Cochrane · systematic review · CD004158
Rehabilitation following carpal tunnel release
Peters, S, Page, MJ, Coppieters, MW, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library
NeuromuscularAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 6 · 85.7%Moderate 1 · 14.3%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Multi‐modal hand therapy versus normal activities and advice for people who have had carpal tunnel release surgery
Population: people who have had carpal tunnel release surgery
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Long‐term improvement in functional ability (DASH) ‐ DASH at 6 months post surgery Multi‐modal hand therapy vs normal activities and advice | no estimate extracted | 1 study · 150 participants | Low Downgraded: risk of bias |
Change in impairment measure (grip strength) ‐ 6 months post surgery Multi‐modal hand therapy vs normal activities and advice | no estimate extracted | 1 study · 150 participants | Low Downgraded: risk of bias |
Change in impairment measure (lateral pinch strength) ‐ 6 months post surgery Multi‐modal hand therapy vs normal activities and advice | no estimate extracted | 1 study · 150 participants | Low Downgraded: risk of bias |
Return to normal occupations ‐ at the end of treatment (2 weeks post surgery) Multi‐modal hand therapy vs normal activities and advice | RR 0.96 [0.78, 1.18] | 1 study · 150 participants | Low Downgraded: risk of bias |
Return to normal occupations ‐ 4 weeks after completion of treatment (6 weeks post surgery) Multi‐modal hand therapy vs normal activities and advice | RR 1.02 [0.89, 1.17] | 1 study · 150 participants | Low Downgraded: risk of bias |
Return to normal occupations ‐ 6 weeks after completion of treatment (8 weeks post surgery) Multi‐modal hand therapy vs normal activities and advice | RR 1.04 [0.97, 1.12] | 1 study · 150 participants | Low Downgraded: risk of bias |
Adverse effects Multi‐modal hand therapy vs normal activities and advice | RR 0.53 [0.05, 5.69] | 1 study · 150 participants | Moderate Downgraded: risk of bias |