Development of a remote rehabilitation program for postoperative carpal tunnel syndrome : A production thesis

Details

Supervisors

Lebleu, Julien

Faculty

Faculté des sciences de la motricité

Degree label

Master [60] en kinésithérapie et réadaptation

Abstract

enIntroduction: Carpal tunnel syndrome (CTS) is the most frequent compressive neuropathy of the upper limb. While surgical decompression is effective for symptom relief, postoperative rehabilitation remains inconsistently prescribed despite evidence supporting its benefits in early recovery. This thesis aims to develop a structured, flexible telerehabilitation program adapted to the needs of CTS patients after surgery. Methods: A targeted literature review was conducted to identify the essential components of postoperative CTS rehabilitation, including validated assessments, therapeutic modalities, and digital tools. Expert opinions were collected through a semi-structured questionnaire submitted to four physiotherapists specializing in hand rehabilitation. Results: A progressive, modular telerehabilitation program was designed, integrating tendon and nerve gliding, functional strengthening, scar care, and educational content. The program is structured into three phases, each with specific therapeutic objectives and digital support tools. Conclusion: This thesis offers a clinically grounded telerehabilitation protocol for CTS postoperative care. Although not yet tested in real-world conditions, it provides a promising framework to enhance patient autonomy, improve functional recovery, and address gaps in postoperative follow-up, particularly for individuals with limited access to in-person care.