Investigation of the effectiveness of activity-based proprioceptive sensory re-learning on hand functions after carpal tunnel release surgery

In the present study, it was aimed to examine the effect of proprioceptive re-training on activity limitation, hand functions and quality of life after open carpal tunnel release surgery. Thirty individuals between 18-65 who underwent surgery 3-10 days ago were included in the study. Individuals were divided into two groups as activity-based proprioceptive training (PT) and traditional rehabilitation (TR) according to the minimization method. Evaluations were made twice in total, before and after intervention. In determining the functional level, Rosen Score; goniometric measurement in evaluating of proprioception; Ayres Kinesthesia Assessment in evaluating the kinesthesia; hand dynamometer in evaluating of power grip strength; pinchmeter in evaluating the pinch grip strength; Purdue Pegboard Test in evaluating hand functions; Boston Carpal Tunnel Questionnaire for evaluation of symptom severity; The Patient-Specific Functional Scale in evaluating the activity limitation and EQ-5D was used to assess quality of life. Individuals were included in a 12-week intervention program, twice a week, each session lasting 45-60 minutes. Basic hand rehabilitation interventions were applied to the individuals in the TR group. Individuals in the PT group were included in the intensive proprioception-focused intervention program based on the activities specified in the The Patient-Specific Functional Scale. The improvement in hand functions (p <0.01) and sensory functions (p <0.05) and the decrease in symptom severity (p≤0.05) of the individuals in the PT group after the intervention were found to be statistically significant compared to the other group. Activity-based proprioceptive training applied after surgery include reducing activity limitation, pain and symptom severity; improving sensory functions, grip strength, hand functions and quality of life. Keywords: Carpal tunnel syndrome, proprioception, occupation, activities of daily living.