Neuromuscular DiseasesNeuromuscular DiseasesНервно-мышечные болезни2222-87212413-0443Publishing House ABV Press16910.17650/2222-8721-2016-6-3-28-35ORIGINAL REPORTSОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯEfficacy of kinesiotaping in patients with the initial signs of carpal tunnel syndromeЭффективность кинезиотейпирования у пациентов с начальной стадией синдрома карпального каналаMikhaylyukI. G.МихайлюкИ. Г.
Russian Federation

Department of Nervous Diseases with a Course of Medical Genetics and Neurosurgery

Кафедра нервных болезней с медицинской генетикой и нейрохирургией

dr-mig@mail.ruSpirinN. N.СпиринН. Н.
Russian Federation

Department of Nervous Diseases with a Course of Medical Genetics and Neurosurgery

Кафедра нервных болезней с медицинской генетикой и нейрохирургией

Sal’nikovE. V.СальниковЕ. В.
Russian Federation

Department of Biology with Genetics

кафедра биологии с генетикой

Yaroslavl’ State Medical UniversityФГБОУ ВО «Ярославский государственный медицинский университет» Минздрава России160420196328351210201604112016Copyright ©; 2019, Mikhaylyuk I.G., Spirin N.N., Sal’nikov E.V.Copyright ©; 2019, Михайлюк И.Г., Спирин Н.Н., Сальников Е.В.2019Mikhaylyuk I.G., Spirin N.N., Sal’nikov E.V.Михайлюк И.Г., Спирин Н.Н., Сальников Е.В.https://creativecommons.org/licenses/by/4.0https://nmb.abvpress.ru/jour/article/view/169

Background. Carpal tunnel syndrome (CTS) is one of the most common tunnel neuropathies. Early symptoms are often limited by periodic and slight discomfort in the area of innervation of a median nerve on the hand, so the patients are not willing to be treated invasively. Thus, a noninvasive therapy, such as kinesiotaping, could be perspective.Objective. Assessment of the efficiency of a kinesiotaping monotheraphy of patients on initial stage of CTS.Materials and methods. We included 120 patients with the initial stage of CTS: 51 men and 69 women aged from 24 till 54 years old. The main group included 70 people, and the control group – 50 patients. The main group was treated within 2 months by kinesiotaping only, control group was observed without any therapeutic intervention.Results. 60 % of the patients from the main group reported beneficial effect of kinesiotaping on clinical symptoms of the CTS.

Conclusions. Kinesiotaping monotherapy at initial stages of CTS in our cohort relieves subjective symptoms in the majority of patients. To recommend kinesiotaping as an effective and safe method on initial stages of CTS to patients unwilling to undergo standard invasive treatment methods, a larger multicenter study is needed.

