Comparison of Flexor Retinaculum Stretch and Carpal Mobilizations in Patients With Carpal Tunnel Syndrome.

NCT05863780 | Completed

• 1 other identifier: Riphah/RCRS/REC/01317
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 2

Brief Summary

Comparison of flexor retinaculum stretch and carpal mobilizations in carpal tunnel syndrome patients.

Conditions

Carpal Tunnel Syndrome

Keywords

median neuropathy; thenar muscle atrophy; compression neuropathy; flexor retinaculum

Outcome Measures

Primary Outcomes (7)

• Numeric Pain Rating Scale (NPRS)

  Changes from baseline. NPRS is an 11 point numeric scale scored from 0-10. The maximum pain value is 10. 0 means no pain whereas 10 means most intense pain imaginable

  4th week

• Boston Carpal Tunnel Questionnaire (BCTQ) scale (SSS, FSS)

  Changes from baseline. The Boston Carpal Tunnel Score is a patient-reported questionnaire that examines symptom severity and overall functional status. It has two subscales. 1. The Symptom Severity Scale (SSS) with 11 questions is scored on a Likert scale from 1-5 where 1 means no symptom and 5 means most severe symptom. The maximum score is 55. 2. The Functional Status Scale (FSS) with 8 questions is scored from 1-5 with 1 as no difficulty and 5 as "cannot do at all due to hand or wrist symptoms". The maximum score is 40.

  4th week

• 6-item CTS symptoms scale (CTS-6)

  Changes from baseline.The CTS-6 was scored with conventional scoring (similar to that used for the 11-item symptom severity scale) each item was scored on a scale of 1 (no symptom) to 5 (most severe symptom).

  4th week

• ROM wrist flexion

  Changes from baseline ROM range of motion of wrist flexion was taken by using Goniometer

  4th week

• ROM wrist extenion

  Changes from baseline ROM range of motion of wrist extension was taken by using Goniometer

  4th week

• ROM radial deviation

  Changes from baseline ROM range of motion of radial deviation was taken by using Goniometer

  4th week

• ROM ulnar deviation

  Changes from baseline ROM range of motion of ulnar deviation was taken by using Goniometer

  4th week

Study Arms (3)

Carpal bone mobilization

EXPERIMENTAL

Carpal bone mobilization will be done

Other: Carpal bone mobilization

Flexor retinaculum stretch

EXPERIMENTAL

Flexor retinaculum stretch will be given.

Other: Flexor retinaculum stretch

Carpal bone mobilization and flexor retinaculum stretch

EXPERIMENTAL

Carpal bone mobilization and flexor retinaculum stretch will be given together

Other: Carpal bone mobilization and flexor retinaculum stretch

Interventions

Carpal bone mobilization OTHER

Carpal bone mobilization 5 repetition/1 set lasted for 15 secs followed by 10 secs of rest- 3 sessions on alternate days per week for 04 weeks. Total of 12 sessions will be given, each consisting of 45 mins.

Carpal bone mobilization

Flexor retinaculum stretch OTHER

Flexor retinaculum stretch 5 repetitions/ 1 set held for 60 secs at a time,-3 sessions on alternate days per week for 04 weeks. Total of 12 sessions will be given, each consisting of 45 mins.

Flexor retinaculum stretch

Carpal bone mobilization and flexor retinaculum stretch OTHER

1. Carpal bone mobilization 5 repetition/1 set lasted for 15 secs followed by 10 secs of rest.3 sessions on alternate days per week for 04 weeks. 2. Flexor retinaculum stretch 5 repetitions/ 1 set held for 60 secs at a time-3 sessions on alternate days per week for 04 weeks. Total of 12 sessions will be given, each consisting of 45 mins.

Carpal bone mobilization and flexor retinaculum stretch

Eligibility Criteria

• Age: 18 Years - 40 Years
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Females
• Age between 18-40 years
• Unilateral CTS
• Already diagnosed patients of CTS.

You may not qualify if:

• Fracture of wrist
• Dislocation
• Congenital abnormalities
• Rheumatoid arthritis
• Osteoarthritis
• Liver failure
• Pregnancy
• Bilateral CTS
• Systemic neurological condition e.g.: GB syndrome, multiple sclerosis.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (2)

Rawal Institute of Health Sciences

Rawalpindi, Punjab Province, 45550, Pakistan

Location

Islamabad physiotherapy rehabilitation centre

Rawalpindi, Punjab Province, 46220, Pakistan

Location

MeSH Terms

Conditions

Carpal Tunnel Syndrome; Median Neuropathy; Tomaculous 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

Study Officials

• Muhammad Affan Iqbal, PhD*

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 20, 2023
• First Posted: May 18, 2023
• Study Start: March 10, 2022
• Primary Completion: September 10, 2022
• Study Completion: January 10, 2023
• Last Updated: May 18, 2023

Record last verified: 2023-05

Data Sharing

• IPD Sharing: Will not share

Locations

PA (2)