Carpel Tunnel Syndrome and Physical Therapy Modalities

NCT02745652 | Completed DMC

• 1 other identifier: P.T.REC/012/001211
• Study Type: interventional
• Target: 55
• Locations: 0 countries
• Sites: N/A

Brief Summary

Carpel tunnel syndrome (CTS) is very common complain during pregnancy with high percentage to continue postnatal. Conservative treatment is more recommended in these cases. There are many physical therapy modalities proposed to treat CTS without knowing which modality is better than the other. So the aim of this study to compare the effect of two modalities in treating CTS in postnatal females.

Conditions

Carpal Tunnel Syndrome

Keywords

median nerve; wrist joint; carpal tunnel

Outcome Measures

Primary Outcomes (1)

• Pain intensity

  it measured by the Visual Analogue Scale (VAS).It is considered a valid way of assessing pain

  4 weeks change from the baseline scores

Secondary Outcomes (1)

• Functional status scale

  4 weeks change from the baseline scores

Study Arms (2)

pulsed electromagnetic field (PEMF)

EXPERIMENTAL

patients in this group received the pulse electromagnetic field with frequency 50 Hz and intensity 80 gauss for 30 min.The patient was in sitting position, while the forearm was rested on the bed inside the solenoid in supination position

Device: pulsed electromagnetic field

Therapeutic ultrasound (US)

EXPERIMENTAL

Pulsed mode US was applied over the volar surface of the forearm (the carpal tunnel area) 15 min per session with a frequency of 1 MHz and intensity of 1.0 W/cm2

Device: Therapeutic ultrasound

Interventions

pulsed electromagnetic field DEVICE

it is a magnetic device for magneto-therapy, it has an appliance, motorized bed, and applicable large solenoids which can be moved in 4 different positions according to the treatment area, and the additional small solenoid for hand treatment with 30 cm diameter

Also known as: (PEMF)

pulsed electromagnetic field (PEMF)

Therapeutic ultrasound DEVICE

Ultrasound is applied using a transducer or applicator that is in direct contact with the patient's skin. Gel is a medium which is used on all surfaces of the head to reduce friction and assist transmission of the ultrasonic waves

Also known as: US

Therapeutic ultrasound (US)

Eligibility Criteria

• Age: 25 Years - 35 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Mild to moderate CTS
• Positive electro diagnostic findings: prolonged median motor distal latency (MMDL) above 4 ms, and below 6ms.
• Prolonged median sensory distal latency above 3.5 ms .
• Positive Phalen and Tinel test.
• Subjects scored pain intensity more than 5 in visual analogue scale (VAS).

You may not qualify if:

• severe cases with delayed motor distal latency \> 6ms.
• Orthopedic or neurological disorders of neck or the upper limb as cervical radiculopathy.
• Pronator teres syndrome or double crush syndrome.
• Pre- existing CTS before their last pregnancy, current pregnancy.
• Diabetic neuropathy and Thoracic outlet syndrome.
• Wasting of thenar muscles, ulnar neuropathy.
• Rheumatoid arthritis, previous fractured carpal bone and previous surgery in the forearm especially transverse ligament release

Sponsors & Collaborators

• Cairo University: lead

MeSH Terms

Conditions

Carpal Tunnel Syndrome; Median Neuropathy

Interventions

Ultrasonic Therapy

Condition Hierarchy (Ancestors)

Mononeuropathies; Peripheral Nervous System Diseases; Neuromuscular Diseases; Nervous System Diseases; Nerve Compression Syndromes; Cumulative Trauma Disorders; Sprains and Strains; Wounds and Injuries

Intervention Hierarchy (Ancestors)

Diathermy; Hyperthermia, Induced; Therapeutics

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor of Physical Therapy

Study Record Dates

• First Submitted: April 14, 2016
• First Posted: April 20, 2016
• Study Start: May 1, 2014
• Primary Completion: January 1, 2015
• Study Completion: March 1, 2015
• Last Updated: April 21, 2016

Record last verified: 2016-04

Data Sharing

• IPD Sharing: Will share