carpal tunnel syndromemedian nervetunnel neuropathykinesiotapingelectromyographyсиндром карпального каналасрединный нервтуннельная нейропатиякинезиотейпированиеэлектромиография1. Luchetti R., Amadio P. Carpal tunnel syndrome. Berlin: Springer-Verlag, 2007. 405 p.Luchetti R., Amadio P. Carpal tunnel syndrome. Berlin: Springer-Verlag, 2007. 405 p.2. Скоромец A.A. Топическая диагностика заболеваний нервной системы. Л.: Медицина, 1989. 320 с. [Skoromets A.A. Topical diagnostics of nervous system diseases. Leningrad: Meditsina, 1989. 320 p. (In Russ.)].Скоромец A.A. Топическая диагностика заболеваний нервной системы. Л.: Медицина, 1989. 320 с. [Skoromets A.A. Topical diagnostics of nervous system diseases. Leningrad: Meditsina, 1989. 320 p. (In Russ.)].3. Dawson D.M. Entrapment neuropathies of the upper extremities. N Engl J Med 1993;329(27):2013–8. DOI: 10.1056/NEJM199312303292707. PMID: 8247077.Dawson D.M. Entrapment neuropathies of the upper extremities. N Engl J Med 1993;329(27):2013–8. DOI: 10.1056/NEJM199312303292707. PMID: 8247077.4. Atroshi I., Gummesson C., Johnsson R. et al. Prevalence of carpal tunnel syndrome in a general population. JAMA 1999;282(2):153–8. PMID: 10411196.Atroshi I., Gummesson C., Johnsson R. et al. Prevalence of carpal tunnel syndrome in a general population. JAMA 1999;282(2):153–8. PMID: 10411196.5. De Krom M.C., Knipschild P.G., Kester A.D. et al. Carpal tunnel syndrome: prevalence in the general population. J Clin Epidemiol 1992;45(4):373–6. PMID: 1569433.De Krom M.C., Knipschild P.G., Kester A.D. et al. Carpal tunnel syndrome: prevalence in the general population. J Clin Epidemiol 1992;45(4):373–6. PMID: 1569433.6. Spahn G., Wollny J., Hartmann B. et al. Metaanalysis for the evaluation of risk factors for carpal tunnel syndrome (CTS) Part I. General factors. Z Orthop Unfall 2012;150(5):503–15. DOI: 10.1055/s-0032-1315345. PMID: 23076749.Spahn G., Wollny J., Hartmann B. et al. Metaanalysis for the evaluation of risk factors for carpal tunnel syndrome (CTS) Part I. General factors. Z Orthop Unfall 2012;150(5):503–15. DOI: 10.1055/s-0032-1315345. PMID: 23076749.7. Spahn G., Wollny J., Hartmann B. et al. Metaanalysis for the evaluation of risk factors for carpal tunnel syndrome (CTS) Part II. Occupational risk factors. Z Orthop Unfall 2012;150(5):516–24. DOI: 10.1055/s-0032-1315346. PMID: 23076750.Spahn G., Wollny J., Hartmann B. et al. Metaanalysis for the evaluation of risk factors for carpal tunnel syndrome (CTS) Part II. Occupational risk factors. Z Orthop Unfall 2012;150(5):516–24. DOI: 10.1055/s-0032-1315346. PMID: 23076750.8. Law H.Z., Amirlak B., Cheng J. et al. An association between carpal tunnel syndrome and migraine headaches – national health interview survey, 2010. Plast Reconstr Surg Glob Open 2015;3(3):e333. DOI: 10.1097/GOX.0000000000000257. PMID: 25878944.Law H.Z., Amirlak B., Cheng J. et al. An association between carpal tunnel syndrome and migraine headaches – national health interview survey, 2010. Plast Reconstr Surg Glob Open 2015;3(3):e333. DOI: 10.1097/GOX.0000000000000257. PMID: 25878944.9. Padua L., Padua R., Lo Monaco M. et al.Multiperspective assessment of carpal tunnel syndrome: a multicenter study. Italian CTS Study Group. Neurology 1999;53(8):1654–9. PMID: 10563608.Padua L., Padua R., Lo Monaco M. et al.Multiperspective assessment of carpal tunnel syndrome: a multicenter study. Italian CTS Study Group. Neurology 1999;53(8):1654–9. PMID: 10563608.10. Никитин С.С., Маслак А.А., Куренков А.Л. и др. Особенности диагностики синдрома карпального канала с помощью электромиографии и ультразвукового исследования. Анналы клинической и экспериментальной неврологии 2013;7(4):20–6. [Nikitin S.S., Maslak A.A., Kurenkov A.L. et al. EMG and ultrasound in the diagnostics of carpal tunnel syndrome. Annaly klinicheskoy i eksperimental’noy nevrologii = Annals of Clinical and Experimental Neurology 2013;7(4):20–6. (In Russ.)]