The strongest evidence supports postsurgical early active motion protocol s and splinting for various conditions .
Very few studies have examined occupation-based interventions .
Occupational therapy practitioners are key health care providers for people with musculoskeletal disorders of the distal upper extremity .
It is imperative that practitioners underst and the most effective and efficient means for remediating impairments and supporting clients in progressing to independence in purpose ful occupations .
This systematic review provides an up date to a previous review by summarizing articles published between 2006 and July 2014 related to the focused question , What is the evidence for the effect of occupational therapy interventions on functional outcomes for adults with musculoskeletal disorders of the forearm , wrist , and h and ?
Low-level laser in the treatment of carpal tunnel syndrome: clinical, electrophysiological, and ultrasonographical evaluation
The objective of this study is to investigate the efficacy of low-level laser therapy ( LLLT ) in patients with carpal tunnel syndrome ( CTS ) . Sixty patients with CTS were included in this placebo-controlled and double-blind study and r and omly assigned to three treatment groups : active laser with a dosage of 1.2 J/per painful point , active laser with a dosage of 0.6 J/per painful point , and placebo groups . A total of 5 points across the median nerve trace were irradiated with Gal-Al-As diode laser . All groups were treated 5 times per week for 3 weeks . Clinical assessment s included pain intensity , grip strength , symptom severity score ( SSS ) , functional status score ( FSS ) , nerve conduction studies , and cross-sectional area ( CSA ) of the median nerve as measured by ultrasonography . Compared to baseline , post-treatment VAS scores ( group 1 , P < 0.001 ; group 2 , P < 0.001 ; group 3 , P < 0.01 ) , grip strength ( P < 0.05 ) , SSS scores ( group 1 , P < 0.001 ; group 2 , P < 0.001 ; group 3 , P < 0.01 ) , and FSS scores ( P < 0.05 ) improved significantly in all groups . Only sensorial nerve velocity measurements on the palmar region showed a significant improvement in both active laser groups ( P < 0.01 ) . There was no significant difference in any of the outcome measures among the groups . With the chosen laser type and dose regimen , the results suggested that LLLT was no more effective than placebo in CTS
The strongest evidence supports postsurgical early active motion protocol s and splinting for various conditions .
Very few studies have examined occupation-based interventions .
Occupational therapy practitioners are key health care providers for people with musculoskeletal disorders of the distal upper extremity .
It is imperative that practitioners underst and the most effective and efficient means for remediating impairments and supporting clients in progressing to independence in purpose ful occupations .
This systematic review provides an up date to a previous review by summarizing articles published between 2006 and July 2014 related to the focused question , What is the evidence for the effect of occupational therapy interventions on functional outcomes for adults with musculoskeletal disorders of the forearm , wrist , and h and ?