Electrophysiological Changes Based on the Palmaris Longus

NCT04619849 | Unknown

• 1 other identifier: 10840098-722.02-E.342196
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

One of the most important causes of carpal tunnel syndrome is increased pressure in the canal. With the loading of the palmaris longus at 20 degrees of wrist extension, the pressure within the canal increases more than the load exerted on other flexor tendons. Several studies have shown the association of carpal tunnel syndrome with the presence of palmaris longus. In this study, our aim is to investigate how the presence or absence of palmaris longus changes EMG measurements in the median nerve. Individuals with a diagnosis of carpal tunnel syndrome or entrapment neuropathy will be given the Schaffer test, a standardized test to test the presence of the palmaris longus muscle. The result will be noted, EMG examination will be requested and the electrophysiological properties of the median nerve will be recorded.

Conditions

Palmaris Longus Muscle, Absence of; Carpal Tunnel Syndrome; EMG Syndrome

Keywords

carpal tunnel syndrome; palmaris longus; median nerve; carpal tunnel

Outcome Measures

Primary Outcomes (2)

• Median Nerve Conduction Velocity

  right and left median nerve conduction velocity will be assessed with EMG, (m/s)

  1st day

• Median Nerve Peak Latency

  right and left median nerve peak latency will be assessed with EMG,0 (ms)

  1st day

Secondary Outcomes (2)

• Ulnar Nerve Conduction Velocity

  1st day

• Ulnar Nerve Peak Latency

  1st day

Study Arms (1)

palmaris longus and carpal tunnel

EXPERIMENTAL

EMG measurements of median and ulnar nerves will be made in patients with palmaris longus muscle.

Diagnostic Test: EMG; Diagnostic Test: Palmaris Longus Test

Interventions

EMG DIAGNOSTIC_TEST

Electromyography (EMG) is an electrodiagnostic medicine technique for evaluating and recording the electrical activity produced by skeletal muscles.

palmaris longus and carpal tunnel

Palmaris Longus Test DIAGNOSTIC_TEST

Schaffer test will be done to understand the presence of palmaris longus. 4 different tests will be done to prove its absence.

palmaris longus and carpal tunnel

Eligibility Criteria

• Age: 20 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Applying to the electrophysiology laboratory for an EMG examination for entrapment neuropathy. The examination should be requested by a doctor.

You may not qualify if:

• Having a disease affecting the orthopedic, neurological or rheumatological skeletal and neurological system;
• Those who do physical activity so heavy that they cause muscle pain or neurological damage;
• Those who have an operation in the area to be evaluated

Sponsors & Collaborators

• Istanbul Medipol University Hospital: lead

Study Sites (1)

Istanbul Medipol University

Istanbul, Beykoz, 34815, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Carpal Tunnel Syndrome; Beckwith-Wiedemann Syndrome; Median Neuropathy

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; Abnormalities, Multiple; Congenital Abnormalities; Congenital, Hereditary, and Neonatal Diseases and Abnormalities; Chromosome Disorders; Genetic Diseases, Inborn; Imprinting Disorders

Study Officials

• Mustafa Şahin, PhD

  Medipol University

  STUDY CHAIR

Central Study Contacts

Gizem Ergezen, MSc

CONTACT

+905347098414; gergezen@medipol.edu.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: DIAGNOSTIC
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Gizem Ergezen, MSc, Physiotherapist

Study Record Dates

• First Submitted: November 3, 2020
• First Posted: November 6, 2020
• Study Start: November 5, 2020
• Primary Completion: December 19, 2020
• Study Completion: December 31, 2020
• Last Updated: November 6, 2020

Record last verified: 2020-11

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)