Никитин С.С., Маслак А.А., Куренков А.Л. и др. Особенности диагностики синдрома карпального канала с помощью электромиографии и ультразвукового исследования. Анналы клинической и экспериментальной неврологии 2013;7(4):20–6. [Nikitin S.S., Maslak A.A., Kurenkov A.L. et al. EMG and ultrasound in the diagnostics of carpal tunnel syndrome. Annaly klinicheskoy i eksperimental’noy nevrologii = Annals of Clinical and Experimental Neurology 2013;7(4):20–6. (In Russ.)]11. Белова Н.В., Юсупова Д.Г., Лагода Д.Ю. и др. Современные представления о диагностике и лечении карпального туннельного синдрома. Русский медицинский журнал 2015;23(24):1429–32. [Belova N.V., Yusupova D.G., Lagoda D.Yu. et al. Current pre-representation of the diagnosis and treatment of carpal tunnel syndrome. Russkiy meditsinskiy zhurnal = Russian Medical Journal 2015;23(24):1429–32. (In Russ.)].Белова Н.В., Юсупова Д.Г., Лагода Д.Ю. и др. Современные представления о диагностике и лечении карпального туннельного синдрома. Русский медицинский журнал 2015;23(24):1429–32. [Belova N.V., Yusupova D.G., Lagoda D.Yu. et al. Current pre-representation of the diagnosis and treatment of carpal tunnel syndrome. Russkiy meditsinskiy zhurnal = Russian Medical Journal 2015;23(24):1429–32. (In Russ.)].12. Cartwright M.S., Hobson-Webb L.D., Boon A.J. et al. American association of neuromuscular and electrodiagnostic medicine. evidence-based guideline: neuromuscular ultrasound for the diagnosis of carpal tunnel syndrome. Muscle Nerve 2012;46(2):287–93. DOI: 10.1002/mus.23389. PMID: 22806381.Cartwright M.S., Hobson-Webb L.D., Boon A.J. et al. American association of neuromuscular and electrodiagnostic medicine. evidence-based guideline: neuromuscular ultrasound for the diagnosis of carpal tunnel syndrome. Muscle Nerve 2012;46(2):287–93. DOI: 10.1002/mus.23389. PMID: 22806381.13. Kamolz L.P., Beck H., Haslik W. et al. Carpal tunnel syndrome: a question of hand and wrist configurations? J Hand Surg Br 2004;29(4):321–4. DOI: 10.1016/j.jhsb.2003.09.010. PMID: 15234493.Kamolz L.P., Beck H., Haslik W. et al. Carpal tunnel syndrome: a question of hand and wrist configurations? J Hand Surg Br 2004;29(4):321–4. DOI: 10.1016/j.jhsb.2003.09.010. PMID: 15234493.14. American Academy of Orthopaedic Surgeons. Clinical practice guideline on the treatment of carpal tunnel syndrome. Chicago: IL, 2008. Pp. 10–3.American Academy of Orthopaedic Surgeons. Clinical practice guideline on the treatment of carpal tunnel syndrome. Chicago: IL, 2008. Pp. 10–3.15. Hall B., Lee H.C., Fitzgerald H. et al. Investigating the effectiveness of full-time wrist splinting and education in the treatment of carpal tunnel syndrome: a randomized controlled trial. Am J Occup Ther 2013;67(4):448–59. DOI: 10.5014/ajot.2013.006031. PMID: 23791320.Hall B., Lee H.C., Fitzgerald H. et al. Investigating the effectiveness of full-time wrist splinting and education in the treatment of carpal tunnel syndrome: a randomized controlled trial. Am J Occup Ther 2013;67(4):448–59. DOI: 10.5014/ajot.2013.006031. PMID: 23791320.16. Ali R.R., Battecha K.H., Mansour W.T. Influence of kinesio tape in treating carpal tunnel syndrome. J Med Sci Clin Res 2013;1(1):1–09.Ali R.R., Battecha K.H., Mansour W.T. Influence of kinesio tape in treating carpal tunnel syndrome. J Med Sci Clin Res 2013;1(1):1–09.17. Kosery Soheir M., Elshamy Fayiz F., Allah Hamid A. Effect of kinesio tape in the treatment of antenatal carpal tunnel syndrome. Indian J Physiotherapy Occupational Therapy 2012;6(3):116–20.Kosery Soheir M., Elshamy Fayiz F., Allah Hamid A. Effect of kinesio tape in the treatment of antenatal carpal tunnel syndrome. Indian J Physiotherapy Occupational