[Abstract + References] Virtual fine rehabilitation in patients with carpal tunnel syndrome using low-cost devices

Carpal tunnel syndrome (CTS) happens when there is a compression of the median nerve between the forearm and the hand. This disorder causes an influence on basic and instrumental Activities of Daily Living. The motor disruptions are muscle weakness, tingling, and heaviness in the hand. The main disorder which subjects suffer with CTS is pain. To alleviate or mitigate pain in CTS, there are different techniques such as pharmacologic treatments, splints to immobilize the wrist, surgery, and physical therapy. Novel and customizable low-cost devices together with Virtual Environments are a good complement in rehabilitation sessions for this syndrome. The aim of this present study is to test a novel system, Virtual Rehabilitation Carpal Tunnel (VRCT), in patients with CTS. For this purpose, we have tested our system with four CTS patients (experimental group). At the same time, four CTS patients were tested using traditional rehabilitation. Phalen and Tinel test were used to analyze the results. The results obtained showed greater improvement in the experimental group during the intervention period. Future research will be focused on the analysis of the follow-up period.


Note: OCR errors may be found in this Reference List extracted from the full text article. ACM has opted to expose the complete List rather than only correct and linked references.

Kostopoulos D. Treatment of carpal tunnel syndrome: a review of the non-surgical approaches with emphasis in neural mobilization. J Bodyw Mov Ther 2004; 8:2–8.  [doi>10.1016/S1360-8592(03)00068-8]
Heuser A, Kourtev H, Winter S, Fensterheim D, Burdea G, Hentz V, Forducey P. Telerehabilitation using the Rutgers Master II glove following carpal tunnel release surgery: proof-of-concept. IEEE Trans Neural Syst Rehabil Eng. 2007Mar;15(1):43–9.  [doi>10.1109/TNSRE.2007.891393]
Thiese MS, Gerr F, Hegmann KT, Harris-Adamson C, Dale AM, Evanoff B, Eisen EA, Kapellusch J, Garg A, Burt S, Bao S, Silverstein B, Merlino L, Rempel D. Effects of varying case definition on carpal tunnel syndrome prevalence estimates in a pooled cohort. Arch Phys Med Rehabil. 2014 Dec;95(12):2320–6.  [doi>10.1016/j.apmr.2014.08.004]
Castro, A. do A. e, Skare, TL, Nassif PAN, Sakuma AK, Barros WH Sonographic diagnosis of carpal tunnel syndrome: a study in 200 hospital workers. Radiologia Brasileira. 2015;48(5), 287–291.  [doi>10.1590/0100-3984.2014.0069]
Alfonso C, Jann S, Massa R, Torreggiani A. Diagnosis, treatment and follow-up of the carpal tunnel syndrome: a review. Neurol Sci. 2010 Jun;31(3):243–52.  [doi>10.1007/s10072-009-0213-9]
Newington L, Harris EC,Walker-Bone K. Carpal tunnel syndrome and work. Best Practice & Research. Clinical Rheumatology. 2015; 29(3), 440–453.  [doi>10.1016/j.berh.2015.04.026]
Fu T, Cao M, Liu F, Zhu J, Ye D, Feng X, Xu Y, Wang G, Bai Y. Carpal tunnel syndrome assessment with ultrasonography: value of inlet-to-outlet median nerve area ratio in patients versus healthy volunteers. PLoS One. 2015 Jan 24;10(1):e0116777.  [doi>10.1371/journal.pone.0116777]
Phalen GS.The carpal-tunnel syndrome. Seventeen years’ experience in diagnosis and treatment of six hundred fifty-four hands. J Bone Joint Surg Am 1966; 48: 2112228.  [doi>10.2106/00004623-196648020-00001]
Madenci E, Altindag O, Koca I, Yilmaz M, Gur A. Reliability and efficacy of the new massage technique on the treatment in the patients with carpal tunnel syndrome. Rheumatol Int. 2012 Oct;32(10):3171–9.  [doi>10.1007/s00296-011-2149-7]
Fernández-de-Las Peñas C, Ortega-Santiago R, de la Llave-Rincón AI, Martínez-Perez A, Fahandezh-Saddi Díaz H, Martínez-Martín J, Pareja JA, Cuadrado-Pérez ML. Manual Physical Therapy Versus Surgery for Carpal Tunnel Syndrome: A Randomized Parallel-Group Trial. J Pain. 2015 Nov;16(11):1087–94.  [doi>10.1016/j.jpain.2015.07.012]
Johansson BB. Multisensory stimulation in stroke rehabilitation. Front Hum Neurosci. 2012 Apr 9;6:60.  [doi>10.3389/fnhum.2012.00060]
Brunner I, Skouen JS, Hofstad H, Strand LI, Becker F, Sanders AM, Pallesen H, Kristensen T, Michielsen M, Verheyden G. Virtual reality training for upper extremity in subacute stroke (VIRTUES): study protocol for a randomized controlled multicenter trial. BMC Neurol. 2014 Sep 28;14:186.  [doi>10.1186/s12883-014-0186-z]
Albiol-Pérez S, Gil-Gómez JA, Llorens R, Alcañiz M, Font CC. The role of virtual motor rehabilitation: a quantitative analysis between acute and chronic patients with acquired brain injury. IEEE J Biomed Health Inform. 2014 Jan;18(1):391–8.  [doi>10.1109/JBHI.2013.2272101]
Albiol-Pérez S, Forcano-García M, Muñoz-Tomás MT, Manzano-Fernández P, Solsona-Hernández S, Mashat MA, Gil-Gómez JA. A novel virtual motor rehabilitation system for Guillain-Barré syndrome. Two single case studies. Methods Inf Med. 2015;54(2):127–34.  [doi>10.3414/ME14-02-0002]
Merians AS, Poizner H, Boian R, Burdea G, Adamovich S. Sensorimotor training in a virtual reality environment: does it improve functional recovery poststroke? Neurorehabil Neural Repair 2006; 20:252–267.  [doi>10.1177/1545968306286914]
Tansel H, Sinan K, Doga D, Marc W., Kyle E. MoMiReS: Mobile mixed reality system for physical & occupational therapies for hand and wrist ailments. Innovations in Technology Conference (InnoTek), 2014 IEEE.
Gil-Gómez J.-A., Gil-Gómez H., Lozano-Quilis J.-A., Manzano-Hernández P., Albiol-Pérez S., Aula-Valero C.: SEQ: suitability evaluation questionnaire for virtual rehabilitation systems. Application in a virtual rehabilitation system for balance rehabilitation. In Proceedings of the 7th International Conference on Pervasive Computing Technologies for Healthcare (PervasiveHealth ’13). 335–338 (2013).

Source: Virtual fine rehabilitation in patients with carpal tunnel syndrome using low-cost devices


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