Ultrasound Therapy and Tendon Gliding Exercise in Carpal Tunnel Syndrome: A Case Study

Cindy Hasna Fatikha; Umi Budi Rahayu; Yunita Nur Rochmah

doi:10.24843/mifi.000001618

Authors

Cindy Hasna Fatikha Physiotherapy Professional Program, Faculty of Health Sciences, Universitas Muhammadiyah Surakarta Author
Umi Budi Rahayu Physiotherapy Professional Program, Faculty of Health Sciences, Universitas Muhammadiyah Surakarta Author
Yunita Nur Rochmah Department of Medical Rehabilitation, Physiotherapy Unit, Universitas Sebelas Maret Hospital Author

DOI:

https://doi.org/10.24843/mifi.000001618

Keywords:

Carpal Tunnel Syndrome, Ultrasonic Therapy, Tendon Gliding, Physical Therapy Modalities, Rehabilitation

Abstract

Background: Carpal Tunnel Syndrome (CTS) is the most common entrapment neuropathy of the upper extremity, characterized by pain, paresthesia, and impaired hand function. Conservative physiotherapy is widely used to alleviate symptoms and improve functional outcomes.

Objective: To evaluate the clinical outcomes of a multimodal physiotherapy program combining ultrasound therapy and tendon gliding exercises in a patient with CTS.

Methods: This case study involved a 46-year-old female diagnosed with CTS. The intervention included therapeutic ultrasound, tendon gliding exercises, strengthening exercises, and ergonomic education, administered twice weekly for four weeks. Outcomes were assessed using wrist range of motion (ROM), Manual Muscle Testing (MMT), Visual Analog Scale (VAS), and the Boston Carpal Tunnel Syndrome Questionnaire (BCTQ).

Results: After four weeks, movement pain decreased from 6/10 to 2/10 and pressure pain from 4/10 to 1/10. Muscle strength improved from MMT grade 4/5 to 5/5. Wrist ROM increased from 40°–50° to 50°–60° (extension) and from 15°–20° to 20°–30° (flexion). Functional status improved, with BCTQ scores decreasing from 3.5 to 1.0–1.9.

Conclusion: A multimodal physiotherapy program combining ultrasound therapy and tendon gliding exercises may reduce pain, improve wrist mobility, increase muscle strength, and enhance functional ability in CTS patients.