdler, S., & Lee, H. C. (2017). Median nerve mobilization techniques in the treatment of carpal tunnel syndrome: A systematic review. Journal of Hand Therapy, 30(4), 397–406. https://doi.org/10.1016/j.jht.2016.09.008
  7. Wise, S., & Bettelyoun, J. (2021). Neurodynamic mobilization is an effective intervention for carpal tunnel syndrome. Journal of Sport Rehabilitation, 31(4), 501–504. https://doi.org/10.1123/jsr.2020-0434

Introduction Carpal tunnel is a very common dysfunction of wrist the incidence rate of wrist pain is seen up to 30% to 45%. Nerve gliding techniques along with conventional therapy has proven to be very beneficial in treating carpal tunnel syndrome.  Methodology A pre-post experimental study was conducted on 40 participants aged 18–55 years with active wrist. Pain and disability were assessed using the Numerical Pain Rating Scale (NPRS) and Boston Carpal tunnel Questionnaire (BCTQ) before and after Treatment.  Results Patients in Group A showed a greater percentage decrease in NPRS scores (46.07%) compared to Group B (35.18%). Similarly, Group A demonstrated a higher percentage reduction in BCT scores (28.77%) than Group B (16.78%). These findings indicate that the intervention in Group A was more effective in reducing both pain and functional disability.  Conclusion Both nerve gliding exercises and conventional physiotherapy interventions were effective in decreasing pain and disability. However, nerve gliding offered superior improvement in functional recovery and should be considered as an effective component of conservative CTS management.

Keywords : Carpal Tunnel, Nerve Gliding, Ultrasound, Wr.

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Paper Submission Last Date
30 - November - 2025

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