Efficiency of Mirror Therapy After Carpal Tunnel Surgery

NCT03634618 | Completed

• 1 other identifier: IstanbulTK1
• Study Type: interventional
• Target: 35
• Locations: 1 country
• Sites: 1

Brief Summary

In the randomized controlled study with patients who appropriate the inclusion criteria are divided into two groups by simple drawing method. In the control group, the classical physiotherapy program is being applied when the post-operative immobilization period ended, MT is applied to the mirror group in addition to this treatment for 20 minutes and a total of 10 sessions in the immobilization period. Patients who are scheduled for operation due to CTS evaluated that pain (VAS), sense (monofilament test), function (BCTQ, 9-hole peg test) before surgery, 3 weeks and 6 weeks after surgery.

Conditions

Carpal Tunnel Syndrome; Physiotherapy; Rehabilitation

Keywords

carpal tunnel syndrome; mirror therapy; postoperative rehabilitation; physical therapy modalities; median nerve

Outcome Measures

Primary Outcomes (1)

• Boston Carpal Tunnel Syndrome Questionnaire (the change of severity and functional status)

  It is a self-administered questionnaire that assesses the severity and functional status of typical 24-hour symptoms of patients with Carpal Tunnel Syndrome (CTS) during the last two weeks. The Symptom Severity Scale (SSS) consists of 11 questions evaluating the severity, frequency, duration and types of symptoms. The answers that can be given to each question are scored between 1 and 5. The SSS score is calculated by dividing the total score by the number of questions answered. A high score means that the symptoms are more severe. The Functional Status Scale (FSS) consists of 8 questions that assess how much the CTS affects daily life. The degree of difficulty in doing activities is scored between 1 and 5. The FSS score is calculated by dividing the total score by the number of questions answered. Higher score means less functional capacity. In this study, the outcome measure is assessing the change of functional activity and symptoms from pre-operative at 3 and 6 weeks.

  before surgery, 3 weeks and 6 weeks after surgery (3 repetitive measurements)

Secondary Outcomes (3)

• 9-Hole Peg Test

  before surgery, 3 weeks and 6 weeks after surgery

• Semmes Weinstein Monofilaman Test

  before surgery, 3 weeks and 6 weeks after surgery

• Visual Analog Scale

  before surgery, 3 weeks and 6 weeks after surgery

Study Arms (2)

Mirror Therapy

EXPERIMENTAL

Mirror Therapy program for 2 weeks and convantional physiotherapy for 4 weeks. Exercises Frequency: 5 days/week; 2 days with the physiotherapist, other days as home program; 2 weeks in total. Exercises Duration: 20 minutes. Exercises Repetation: 20 repetation for each exercise.

Other: Mirror Therapy; Other: Convantional Physiotherapy

Convantional Physiotherapy

EXPERIMENTAL

Convantional physiotherapy for 6 weeks. Exercises Frequency: 3 times a day, 4 weeks in total. Exercises Duration: 15-20 minutes. Exercises Repetation: 10 repetation for each exercise.

Other: Convantional Physiotherapy

Interventions

Mirror Therapy OTHER

Mirror therapy is the treatment method in which mental performance of movements is performed by observing the movements of the healthy extremities. In the case of mirror treatment, the mirror box is placed on a fixed floor. The mirror is positioned so that the patient's body can be fully centered and the mirror image can be seen. While the affected limb is placed on the rear side of the mirror, the firm extremity is opposite to the mirror. The patient focuses on the mirror image of the moving healthy hand and, through artificial visual feedback, perceives the affected limb as moving. The exercises are as follows: flexor tendon gliding exercises, median motor exercises, wrist and forearm ROM exercises and function-oriented exercises.

Mirror Therapy

Convantional Physiotherapy OTHER

The first two weeks involve only immobilisation with plaster. The next 4 weeks, patients do the exercises which follows: 15 minutes water bath, scar tissue massage, flexor tendon gliding exercises, median motor exercises, wrist flexion-extention, median nerve gliding exercise (in addition, one week after plaster removal), hand wrist stretching exercise (in addition, 2 weeks after plaster removal).

Convantional Physiotherapy; Mirror Therapy

Eligibility Criteria

• Age: 25 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Carpal tunnel diagnosis and open surgery are planned,
• Having the ability to adapt to exercises,
• Voluntarily agree to participate in the work

You may not qualify if:

• With the forearm and hand trauma story
• In the last 6 months, local corticosteroid injections to the treatment area have been performed
• Infection in the treatment area
• Having a deformity in hand
• The presence of malignancy
• Being pregnant

Sponsors & Collaborators

• Istanbul University: lead

Study Sites (1)

Istanbul University

Istanbul, Bakirkoy, 34740, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Carpal Tunnel Syndrome

Interventions

Mirror Movement 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)

Physical Therapy Modalities; Rehabilitation; Therapeutics

Study Officials

• Tugba Karaaslan

  Research Assistant

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Model Details: Randomized Controlled Study

Study Record Dates

• First Submitted: July 24, 2018
• First Posted: August 16, 2018
• Study Start: January 4, 2016
• Primary Completion: April 27, 2017
• Study Completion: June 8, 2017
• Last Updated: November 6, 2019

Record last verified: 2019-11

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)