{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:29:18Z","timestamp":1787030958336,"version":"build-2736575974"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2022,9,14]],"date-time":"2022-09-14T00:00:00Z","timestamp":1663113600000},"content-version":"vor","delay-in-days":1658,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:p>Context: Carpal tunnel syndrome (CTS) is one of the most common peripheral neuropathies, and there is no consensus on the preferred method of treatment. Aims: The aim of this study is to determine the effects of hand exercise performed with a ball on symptoms and to evaluate the results in hemodialysis (HD) patients with CTS. Settings and Design: This study was conducted in patients with HD who were treated in dialysis centers and state hospitals in Turkey between 2011 and 2012. Subjects and Methods: This study included 19 patients (28 hands) that were diagnosed as CTS. For exercise treatment, a hand and finger exercise ball that consists of two parts: a foam body and flexible rubber cords was used. Patients placed their fingers through each cord, squeezed it for 1 s, and then opened their fingers against the cord for 1 s. Patients repeated this exercise for 30 s to 1 min\/day. Statistical Analysis Used: The McNemar, Friedman ANOVA, and the Wilcoxon test with a Bonferroni correction were used on SPSS 20.0 software package program. P &lt; 0.05 was considered statistically significant. Results: Results showed that recovery was performed from physical examination results, grip strength, and Boston questionnaire scores. About 21.4% of patients' electrophysiological results were negative at the end of the 1st month and 32.1% of them at the end of the 3rd month. Conclusion: Due to the slowed progress of CTS and detection of slight improvement in evaluation parameters, this self-applicable and practical exercise can be used as an alternative treatment of mild CTS in patients with HD.<\/jats:p>","DOI":"10.4103\/ajns.ajns_343_16","type":"journal-article","created":{"date-parts":[[2018,2,6]],"date-time":"2018-02-06T06:27:05Z","timestamp":1517898425000},"page":"31-36","source":"Crossref","is-referenced-by-count":8,"title":["The effect of hand exercise on reducing the symptoms in hemodialysis patients with carpal tunnel syndrome"],"prefix":"10.1055","volume":"13","author":[{"given":"Seher","family":"Unver","sequence":"additional","affiliation":[{"name":"Department of Surgical Nursing, Faculty of Health Sciences, Trakya University, Edirne"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neriman","family":"Akyolcu","sequence":"additional","affiliation":[{"name":"Department of Surgical Nursing, Florence Nightingale Faculty of Nursing, Istanbul University, Istanbul"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,9,14]]},"reference":[{"key":"key-10.4103\/1793-5482.224839-1","first-page":"6","volume-title":"Carpal tunnel syndrome","author":"Aroori","year":"2008","journal-title":"Ulster Med J"},{"key":"key-10.4103\/1793-5482.224839-2","first-page":"13","volume-title":"Study of wrist posture, loading and repetitive motion as risk factors for developing carpal tunnel syndrome","author":"Fung","year":"2007","journal-title":"Hand Surg"},{"key":"key-10.4103\/1793-5482.224839-3","first-page":"1593","volume-title":"Characteristics of dialysis-related amyloidosis in patients on haemodialysis therapy for more than 30 years","author":"Otsubo","year":"2009","journal-title":"Nephrol Dial Transplant"},{"key":"key-10.4103\/1793-5482.224839-4","first-page":"259","volume-title":"Carpal tunnel syndrome in haemodialysis patients: Early detection by electroneurophysiological studies","author":"Al-Homrany","year":"2001","journal-title":"Nephrology"},{"key":"key-10.4103\/1793-5482.224839-5","first-page":"2561","volume-title":"Does carpal tunnel release provide long-term relief in patients with hemodialysis-associated carpal tunnel syndrome?","author":"Kang","year":"2012","journal-title":"Clin Orthop Relat Res"},{"key":"key-10.4103\/1793-5482.224839-6","first-page":"44","volume-title":"Management of patients with carpal tunnel syndrome","author":"Walker","year":"2010","journal-title":"Nurs Stand"},{"key":"key-10.4103\/1793-5482.224839-7","first-page":"1473","volume-title":"Outcomes of endoscopic surgery compared with open surgery for carpal tunnel syndrome among employed patients: Randomised controlled trial","author":"Atroshi","year":"2006","journal-title":"BMJ"},{"key":"key-10.4103\/1793-5482.224839-8","unstructured":"American Academy of Orthopaedic Surgeons and American Academy of Orthopaedic Surgeons. Clinical Practice Guideline on the Treatment of Carpal Tunnel Syndrome. 1st ed. Rosemont, IL: American Academy of Orthopaedic Surgeons (AAOS); 2008. p. 1-33."