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CAT: Phystrac bij CTS

CAT: Phystrac bij CTS. Julie Staals Sept 2007. P : CTS I : tractie (Phystrac) C : geen / andere interventie O : klachtenverlichting. Cochrane Non-surgical treatment (other than steroid injection) for cts 2003  Geen tractie-therapie vermeld CBO-richtlijn

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CAT: Phystrac bij CTS

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  1. CAT: Phystrac bij CTS Julie Staals Sept 2007

  2. 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

  4. 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. 2007;20(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. 2004;48(3):211-216.  4 patiënten

  5. www.cont-ex.nl pilot study Phystrac (1) Inclusie: • Klachten passend bij CTS • Fysiotherapeut bevestigt diagnose

  6. 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 n=3 (analyse n=9)

  7. 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.

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

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