Abstract
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Highlights
• Low-power laser and shock wave therapies had positive effects on pain reduction, grip and pinch strength, and function in carpal tunnel patients.
• Low-power laser and shock wave therapies had a positive effect on sensory latency and motor nerve conduction velocity of the median nerve
• There were no significant differences between the low-level laser therapy (LLLT) therapy and extracorporeal shock wave therapy (ESWT) groups except for pain in favor of the ESWT group.
• The two interventions had the same effect on electrophysiological parameters.
Plain Language Summary
Compression on the wrist tunnel leads to pain, numbness, and tingling sensation or falling objects from the hand in severe cases. Nonsurgical methods can help improve the signs and symptoms in early diagnosis. Recently, using shock wave therapy and low-level laser therapy (LLLT) has been very attractive in these patients, but there are not many studies comparing the effects of these methods. In this study, we assessed the effect of adding LLLT or shock wave therapy to exercise, mobilization, and stretching, on pain, strength, function, and electrophysiological findings. After two weeks of physiotherapy intervention, positive effects were seen on the reduction of pain and the improvement of strength and function. Likewise, nerve impulses revealed recovery after treatment in three groups. Our results detected much improvement in patients who received shock wave therapy based on effect size. Therefore, we can suggest these interventions as perfect methods in the management of moderate patients with carpal tunnel syndrome, particularly the addition of shock wave therapy to routine treatment.