Açık Karpal Tünel Gevşetme Cerrahisi Uygulanan Bireylerde Aktivite Temelli Propriyoseptif Duyu Eğitiminin Aktivite Limitasyonu, Elin Fonksiyonel Kullanımı ve Yaşam Kalitesine Etkisinin İncelenmesi

Abstract

In the present study, it was aimed to examine the effect of proprioceptive re-training on activity limitation, hand functions and quality of life after open carpal tunnel release surgery. Thirty individuals between 18-65 who underwent surgery 3-10 days ago were included in the study. Individuals were divided into two groups as activity-based proprioceptive training (PT) and traditional rehabilitation (TR) according to the minimization method. Evaluations were made twice in total, before and after intervention. In determining the functional level, Rosen Score; goniometric measurement in evaluating of proprioception; Ayres Kinesthesia Assessment in evaluating the kinesthesia; hand dynamometer in evaluating of power grip strength; pinchmeter in evaluating the pinch grip strength; Purdue Pegboard Test in evaluating hand functions; Boston Carpal Tunnel Questionnaire for evaluation of symptom severity; The Patient-Specific Functional Scale in evaluating the activity limitation and EQ-5D was used to assess quality of life. Individuals were included in a 12-week intervention program, twice a week, each session lasting 45-60 minutes. Basic hand rehabilitation interventions were applied to the individuals in the TR group. Individuals in the PT group were included in the intensive proprioception-focused intervention program based on the activities specified in the The Patient-Specific Functional Scale. The improvement in hand functions (p <0.01) and sensory functions (p <0.05) and the decrease in symptom severity (p≤0.05) of the individuals in the PT group after the intervention were found to be statistically significant compared to the other group. Activity-based proprioceptive training applied after surgery include reducing activity limitation, pain and symptom severity; improving sensory functions, grip strength, hand functions and quality of life.