Therapy 2012;6(3):116–20.18. Georgiew F. Provocative tests used in the diagnosis of carpal tunnel syndrome. Med Rehabil 2007;11(4):7–17.Georgiew F. Provocative tests used in the diagnosis of carpal tunnel syndrome. Med Rehabil 2007;11(4):7–17.19. Levine D.W., Simmons B.P., Koris M.J. et al. A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome. J Bone Joint Surg Am 1993;75(11):1585–92. PMID: 8245050.Levine D.W., Simmons B.P., Koris M.J. et al. A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome. J Bone Joint Surg Am 1993;75(11):1585–92. PMID: 8245050.20. Ozcan A., Tulum Z., Pinar L., Başkurt F. Comparison of pressure pain threshold, grip strength, dexterity and touch pressure of dominant and non-dominant hands within and between right- and left-handed subjects. J Korean Med Sci 2004;19(6):874–8. DOI: 10.3346/jkms.2004.19.6.874. PMCID: PMC2816288PMC2816288. PMID: 15608401.Ozcan A., Tulum Z., Pinar L., Başkurt F. Comparison of pressure pain threshold, grip strength, dexterity and touch pressure of dominant and non-dominant hands within and between right- and left-handed subjects. J Korean Med Sci 2004;19(6):874–8. DOI: 10.3346/jkms.2004.19.6.874. PMCID: PMC2816288PMC2816288. PMID: 15608401.21. MacDermid J.C., Kramer J.F., Roth J.H. Decision making in detecting abnormal Semmes–Weinstein monofilament thresholds in carpal tunnel syndrome. J Hand Ther 1994;7(3):158–62. PMID: 7951707.MacDermid J.C., Kramer J.F., Roth J.H. Decision making in detecting abnormal Semmes–Weinstein monofilament thresholds in carpal tunnel syndrome. J Hand Ther 1994;7(3):158–62. PMID: 7951707.22. American Association of Electrodiagnostic Medicine, American Academy of Neurology, American Academy of Physical Medicine and Rehabilitation. Practice parameter for electrodiagnostic studies in carpal tunnel syndrome: summary statement. Muscle Nerve 2002;25(6):918–22. DOI: 10.1002/mus.10185. PMID: 12115985.American Association of Electrodiagnostic Medicine, American Academy of Neurology, American Academy of Physical Medicine and Rehabilitation. Practice parameter for electrodiagnostic studies in carpal tunnel syndrome: summary statement. Muscle Nerve 2002;25(6):918–22. DOI: 10.1002/mus.10185. PMID: 12115985.23. Rosenberger W.F., Lachin J.M. The use of response-adaptive designs in clinical trials. Control Clin Trials 1993;14(6):471–84. PMID: 8119063.Rosenberger W.F., Lachin J.M. The use of response-adaptive designs in clinical trials. Control Clin Trials 1993;14(6):471–84. PMID: 8119063.24. Kase K., Wallis J., Kase T. Clinical therapeutic applications of the kinesio taping® method. 2nd edn. Toyko: Ken Ikai Co Ltd, 2003. 250 p.Kase K., Wallis J., Kase T. Clinical therapeutic applications of the kinesio taping® method. 2nd edn. Toyko: Ken Ikai Co Ltd, 2003. 250 p.25. Реброва О.Ю. Статистический анализ медицинских данных. Применение пакета прикладных программ Statistica. М.: Медиа Сфера, 2002. 312 с. [Rebrova O.Yu. tatistical analysis of medical data. Use of a package of the Statistica application programs. Moscow: Media Sfera, 2002. 312 p. (In Russ.)].Реброва О.Ю. Статистический анализ медицинских данных. Применение пакета прикладных программ Statistica. М.: Медиа Сфера, 2002. 312 с. [Rebrova O.Yu. tatistical analysis of medical data. Use of a package of the Statistica application programs. Moscow: Media Sfera, 2002. 312 p. (In Russ.)].26. English J.H., Gwynne-Jones D.P. Incidence of carpal tunnel syndrome requiring surgical decompression: A 10.5-year review of 2,309 patients. J Hand Surg Am 2015;40(12):2427–34. DOI: 10.1016/j.jhsa.2015.07.029. PMID: 26460063.English J.H., Gwynne-Jones D.P. Incidence of carpal tunnel syndrome requiring surgical decompression: A 10.5-year review of 2,309 patients. J Hand Surg Am 2015;40(12):2427–34. DOI: 10.1016/j.jhsa.2015.07.029. PMID: 26460063.