Skip to main content

Cubital Tunnel Rehabilitation

  • Chapter
  • First Online:
Book cover Cubital Tunnel Syndrome
  • 789 Accesses

Abstract

In the postoperative management of cubital tunnel syndrome, it may be helpful to think of the rehabilitation in two phases: (1) postsurgical management of the incision and protection of other healing tissues and (2) recovery of function through facilitation of return to normal pain-free use of the effected upper extremity. There is a role for the intervention of a rehabilitation professional (occupational therapist or physical therapist) to assess, teach, train, fabricate custom orthosis, and intervene with issues that may develop to keep the client on the right path to optimal recovery.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Mowlavi A, Andrews K, Lille S, Verhulst S, Zook EG, Milner S. The management of cubital tunnel syndrome: a meta-analysis of clinical studies. Plast Reconstr Surg. 2000;106(2):327–34.

    Article  CAS  PubMed  Google Scholar 

  2. Toirac A, Giugale JM, Fowler JR. Open versus endoscopic cubital tunnel in situ decompression: a systematic review of outcomes and complications. Hand (NY). 2017;12(3):229–35. https://doi.org/10.1177/1558944716662018. Epub 2016 Aug 2. PubMed PMID: 28453355; PubMed Central PMCID: PMC5480665.

    Article  Google Scholar 

  3. Maddali Bongi S, Signorini M, Bassetti M, Del Rosso A, Orlandi M, De Scisciolo G. A manual therapy intervention improves symptoms in patients with carpal tunnel syndrome: a pilot study. Rheumatol Int. 2013;33(5):1233–41. https://doi.org/10.1007/s00296-012-2507-0.

    Article  PubMed  Google Scholar 

  4. Darowish M, Sharma J. Evaluation and treatment of chronic hand conditions. Med Clin North Am. 2014;98(4):801–15, xii. https://doi.org/10.1016/j.mcna.2014.03.006. Epub 2014 Apr 26. Review.

    Article  PubMed  Google Scholar 

  5. Macadam SA, Bezuhly M, Lefaivre KA. Outcomes measures used to assess results after surgery for cubital tunnel syndrome: a systematic review of the literature. J Hand Surg Am. 2009;34(8):1482–1491.e5. https://doi.org/10.1016/j.jhsa.2009.05.010. Review.

    Article  PubMed  Google Scholar 

  6. Madenci E, Altindag O, Koca I, Yilmaz M, Gur A. Reliability and efficacy of the new massage technique on the treatment in the patients with carpal tunnel syndrome. Rheumatol Int. 2012;32(10):3171–9.

    Article  PubMed  Google Scholar 

  7. Chimenti PC, Hammert WC. Ulnar neuropathy at the elbow: an evidence-based algorithm. Hand Clin. 2013;29(3):435–42. https://doi.org/10.1016/j.hcl.2013.04.013. Epub 2013 Jun 12. Review.

    Article  PubMed  Google Scholar 

  8. Shah CM, Calfee RP, Gelberman RH, Goldfarb CA. Outcomes of rigid night splinting and activity modification in the treatment of cubital tunnel syndrome. J Hand Surg. 2013;38(6):1125–30. https://doi.org/10.1016/j.jhsa.2013.02.039.

    Article  Google Scholar 

  9. Santosa KB, Chung KC, Waljee JF. Complications of compressive neuropathy: prevention and management strategies. Hand Clin. 2015;31(2):139–49. https://doi.org/10.1016/j.hcl.2015.01.012. Epub 2015 Mar 2. Review.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Assmus H, Antoniadis G, Bischoff C, Hoffmann R, Martini AK, Preissler P, Scheglmann K, Schwerdtfeger K, Wessels KD, Wüstner-Hofmann M. Cubital tunnel syndrome – a review and management guidelines. Cen Eur Neurosurg. 2011;72(2):90–8. https://doi.org/10.1055/s-0031-1271800. Epub 2011 May 4. Review.

    Article  CAS  Google Scholar 

  11. Goransson I, Cederlund R. A study of the effect of desensitization on hyperaesthesia in the hand and upper extremity after injury or surgery. Hand Ther. 2011;16:12–8. https://doi.org/10.1258/ht.2010.010023.

    Article  Google Scholar 

  12. Huisstede BM, Hoogvliet P, Randsdorp MS, Glerum S, van Middelkoop M, Koes BW. Carpal tunnel syndrome. Part I: effectiveness of nonsurgical treatments – a systematic review. Arch Phys Med Rehabil. 2010;91(7):981–1004. https://doi.org/10.1016/j.apmr.2010.03.022.

    Article  PubMed  Google Scholar 

  13. Fadel M, Lancigu R, Raimbeau G, Roquelaure Y, Descatha A. Occupational prognosis factors for ulnar nerve entrapment at the elbow: a systematic review. Hand Surg Rehabil. 2017;36(4):244–9. https://doi.org/10.1016/j.hansur.2017.03.004. Epub 2017 May 18.

    Article  CAS  PubMed  Google Scholar 

  14. Miller LK, Chester R, Jerosch-Herold C. Effects of sensory reeducation programs on functional hand sensibility after median and ulnar repair: a systematic review. J Hand Ther. 2012;25(3):297–307. https://doi.org/10.1016/j.jht.2012.04.001.

    Article  PubMed  Google Scholar 

  15. Svernlöv B, Larsson M, Rehn K, Adolfsson L. Conservative treatment of the cubital tunnel syndrome. J Hand Surg Eur Vol. 2009;34(2):201–7. https://doi.org/10.1177/1753193408098480. Epub 2009 Mar 12.

    Article  PubMed  Google Scholar 

  16. Basson A, Olivier B, Ellis R, Coppieters M, Stewart A, Mudzi W. The effectiveness of neural mobilization for neuromusculoskeletal conditions: a systematic review and meta-analysis. J Orthop Sports Phys Ther. 2017;47:593–615.

    Article  PubMed  Google Scholar 

  17. Medina McKeon JM, Yancosek KE. Neural gliding techniques for the treatment of carpal tunnel syndrome: a systematic review. J Sport Rehabil. 2018;17:324–41. https://doi.org/10.1123/jsr.17.3.324.

    Article  Google Scholar 

  18. Rinkel WD, Schreuders TA, Koes BW, Huisstede BM. Current evidence for effectiveness of interventions for cubital tunnel syndrome, radial tunnel syndrome, instability, or bursitis of the elbow: a systematic review. Clin J Pain. 2013;29(12):1087–96. https://doi.org/10.1097/AJP.0b013e31828b8e7d. Review.

    Article  PubMed  Google Scholar 

  19. Ozkan FU, Saygı EK, Senol S, et al. New treatment alternatives in the ulnar neuropathy at the elbow: ultrasound and low-level laser therapy. Acta Neurol Belg. 2015;115:355. https://doi.org/10.1007/s13760-014-0377-9.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Marie Pace .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Pace, M. (2019). Cubital Tunnel Rehabilitation. In: Fowler, J. (eds) Cubital Tunnel Syndrome. Springer, Cham. https://doi.org/10.1007/978-3-030-14171-4_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-14171-4_12

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-14170-7

  • Online ISBN: 978-3-030-14171-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics