NCT03782558

Brief Summary

Carpal tunnel syndrome is the most common compression neuropathy. The compression of the median nerve occurs in the carpal tunnel and results in pain and other unpleasant sensations in hand and wrist. In more advanced stage, weakness and wasting of the thenar and other muscles innervated by median nerve occurs, which may lead to permanent impairment of manual performance. The Boston carpal tunnel questionnaire (BCTQ) is one of the most commonly used tools for monitoring of the disease progression and of the effect of therapy. Originally created in English, it has been translated into many languages and subsequently validated. Recently the Polish version has been created and the purpose of this study is to validate it.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
130

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Jan 2019

Longer than P75 for all trials

Geographic Reach
1 country

2 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 8, 2018

Completed
12 days until next milestone

First Posted

Study publicly available on registry

December 20, 2018

Completed
1 month until next milestone

Study Start

First participant enrolled

January 22, 2019

Completed
4.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2023

Completed
8 days until next milestone

Study Completion

Last participant's last visit for all outcomes

September 9, 2023

Completed
Last Updated

September 13, 2023

Status Verified

September 1, 2023

Enrollment Period

4.6 years

First QC Date

December 8, 2018

Last Update Submit

September 9, 2023

Conditions

Keywords

carpal tunnel syndromepBCTQvalidationnerve conduction study

Outcome Measures

Primary Outcomes (3)

  • Internal Consistency

    Consistency between two subscales of pBCTQ (Symptom severity scale and Functional status scale) will be evaluated using Cronbach alfa test.

    Through study completion, an average of six months.

  • Validity

    Validity will be tested by calculating the correlation of the subscore of each of two parts of the questionnaire with the electrophysiologic, six-grade severity level according to Padua et al. (1997).

    Through study completion, an average of six months.

  • Reactivity: Correlation between changes in pBCTQ and electrophysiologic severity of CTS

    The reactivity will be evaluated as correlation between change in electrophysiologic severity level of CTS and changes in both pBCTQ subscales after treatment.

    Before treatment and then three months after surgical treatment of CTS

Study Arms (1)

Patients with CTS

Surgical transection of transverse ligament

Procedure: Surgical transection of transverse ligament

Interventions

Standard therapy for CTS. An incision is made at the base of the palm of the hand. Then the transverse ligament is cut, which releases the compression of the median nerve and improves the symptoms.

Also known as: Surgical transection of flexor retinaculum
Patients with CTS

Eligibility Criteria

Age18 Years - 85 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Participants will be recruited from the patients referred to Krakowska Akademia Neurologii Centrum Neurologii Klinicznej for electrohysiologic verification of their initial, clinical diagnosis of CTS. After the electrophysiology confirms the CTS, the patient will be asked if she/he would like to take part in the study.

You may qualify if:

  • Presence of at least one symptom within hand and / or wrist, from the following: paresthesias, sensory loss, tingling, burning sensation, impression of swelling.
  • Electrophysiologic confirmation of CTS, which will base on the abnormal latency difference in sensory or motor conduction between median and ulnar nerve or on sensory conduction slowing in median nerve, or on the prolongation of distal motor latency of the median nerve.
  • (bilateral CTS will be included. pBCTQ will be filled out separately for each hand and the outcomes wil be measured separately for each hand).

You may not qualify if:

  • Clinical signs or symptoms and /or electrophysiologic results indicative of more generalized peripheral neuropathy.
  • Presence of conditions, which may lead to the development of peripheral neuropathy such as diabetes, renal insufficiency, hypothyroidism or amyloidosis.
  • Presence of conditions, which may clinically resemble CTS, such as cervical radiculopathy or myelopathy or thoracic outlet syndrome

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Krakowska Akademia Neurologii Centrum Neurologii Klinicznej

Krakow, 31505, Poland

Location

Jagiellonian University Medical College

Krakow, Poland

Location

Related Publications (2)

  • Padua L, LoMonaco M, Gregori B, Valente EM, Padua R, Tonali P. Neurophysiological classification and sensitivity in 500 carpal tunnel syndrome hands. Acta Neurol Scand. 1997 Oct;96(4):211-7. doi: 10.1111/j.1600-0404.1997.tb00271.x.

    PMID: 9325471BACKGROUND
  • Levine DW, Simmons BP, Koris MJ, Daltroy LH, Hohl GG, Fossel AH, Katz JN. A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome. J Bone Joint Surg Am. 1993 Nov;75(11):1585-92. doi: 10.2106/00004623-199311000-00002.

    PMID: 8245050BACKGROUND

MeSH Terms

Conditions

Carpal Tunnel Syndrome

Condition Hierarchy (Ancestors)

Median NeuropathyMononeuropathiesPeripheral Nervous System DiseasesNeuromuscular DiseasesNervous System DiseasesNerve Compression SyndromesCumulative Trauma DisordersSprains and StrainsWounds and Injuries

Study Officials

  • Jakub Antczak, MD

    Jagiellonian University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

December 8, 2018

First Posted

December 20, 2018

Study Start

January 22, 2019

Primary Completion

September 1, 2023

Study Completion

September 9, 2023

Last Updated

September 13, 2023

Record last verified: 2023-09

Locations