KINESITHERAPY OF CARPAL TUNNEL SYNDROME

Sindrom karpalnog tunela spada u jednu od najčešćih neuropatija gornjih ekstremiteta. Karpalni kanal je anatomski ograničen prostor, a svako stanje koje uzrokuje povišenje tlaka unutar kanala posljedično će kompromitirati središnji živac te uzrokovati bol. Primarni uzrok nastanka sindroma su ponavljajući i dugotrajni pokreti u ručnom zglobu koji uzrokuju parestezije i bolove u srednjem prstu, kažiprstu i palcu. Prilikom procjene sindroma karpalnog tunela najčešće su korišteni provokacijski testovi poput Phanelovog i Tinelovog testa, dok ''zlatni standard'' predstavlja elektroneurofiziološka dijagonstika. Dva su načina liječenja sindroma karpalnog tunela, konzervativni i operacijski. Prilikom liječenja od velike važnosti je prepoznavanje simptoma u što ranijoj fazi kako bi se kombinacijom kineziterapije i ostalih fizioterapeutskih postupaka postigli što bolji rezultati oporavka. Kineziterapija ima veliku ulogu u prevenciji sindroma karpalnog tunela, postoperativnom procesu oporavka i smanjenju recidiva bolesnika. Cilj ovog rada je prezentirati metode kineziterapijskog djelovanja koje smanjuju i preveniraju simptome sindroma karpalnog tunela.Carpal tunnel syndrome is one of the most common upper extremity neuropathies. The carpal tunnel is an anatomically limited space, and any condition that causes an increase in pressure within the canal will consequently compromise the median nerve and cause pain. Provocative tests such as the Phanel and Tinel tests were most commonly used in the assessment of carpal tunnel syndrome, while the "gold standard" was electroneurophysiological diagnostics. There are two ways to treat carpal tunnel syndrome, conservative and surgical. During treatment, it is very important to recognize the symptoms at the earliest possible stage in order to achieve the best possible recovery results through a combination of kinesitherapy and other physiotherapeutic procedures. Kinesitherapy plays a major role in the prevention of carpal tunnel syndrome, the postoperative recovery process and the reduction of patient recurrence. The aim of this thesis is to present methods of kinesitherapy that reduce and prevent the symptoms of carpal tunnel syndrome