This will help prevent compensatory muscular system imbalances from occurring. The patient's job requirements were physically demanding, which indicated the need for a return of maximal function capacity to a preinjury level. Muscular imbalances often occur in conjunction with CTS and should be managed before initiating a rehabilitation program. Evaluation of muscle imbalances should be performed once the patient has reached or almost reached pain-free full range of motion. It is important to recognize the difference between muscle spasm and muscle tightness.
Tight muscles are usually stronger than normal.
Strengthening a tight muscle can cause increased weakness. Stretching is the typical protocol for muscle tightness. PNF and exercise facilitate neuromuscular re-education. The PNF and isometric exercise was performed for 4 wk. The stretching and muscle imbalances were considered throughout the whole rehabilitation program.