METHOD FOR REHABILITATION OF PATIENTS AFTER SURGICAL TREATMENT OF CARPAL TUNNEL SYNDROME Russian patent published in 2024 - IPC A61H1/00 A61B8/00 A61K31/00 A61K38/00 A61P19/00 

FIELD: medicine.

SUBSTANCE: invention refers to restorative medicine, medical rehabilitation, neurology and physiotherapy. In 2 weeks after surgery for carpal tunnel syndrome as a complex physical exposure, 10-day rehabilitation course is performed, the course consisting of following a general diet and the following daily actions: physical therapy exercises in a gentle training mode; procedures of classical hand massage of the involved upper extremity; laser therapy with an infrared laser with wavelength of 0.89 mcm in a pulsed mode on the area of the operated carpal canal with a pulse power of 4–6 W for 5 minutes per procedure, pulse repetition rate of 80 Hz; ultraphonophoresis with hydrocortisone ointment on the area of the operated carpal canal in continuous mode 0.2–0.4 W/cm² for 8 minutes per procedure; robotic mechanotherapy (RMT) on the Amadeo training device in a sitting position with preliminary testing of the active range of motion in the affected wrist joint along each axis of motion. At the beginning of the RMT session, the training is carried out in a passive mode of the training device operation for 5 minutes with the subsequent transition to a passive-active mode, and then, when in passive-active mode 70% of the amplitude of movements of the patient in the affected wrist joint on each of the axes of movement is set during testing, the patient is switched to the game active mode, in which the RMT is performed for 10 minutes. Every three days from the beginning of the course, an extracorporeal shock wave therapy (ESWT) procedure is performed using the WellWave apparatus with focusing the shock wave directly on the areas of maximum pain on the operated limb with a penetration depth of 1 cm with a frequency of impacts on each procedure at beginning of 6 Hz – in amount of 1,000 shock wave pulses, then 8 Hz – in amount of 1,000 shock-wave pulses, per course – 3 ESWT procedures. Simultaneously with the rehabilitation course, Neuromidine is taken 10 mg 3 times a day; the preparation is taken for a month.

EFFECT: method provides relieving pain syndrome in the late postoperative period (already on 4th day of the course), restores the functions of the hand, fine motor skills, without manifestations of side effects and with further preservation of the achieved rehabilitation results in the absence of relapses in the remote postoperative period.

1 cl, 2 ex