Comparative Effects of Sensory Re-education and Neural Mobilization in CTS Patients

Sensory re-education. Splinting: as constant maintained touch with wrist holding in neutral position for 15 minutes. Topical anesthesia spray on affected area for 10 minutes. Massage: apply massage over sensitive areas with same speed and pressure, then the light pressure with cotton, velvet, terry cloth, polyester and wool over sensitive area for 10 minutes. PNF using upper extremity (D2) pattern including shoulder extension, adduction, internal rotation, wrist and fingers flexed and wrist ulnar deviated. 10-15 repetitions for 5 minutes. Strengthening exercises: wrist flexion and extension, supination and pronation, opposition, gripping, ball squeeze and fingers pinching against resistance. 10-15 repetitions of each exercise for 20 minutes. Kinesio taping: Taping will be applied twice a week for 12 weeks.

The median nerve is mobilized through wrist flexion and extension with elbow straight and palm facing up. Wrist flexion and extension with elbow flexed to 90 degrees with palm facing up 10-15 repetitions. Wrist flexors stretch with extended arm and palm facing down 10-15 repetitions. Straight fist: hold your hand up with fingers straight. Full fist: bend your fingers to form a full fist. Median nerve stretch and wrist extension exercises for 30 minutes. Free the bird exercises, busy bee flexion shape of Z exercises and wall stretch exercise. (10-15 repetitions) for 10 minutes. Strengthening exercises: wrist flexion and extension, supination and pronation, opposition, gripping, ball squeeze and fingers pinching against resistance. 10-15 repetitions each for 20 minutes. Kinesio taping: The taping will be applied twice a week for 12 weeks.