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An occupational or physiotherapist working as a hand therapist may be involved in other areas of treatment for the symptoms of CTS depending on their scope of practice. [17] These treatments may include but are not limited to ultrasound, electromagnetic field therapy, magnetic therapy, low level-laser therapy, or nerve gliding exercises.
The basic exercise consists of holding a pair of Baoding balls in the palm of one hand, rotating them (switching the relative position of the two balls) while maintaining constant contact between them. Once this technique has been mastered, the rotation speed can be gradually increased until the balls separate in the hand.
A gyroscopic exercise tool is a specialized device used in physical therapy to improve wrist strength and promote the development of palm, wrist, forearm, and finger muscles. It can also be used as a unique demonstration of some aspects of rotational dynamics .
The patient watches their hand or arm movements (for example) and corrects them as needed. [4] Although the technique is simple, needs virtually no exercise equipment, and can be done on one's own, concentration and some degree of perseverance is required. Research has shown that 20,000 to 30,000 repetitions may be required to produce results.
Open chain exercises (OKC) are exercises that are performed where the hand or foot is free to move. The opposite of OKC are closed kinetic chain exercises (CKC). Both are effective for strengthening and rehabilitation objectives. [1]
Nerve gliding exercise is not an optimal method for every patient. There is limited evidence on the effectiveness of neural gliding. However, the addition of nerve gliding exercise in conservative care accelerates the rehabilitation process and avoids surgical treatment.
Closed kinetic chain exercises or closed chain exercises (CKC) are physical exercises performed where the hand (for arm movement) or foot (for leg movement) is fixed in space and cannot move. The extremity remains in constant contact with the immobile surface, usually the ground or the base of a machine.
Physical therapy, speech therapy, occupational therapy, hot and cold therapy, and other methods that "exercise" specific brain functions are used.For example, eye–hand coordination exercises may rehabilitate certain motor deficits, or well-structured planning and organizing exercises might help rehabilitate executive functions following a traumatic blow to the head.
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