Effectiveness of Neurodynamic Techniques for the Treatment of Carpal Tunnel Syndrome

NCT03243227 | Completed DMC

• 1 other identifier: 47/2016/2256
• Study Type: interventional
• Target: 53
• Locations: 1 country
• Sites: 1

Brief Summary

Carpal tunnel syndrome CTS is the most common peripheral neuropathy seen in clinic. It results in marked functional limitations of patients. Most patients undergo surgical release which places a heavy burden on health system. Neurodynamic exercise is claimed to be an effective physiotherapy treatment for these patients. It is a practical and complications-free treatment which can be used as a home exercise program. This study aims to investigate the effect of median nerve gliding exercise on symptoms severity and functional limitation in CTS patients.

Conditions

Carpal Tunnel Syndrome

Keywords

carpal tunnel syndrome; neurodynamics; median nerve gliding exercise

Outcome Measures

Primary Outcomes (1)

• Change in Boston Carpal Tunnel Questionnaire score

  BCTS is a patient-based outcome measure used for patients with CTS. It includes two distinct scales, the Symptom Severity Scale (SSS) which has 11 questions and uses a five-point rating scale and the Functional Status Scale (FSS) containing 8 items which have to be rated for degree of difficulty on a five-point scale. Each scale generates a final score (sum of individual scores divided by number of items) which ranges from 1 to 5, with a higher score indicating greater disability.

  Baseline, 1 month, 6 months

Secondary Outcomes (5)

• The Disabilities of the Arm, Shoulder and Hand (DASH) Score

  Baseline, 1 month, 6 months

• Pain severity scale

  Baseline,1 month , 6 months

• Wrist ROM

  Baseline, 1 month , 6 months

• Grip strength

  Baseline, 1 month, 6 months

• Surgery

  6 months

Study Arms (2)

Neurodynamic techniques

EXPERIMENTAL

4 sessions of Neurodynamics treatment will be provided by an experienced physiotherapist. It will include manual therapy, median nerve gliding exercise, median nerve tension exercise. patients will continue the exercises as home exercise program during and after the treatment period.

Other: Neurodynamic techniques

Exercise

ACTIVE COMPARATOR

Exercise therapy 4 sessions of exercise treatment will be provided by an experienced physiotherapist. It will include active range of motion, stretching, and strengthening exercise. patients will be given a brochure to continue the exercises as home exercise program during and after the treatment period.

Other: Exercise therapy

Interventions

Neurodynamic techniques OTHER

4 sessions of Neurodynamics treatment will be provided by and experienced physiotherapist. It will include manual therapy, median nerve gliding exercise, median nerve tension exercise. patients will continue the exercises as home exercise program during and after the treatment period.

Neurodynamic techniques

Exercise therapy OTHER

AROM exercise stretching exercise strengthening exercise 4 sessions

Exercise

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Confirmed CTS diagnosis

You may not qualify if:

• Previous trauma or surgery involving the upper extremities known neurological condition pregnancy history of radiating neck or back pain in the previous 3 months

Sponsors & Collaborators

• University of Jordan: lead

Study Sites (1)

The University of Jordan

Amman, 11942, Jordan

Location

MeSH Terms

Conditions

Carpal Tunnel Syndrome

Interventions

Exercise Therapy

Condition Hierarchy (Ancestors)

Median Neuropathy; 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)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities

Study Officials

• Hayat Hamzeh, MSC

  Lecturer

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: August 3, 2017
• First Posted: August 8, 2017
• Study Start: July 1, 2017
• Primary Completion: July 1, 2019
• Study Completion: September 1, 2019
• Last Updated: September 20, 2019

Record last verified: 2019-09

Locations

JO (1)