Gabapentin as an adjuvant therapy to splinting in carpal tunnel syndrome (CTS): a systematic review and meta-analysis of randomized controlled trials

The Egyptian Journal of Neurology, Psychiatry and Neurosurgery

Osama G. Hassan¹  Ahmed M. Ahmed²  Ahmed A. Khalifa² 

[1] General Surgery Department, Qena Faculty Of Medicine and University Hospital, South Valley University, Qena, Egypt;Orthopedic and Traumatolgy Department, Qena Faculty of Medicine and University Hospital, South Valley University, Qena, Egypt;

关键词: Gabapentin;    Splinting;    Carpal tunnel syndrome;    Systematic review;    Meta-analysis;   

DOI  :  10.1186/s41983-020-00237-5

来源: Springer

【 摘 要 】

BackgroundCarpal tunnel syndrome (CTS) is a common upper limb entrapment neuropathy; severe cases are treated surgically and mild to moderate can be managed conservatively. The purpose of this systematic review and meta-analysis was to define the efficacy of gabapentin as an adjuvant to splinting in the treatment of mild to moderate CTS.MethodsA systematic search through 13 databases, randomized clinical trials (RCTs) reporting the use of gabapentin with splinting in CTS were included and analyzed.ResultsThree RCTs including 170 patients were eligible. There was no significant difference between gabapentin plus splinting and splinting alone in 5 measured parameters: (1) Symptom Severity Scale (SSS) [MD (95% CI) = − 0.76 (− 2.46–0.93), p = 0.378], (2) Functional Status Scale (FSS) [MD (95% CI) = − 0.23 (− 1.40–0.94), p = 0.701], (3) visual analogue scale (VAS) to assess pain [MD (95% CI) = − 0.6 (− 1.47–0.27), p = 0.174], (4) Grip strength [MD (95% CI) = − 0.11 (− 0.70–0.48), p = 0.718], and (5) pinch strength [MD (95% CI) = 0.72 (− 0.10–1.54), p = 0.083].ConclusionThis review provides low-quality evidence that gabapentin plus nocturnal splinting is not superior to splinting alone. More high-quality trials are needed to determine the role of this drug as an adjuvant in the management of CTS.

【 授权许可】

CC BY