},{"key":"key-10.4103\/1793-5482.224839-9","first-page":"150","volume-title":"Preventing carpal tunnel syndrome and cumulative trauma disorder: Effect of carpal tunnel decompression excercises: An Oklahoma experience","author":"Seradge","year":"2000","journal-title":"J Okla State Med Assoc"},{"key":"key-10.4103\/1793-5482.224839-10","first-page":"309","volume-title":"Clinical diagnosis of carpal tunnel syndrome: A systematic review","author":"MacDermid","year":"2004","journal-title":"J Hand Ther"},{"key":"key-10.4103\/1793-5482.224839-11","first-page":"1585","volume-title":"Aself-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome","author":"Levine","year":"1993","journal-title":"J Bone Joint Surg Am"},{"key":"key-10.4103\/1793-5482.224839-12","first-page":"339","volume-title":"Reliability and validity of the DynEx dynamometer","author":"Shechtman","year":"2005","journal-title":"J Hand Ther"},{"key":"key-10.4103\/1793-5482.224839-13","first-page":"12","volume-title":"Sensitivities of conventional and new electrophysiological techniques in carpal tunnel syndrome and their relationship to body mass index","author":"Ayg\u00fcl","year":"2009","journal-title":"J Brachial Plex Peripher Nerve Inj"},{"key":"key-10.4103\/1793-5482.224839-14","doi-asserted-by":"crossref","unstructured":"Schoenhuber R, Capone L, Gentile R, Pentore R. Neurophysiological assessment of carpal tunnel syndrome. In: Carpal Tunnel Syndrome. 1st ed. Berlin Heidelberg, Springer; 2007. p. 69-74.","DOI":"10.1007\/978-3-540-49008-1_9"},{"key":"key-10.4103\/1793-5482.224839-15","first-page":"589","volume-title":"Conservative interventions for carpal tunnel syndrome","author":"Michlovitz","year":"2004","journal-title":"J Orthop Sports Phys Ther"},{"key":"key-10.4103\/1793-5482.224839-16","first-page":"467","volume-title":"Can we use nerve gliding exercises in women with carpal tunnel syndrome?","author":"Pinar","year":"2005","journal-title":"Adv Ther"},{"key":"key-10.4103\/1793-5482.224839-17","first-page":"108","volume-title":"Treatment of carpal tunnel syndrome with nerve and tendon gliding exercises","author":"Akalin","year":"2002","journal-title":"Am J Phys Med Rehabil"},{"key":"key-10.4103\/1793-5482.224839-18","unstructured":"McArdle WD, Katch FL, Katch VL. Exercise physciology: From par to present. In: Lupash E, editor. Essentials of Exercise Physiology. 1st ed. Philadelphia: Lippincott Williams and Wilkins; 2006. p. 3-37."},{"key":"key-10.4103\/1793-5482.224839-19","unstructured":"Legg JP. The Effect of Powerball on Grip Strenght. Johannesburg University, Master's Thesis; 2008. p. 40-7."},{"key":"key-10.4103\/1793-5482.224839-20","unstructured":"Randolph JK. A Comparison of Flexion and Extension Exercises in Workers at Risk for Developing Cumulative Trauma Disorder. University of Cincinnati; Doctoral Dissertation; 2000. p. 63-72."},{"key":"key-10.4103\/1793-5482.224839-21","first-page":"3171","volume-title":"Reliability and efficacy of the new massage technique on the treatment in the patients with carpal tunnel syndrome","author":"Madenci","year":"2012","journal-title":"Rheumatol Int"},{"key":"key-10.4103\/1793-5482.224839-22","first-page":"1792","volume-title":"Symptom severity and conservative treatment for carpal tunnel syndrome in association with eventual carpal tunnel release","author":"Baker","year":"2014","journal-title":"J Hand Surg Am"},{"key":"key-10.4103\/1793-5482.224839-23","first-page":"1589","volume-title":"Practice parameter: Electrodiagnostic studies in carpal tunnel syndrome.Report of the American Association of Electrodiagnostic Medicine, American Academy of Neurology, and the American Academy of Physical Medicine and Rehabilitation","author":"Jablecki","year":"2002","journal-title":"Neurology"},{"key":"key-10.4103\/1793-5482.224839-24","first-page":"9","volume-title":"Carpal tunnel syndrome symptoms are lessened following massage therapy","author":"Field","year":"2004","journal-title":"J Bodyw Mov Ther"},{"key":"key-10.4103\/1793-5482.224839-25","first-page":"15","volume-title":"Effectiveness of Nerve and Tendon Gliding Exercises Following Open Carpal Tunnel Release","author":"Keskin","year":"252;","journal-title":"T"}],"container-title":["Asian Journal of Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.4103\/ajns.AJNS_343_16.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,14]],"date-time":"2022-09-14T20:47:57Z","timestamp":1663188477000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.4103\/ajns.AJNS_343_16"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3]]},"references-count":25,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2022,9,14]]},"published-print":{"date-parts":[[2018,3]]}},"URL":"https:\/\/doi.org\/10.4103\/ajns.ajns_343_16","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1793-5482","2248-9614"],"issn-type":[{"value":"1793-5482","type":"print"},{"value":"2248-9614","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3]]}}}