The Effectiveness of Extracorporeal Shock Wave Therapy for Management of Carpal Tunnel Syndrome

NCT05681663 | Unknown DMC

• 1 other identifier: 43834581758
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Peripheral nerve entrapment neuropathies are the most common mononeuropathies in clinical practice. Carpal Tunnel Syndrome (CTS), n. It occurs as a result of compression of the medianus as it passes through the carpal tunnel, a narrow osteofibrous canal. CTS is the most common entrapment neuropathy of the upper extremity, affecting approximately 3% of the general adult population. This study, which was designed as a randomized controlled study, will include 36 patients with CTS, aged between 18-65, who applied to Kırşehir Ahi Evran University Training and Research Hospital. In our study, both groups will be given 10 minutes of paraffin, 20 minutes of TENS, and 10 repetitions of tendon gliding exercise, 3 days a week for a total of 3 weeks (9 sessions). EESDT will be applied once a week in both groups (one group at 4 bar and the other at 1.5 bar pressure). Measurements will be made before treatment, after treatment, and at 12 weeks post-treatment. In the literature, different pressure parameters were used in studies examining the efficacy of ESDT in the treatment of CTS. Although ESDT has been shown to have a curative effect on CTS, there is no consensus on which pressure parameter is more effective. Therefore, in this study, the effectiveness of ESDT applied at different pressure parameters in the treatment of CTS will be examined.

Conditions

Carpal Tunnel Syndrome

Outcome Measures

Primary Outcomes (1)

• Visual Analogue Scale (VAS)

  A Visual Analogue Scale (VAS) is a measurement instrument that tries to measure a characteristic or attitude that is believed to range across a continuum of values and cannot easily be directly measured. It is often used in epidemiologic and clinical research to measure the intensity or frequency of various symptoms. When responding to a VAS item, respondents specify their level of agreement to a statement by indicating a position along a continuous line between two end-points.

  6 week

Study Arms (2)

1.5 bar group

EXPERIMENTAL

1\. TENS, Parafin, exercise and In addition, 5 hertz 2000 pulses 1.5 bar ESWT will be applied to this group.

Other: Electroshock Wave therapy

4 bar group

EXPERIMENTAL

1\. TENS, Parafin, exercise and In addition, 5 hertz 2000 pulses 4 bar ESWT will be applied to this group.

Other: Electroshock Wave therapy

Interventions

Electroshock Wave therapy OTHER

Randomized- Controlled trial

Also known as: Parafin, Hotpack, Exercises, Splinting

1.5 bar group; 4 bar group

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Those diagnosed with Carpal Tunnel Syndrome

You may not qualify if:

• Those with systemic disease

Sponsors & Collaborators

• Ahi Evran University Education and Research Hospital: lead

Study Sites (1)

Kırşehir ahi Evran Üniversitesi

Kırşehir, Central Anatolia, Turkey (Türkiye)

Location

Related Publications (1)

• Ceylan I, Kurtuncuoglu B, Tuncay F, Canli M, Alkan H, Tayfur A. Comparison of high- and low-dose radial extracorporeal shock wave therapy in carpal tunnel syndrome. Rev Assoc Med Bras (1992). 2025 May 2;71(3):e20241815. doi: 10.1590/1806-9282.20241815. eCollection 2025.

  PMID: 40332277 DERIVED

MeSH Terms

Conditions

Carpal Tunnel Syndrome

Interventions

Exercise

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)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr.

Study Record Dates

• First Submitted: December 29, 2022
• First Posted: January 12, 2023
• Study Start: February 1, 2023
• Primary Completion: March 1, 2023
• Study Completion: May 1, 2023
• Last Updated: January 12, 2023

Record last verified: 2023-01

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)