Effect of dry Needling versus neural Mobilization Technique on Velocity and Latency of Median Nerve in Patients with Carpal Tunnel Syndrome | ||||
| Benha International Journal of Physical Therapy | ||||
| Articles in Press, Accepted Manuscript, Available Online from 02 August 2025 PDF (560.09 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/bijpt.2025.355992.1097 | ||||
 View on SCiNiTO | ||||
| Author | ||||
Aya Mohamed Atteya  
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| orthopedic department,faculty of physical therapy, Cairo University | ||||
| Abstract | ||||
| Background: The effectiveness of dry needle (DN) and median nerve mobilization (NM) has been reported in carpal tunnel syndrome (CTS) management. However, no research has been conducted to compare DN versus NM on CTS clinical symptoms and median nerve conductionز Methods: In this randomized clinical trial, thirty CTS patients were randomized into two equal groups, either receiving DN or NM, for 4 weeks with 3 sessions a week. Pain intensity during activity, severity of symptoms, and median nerve parameters were assessed prior to and following treatment by the Visual Analogue Scale, CTS-6 scale, and Nerve conduction studies, respectively.The study employed mixed MANOVA to compare differences within and between groups.Use the Bonferroni post hoc test to determine which differences were significant. Results: Dry needle showed a greater decrease in median nerve sensory onset latency (p = 0.02) compared to NM, while motor amplitude was higher (p= 0.03) in NM than DN, with a mean difference indicating the potential of a clinically meaningful. NM patients improved significantly in all outcomes (p <0.05), however, pain intensity, symptom severity, and sensory onset latency were the only statistically significant changes within DN group (p<0.05). Conclusion: 4 weeks of either DN or NM are similar in decreasing clinical symptoms of CTS. Both techniques can decrease sensory onset latency, however, DN is more efficient. Neural mobilization is better in improving both conduction of sensory and motor median nerves, specifically the motor median nerve amplitude. | ||||
| Keywords | ||||
| Carpal tunnel syndrome; Dry needling; Median nerve conduction; Neural mobilization; Neurodynamic | ||||
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