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"Doha H. Al-Afify"

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"Doha H. Al-Afify"

Original Article

Physical therapy

Adding Extracorporeal Shockwave Therapy to Conventional Treatment Improves Pain, Function, and Electrophysiological Function in Females With Carpal Tunnel Syndrome: A Randomized Controlled Trial
Doha H. Al-Afify, Doaa Saeed, Fatma S. Zidan, Mina Magdy Wahba, Omnya Samy A. Ghoneim, Eman Naser Eid Sayed, Hanaa S. Mohamed
Ann Rehabil Med 2026;50(3):179-187.   Published online June 22, 2026
DOI: https://doi.org/10.5535/arm.260009
Objective
To determine whether adding extracorporeal shockwave therapy (ESWT) to conventional treatment enhances pain, function, and electrophysiological functionality in females with carpal tunnel syndrome (CTS).
Methods
One hundred females (25–40 years) diagnosed with CTS were randomly allocated to a control group that received conventional therapy and an experimental group that received the same program augmented with ESWT. Outcome measures included the symptom severity scale (SSS), function severity scale (FSS), pain intensity assessed using the visual analog scale (VAS). In addition, distal sensory latency/distal motor latency (DSL/DML), and sensory nerve conduction velocity/motor nerve conduction velocity (SNCV/MNCV) were measured using a nerve conduction velocity study.
Results
The experimental group exhibited significantly greater improvements in SSS, VAS, DSL, DML, SNCV, compared to controls (all p≤0.05). However, changes in MNCV and FSS were non-significant (p>0.05).
Conclusion
Integrating ESWT into rehabilitation enhances function, pain, and electrophysiological recovery in females with CTS.
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