CAT: Phystrac bij CTS

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CAT Phystrac bij CTS

• Julie Staals
• Sept 2007

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• P CTS
• I tractie (Phystrac)
• C geen / andere interventie
• O klachtenverlichting

3

• Cochrane
• Non-surgical treatment (other than steroid
  injection) for cts
• 2003
• ? Geen tractie-therapie vermeld
• CBO-richtlijn
• Diagnostiek en behandeling van cts
• 2005
• ? Geen tractie-therapie vermeld

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Pubmed (carpal tunnel syndrome AND traction) New
carpal ligament traction device for the treatment
of cts unresponsive to conservative therapy.
Porrata H, Porrata A, Sosner J. J Hand Ther.
200720(1)20-7. ? C-trac, niet
beschikbaar Intermittend axial wrist traction as
conservative treatment for cts a case
series. Brunarski D, Kleinberg B, Wilkins K. J
Can Chiropr Assoc. 200448(3)211-216. ? 4
patiënten
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• www.cont-ex.nl
• pilot study Phystrac (1)
• Inclusie
• Klachten passend bij CTS
• Fysiotherapeut bevestigt diagnose

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• pilot study Phystrac (2)
• 12 patienten geincludeerd
• 12 behandelingen (12 weken)
• Evaluatie voor behandeling, na 2 en 3 mnd
• Inclusie, behandeling en evaluatie door
  fysiotherapeut
• Uitval n3 (analyse n9)

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(No Transcript)
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• pilot study Phystrac (3)
• Controle groep
• proefschrift Gerritsen (2002)
• Polsspalk
• N?
• The success rate was calculated with the general
  improvement score. In the traction group 4 out of
  6 patients judged their condition as completely
  recovered or much improved after 12 weeks of
  treatment, resulting in a success rate of 66. In
  the splinting group 46 out of 86 patients judged
  their condition as completely recovered or much
  improvement after 3 months of treatment,
  resulting in a success rate of 54. No
  significant differences were found between de
  success rates of the traction group and the
  splinting group.

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• Conclusie
• Beter onderzoek nodig met
• (onder andere) meer patienten
• controlegroep, en langere follow-up duur