Effects of Exercise and Enzyme Therapy in Early Occupational Carpal Tunnel Syndrome: A Preliminary Study

Objectives. Occupational carpal tunnel syndrome (CTS) due to upper extremity overuse has in recent years been the most commonly recognized occupational disease in the Czech Republic and its prevalence has steadily increased. This pilot observation aimed to assess the effects of exercise techniques a...

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Published in:BioMed Research International
Main Authors: Věra Žídková, Marie Nakládalová, Ladislav Štěpánek
Format: Article in Journal/Newspaper
Language:English
Published: BioMed Research International 2019
Subjects:
DML
Online Access:https://doi.org/10.1155/2019/8720493
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spelling fthindawi:oai:hindawi.com:10.1155/2019/8720493 2023-05-15T16:01:48+02:00 Effects of Exercise and Enzyme Therapy in Early Occupational Carpal Tunnel Syndrome: A Preliminary Study Věra Žídková Marie Nakládalová Ladislav Štěpánek 2019 https://doi.org/10.1155/2019/8720493 en eng BioMed Research International https://doi.org/10.1155/2019/8720493 Copyright © 2019 Věra Žídková et al. Public Health Research Article 2019 fthindawi https://doi.org/10.1155/2019/8720493 2019-05-26T11:52:44Z Objectives. Occupational carpal tunnel syndrome (CTS) due to upper extremity overuse has in recent years been the most commonly recognized occupational disease in the Czech Republic and its prevalence has steadily increased. This pilot observation aimed to assess the effects of exercise techniques and oral enzyme therapy in automotive plant workers with early CTS. Patients and Methods. The observation comprised automotive plant assembly line workers in whom nerve conduction study revealed incipient CTS. The subjects were divided into three groups: a group practicing exercise techniques (exercising; N=15), a group receiving oral enzyme therapy (N=16), and a group of controls (N=14). Subjects in the control group were only observed without any specific intervention, which is a common procedure in incipient CTS. Throughout 9-week observation, the workers did their jobs. Prior to and after that period, the workers’ CTS-related symptoms were ascertained through structured interviews with a physician and the following median nerve parameters were measured: sensory conduction velocity (SCV) and distal motor latency (DML). Results. In both the exercise and enzyme therapy groups, statistically significant decreases in the total score for symptoms were achieved (p<0.0001), unlike controls. On final examination, both treated groups demonstrated significantly increased SCV as compared with the initial values (p=0.00013 and p<0.0001, respectively); in controls, the mean SCV did not significantly change. Similarly, a statistically significant shortening of DML was noted in the enzyme therapy group (p=0.008). Conclusion. The results showed the efficiency of both exercise and oral enzyme therapy in incipient CTS. These methods may be recommended for preventing more severe forms of CTS. Article in Journal/Newspaper DML Hindawi Publishing Corporation BioMed Research International 2019 1 7
institution Open Polar
collection Hindawi Publishing Corporation
op_collection_id fthindawi
language English
topic Public Health
spellingShingle Public Health
Věra Žídková
Marie Nakládalová
Ladislav Štěpánek
Effects of Exercise and Enzyme Therapy in Early Occupational Carpal Tunnel Syndrome: A Preliminary Study
topic_facet Public Health
description Objectives. Occupational carpal tunnel syndrome (CTS) due to upper extremity overuse has in recent years been the most commonly recognized occupational disease in the Czech Republic and its prevalence has steadily increased. This pilot observation aimed to assess the effects of exercise techniques and oral enzyme therapy in automotive plant workers with early CTS. Patients and Methods. The observation comprised automotive plant assembly line workers in whom nerve conduction study revealed incipient CTS. The subjects were divided into three groups: a group practicing exercise techniques (exercising; N=15), a group receiving oral enzyme therapy (N=16), and a group of controls (N=14). Subjects in the control group were only observed without any specific intervention, which is a common procedure in incipient CTS. Throughout 9-week observation, the workers did their jobs. Prior to and after that period, the workers’ CTS-related symptoms were ascertained through structured interviews with a physician and the following median nerve parameters were measured: sensory conduction velocity (SCV) and distal motor latency (DML). Results. In both the exercise and enzyme therapy groups, statistically significant decreases in the total score for symptoms were achieved (p<0.0001), unlike controls. On final examination, both treated groups demonstrated significantly increased SCV as compared with the initial values (p=0.00013 and p<0.0001, respectively); in controls, the mean SCV did not significantly change. Similarly, a statistically significant shortening of DML was noted in the enzyme therapy group (p=0.008). Conclusion. The results showed the efficiency of both exercise and oral enzyme therapy in incipient CTS. These methods may be recommended for preventing more severe forms of CTS.
format Article in Journal/Newspaper
author Věra Žídková
Marie Nakládalová
Ladislav Štěpánek
author_facet Věra Žídková
Marie Nakládalová
Ladislav Štěpánek
author_sort Věra Žídková
title Effects of Exercise and Enzyme Therapy in Early Occupational Carpal Tunnel Syndrome: A Preliminary Study
title_short Effects of Exercise and Enzyme Therapy in Early Occupational Carpal Tunnel Syndrome: A Preliminary Study
title_full Effects of Exercise and Enzyme Therapy in Early Occupational Carpal Tunnel Syndrome: A Preliminary Study
title_fullStr Effects of Exercise and Enzyme Therapy in Early Occupational Carpal Tunnel Syndrome: A Preliminary Study
title_full_unstemmed Effects of Exercise and Enzyme Therapy in Early Occupational Carpal Tunnel Syndrome: A Preliminary Study
title_sort effects of exercise and enzyme therapy in early occupational carpal tunnel syndrome: a preliminary study
publisher BioMed Research International
publishDate 2019
url https://doi.org/10.1155/2019/8720493
genre DML
genre_facet DML
op_relation https://doi.org/10.1155/2019/8720493
op_rights Copyright © 2019 Věra Žídková et al.
op_doi https://doi.org/10.1155/2019/8720493
container_title BioMed Research International
container_volume 2019
container_start_page 1
op_container_end_page 7
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