Effect of Neurodynamic Technique on Carpal Tunnel Syndrome "Single Case Report"


  • Azzam ALArab Faculty of Allied Medical Sciences, Palestine Ahliya University (Palestine). https://orcid.org/0000-0003-1243-5151
  • Aseel Radwan Faculty of Allied Medical Sciences, Palestine Ahliya University (Palestine).
  • Bayan Abu Shamsia Faculty of Allied Medical Sciences, Palestine Ahliya University (Palestine).
  • Ayat Sidr Faculty of Allied Medical Sciences, Palestine Ahliya University (Palestine).




The study was designed to assess the effect of neurodynamic techniques in carpal tunnel syndrome (CTS) patients. The study focused on women with CTS. The phalen’s test, compression (durkan’s) test, pain assessment (VAS), the Boston Carpal Tunnel Questionnaire (BCTQ) were used to measure symptoms related to CTS. Neurodynamic technique, cervical lateral glide and sliding technique were used as treatment protocol techniques. The patient underwent three sessions weekly for three consecutive weeks. At the end of the last session, the outcome results improved in all data for the patient initially. The patient pain reduced from 9  to  2degree using VAS scale. The CTS symptoms were decreased using neurodynamic technique. Neurodynamic technique is one of the most important technique used to treat the tension of the nervous system, because it reducing the intrinsic pressure and improving the elasticity of neural tissues. This study's originality lies in its tailored approach to CTS treatment and its contribution to science by shedding light on the effectiveness of neurodynamic techniques in addressing a widely encountered medical issue.


Carpal Tunnel Syndrome, Neurodynamic technique, Physical Therapy, Manipulations


Armagan, O., Bakilan, F., Ozgen, M., Mehmetoglu, O., & Oner, S. (2014). Effects of placebo-controlled continuous and pulsed ultrasound treatments on carpal tunnel syndrome: a randomized trial. Clinics (Sao Paulo, Brazil), 69(8), 524–528.


Atroshi, I., Gummesson, C., Johnsson, R., Ornstein, E., Ranstam, J., & Rosén, I. (1999). Prevalence of carpal tunnel syndrome in a general population. JAMA, 282(2), 153–158.


Ballestero-Pérez, R., Plaza-Manzano, G., Urraca-Gesto, A., Romo-Romo, F., Atín-Arratibel, M. L. Á., Pecos-Martín, D., Gallego-Izquierdo, T., & Romero-Franco, N. (2017). Effectiveness of Nerve Gliding Exercises on Carpal Tunnel Syndrome: A Systematic Review. Journal of manipulative and physiological therapeutics, 40(1), 50–59.


Basson, A., Olivier, B., Ellis, R., Coppieters, M., Stewart, A., & Mudzi, W. (2015). The effectiveness of neural mobilizations in the treatment of musculoskeletal conditions: a systematic review protocol. JBI database of systematic reviews and implementation reports, 13(1), 65–75. https://doi.org/10.11124/jbisrir-2015-1401

Bula-Oyola, E., Belda-Lois, J. M., Porcar-Seder, R., & Page, Á. (2021). Effectiveness of electrophysical modalities in the sensorimotor rehabilitation of radial, ulnar, and median neuropathies: A meta-analysis. PloS one, 16(3), e0248484.


Chammas, M., Boretto, J., Burmann, L. M., Ramos, R. M., Dos Santos Neto, F. C., & Silva, J. B. (2014). Carpal tunnel syndrome - Part I (anatomy, physiology, etiology and diagnosis). Revista brasileira de ortopedia, 49(5), 429–436.


Dincer, U., Cakar, E., Kiralp, M. Z., Kilac, H., & Dursun, H. (2009). The effectiveness of conservative treatments of carpal tunnel syndrome: splinting, ultrasound, and low-level laser therapies. Photomedicine and laser surgery, 27(1), 119–125.


Ghasemi-Rad, M., Nosair, E., Vegh, A., Mohammadi, A., Akkad, A., Lesha, E., Mohammadi, M. H., Sayed, D., Davarian, A., Maleki-Miyandoab, T., & Hasan, A. (2014). A handy review of carpal tunnel syndrome: From anatomy to diagnosis and treatment. World journal of radiology, 6(6), 284–300. https://doi.org/10.4329/wjr.v6.i6.284

Khosrawi, S., & Maghrouri, R. (2012). The prevalence and severity of carpal tunnel syndrome during pregnancy. Advanced biomedical research, 1, 43. https://doi.org/10.4103/2277-9175.100143

Levine, D. W., Simmons, B. P., Koris, M. J., Daltroy, L. H., Hohl, G. G., Fossel, A. H., & Katz, J. N. (1993). A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome. The Journal of bone and joint surgery. American volume, 75(11), 1585–1592. https://doi.org/10.2106/00004623-199311000-00002

Page, M. J., O'Connor, D., Pitt, V., & Massy-Westropp, N. (2012). Exercise and mobilisation interventions for carpal tunnel syndrome. The Cochrane database of systematic reviews, (6), CD009899. https://doi.org/10.1002/14651858.CD009899

Pyun, S. B., Song, W., & Yoo, S. D. (2005). Slowed conduction velocity of the median sensory nerve across the carpal tunnel in normal adults. American journal of physical medicine & rehabilitation, 84(8), 598–603. https://doi.org/10.1097/01.phm.0000171004.38035.9e

Ridehalgh, C., Greening, J., & Petty, N. J. (2005). Effect of straight leg raise examination and treatment on vibration thresholds in the lower limb: a pilot study in asymptomatic subjects. Manual therapy, 10(2), 136–143. https://doi.org/10.1016/j.math.2004.08.008

Sheereen, F. J., Sarkar, B., Sahay, P., Shaphe, M. A., Alghadir, A. H., Iqbal, A., Ali, T., & Ahmad, F. (2022). Comparison of Two Manual Therapy Programs, including Tendon Gliding Exercises as a Common Adjunct, While Managing the Participants with Chronic Carpal Tunnel Syndrome. Pain research & management, 2022, 1975803.


Shooshtari, S. M., Badiee, V., Taghizadeh, S. H., Nematollahi, A. H., Amanollahi, A. H., & Grami, M. T. (2008). The effects of low level laser in clinical outcome and neurophysiological results of carpal tunnel syndrome. Electromyography and clinical neurophysiology, 48(5), 229–231.

Stoianov, A. G., Patrascu, J. M., Hogea, B. G., Andor, B., Florescu, S., Jr, J. M. P., & Misca, L. C. (2022). Static and Dynamic Ultrasound Evaluation of the Median Nerve Morphopathology in Carpal Tunnel Syndrome Diagnosis. Maedica, 17(3), 591–595.


Yagci, I., Elmas, O., Akcan, E., Ustun, I., Gunduz, O. H., & Guven, Z. (2009). Comparison of splinting and splinting plus low-level laser therapy in idiopathic carpal tunnel syndrome. Clinical rheumatology, 28(9), 1059–1065. https://doi.org/10.1007/s10067-009-1213-0




How to Cite

ALArab , A. ., Radwan, A., Abu Shamsia, B. ., & Sidr, A. . (2024). Effect of Neurodynamic Technique on Carpal Tunnel Syndrome "Single Case Report". Journal of Palestine Ahliya University for Research and Studies, 3(1), 178–186. https://doi.org/10.59994/pau.2024.1.178