الفهرس 
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Abstract
Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy, with the prevalence of 50 cases per 100 subjects in the general population, 9.2% in women and 6% in men (Mondelli et al., 2002).
Carpal tunnel syndrome (CTS) is caused by localized compression and entrapment of the median nerve at the wrist within the carpal tunnel positioned between the transverse carpal ligament and the carpal bone. It causes sensory (parathesia and hypothesia), motor deficit, and pain especially at nightwithin the median nerve distribution in the hand that are secondary to themechanical compression and local ischemia (Marshall, 2001 Mondelli et al., 2002 and Bongi et al., 2013).
Many patients with CTS have self-limiting symptoms and respond to non-operative conservative treatments; including rest, modification of physical behaviors, splinting, nerve gliding exercises, manual therapy techniques, and anti-inflammatory medications (Burke et al., 2007).
Many studies carried out on the treatment of CTS recommended both conservative and surgical treatment of CTS without median nerve denervation, although they also advice an initial course of conservative treatment (De Korm et al., 2008 and Keith et al., 2009b). Manual therapy of the median nerve involve chiropractic; soft tissue mobilization (STM), osteopathic; carpalbone mobilization, or median nerve mobilization treatment approach (Tal-Akabi and Rushton, 2000, Burke et al., 2007 and Bongi et al., 2013).
The aims of this study were firstly to investigate the effectiveness of manual therapy intervention in patients experiencing CTS when compared to a group on only medical treatment, and secondly to investigate the difference in effectiveness between two approaches to manual therapy treatment for CTS, soft tissue mobilization and mobilization of the nervous system.
This study was analyzed the result of soft tissue mobilization and neural mobilization in patients who had CTS. Forty six patients with carpal tunnel syndrome were included in this study; 42 patients with unilateral CTS and 4 patients with bilateral CTS diagnosed electrophysiologically. Patients were divided in to three groups according to the method of treatment. Group I treated by chiropractic manipulation, group II treated by neural mobilization and group III treated by only medical treatment, for 6 weeks.