Mechanical Interference Versus Neural Mobilization on Ulnar Neuropathy Post Cubital Tunnel Syndrome

NCT05931731 | Unknown

• 1 other identifier: P.T.REC/012/003083
• Study Type: interventional
• Target: 90
• Locations: 0 countries
• Sites: N/A

Brief Summary

this study will be conducted to compare between mechanical interference and neural mobilization on ulnar neuropathy post-cubital tunnel syndrome

Conditions

Cubital Tunnel Syndrome

Keywords

mechanical interference; neural mobilization; ulnar neuropathy; post cubital syndrome

Outcome Measures

Primary Outcomes (1)

• pain intensity

  pain will be measured by visual analogue scale. it is a vertical or horizontal 100mm line graduated by different level of pain, starting from 0 (no pain) till 100 (worst pain).

  up to four weeks

Secondary Outcomes (3)

• function and severity

  up to four weeks

• ulnar nerve sensory conduction velocity

  up to four weeks

• ulnar nerve motor distal latency

  up to four weeks

Study Arms (3)

Mechanical interference

EXPERIMENTAL

the patients will receive mechanical interference and conventional treatment three times a week for four weeks

Other: Mechanical interference; Other: conventional treatment

Neural mobilization

EXPERIMENTAL

the patients will receive neural mobilization and conventional treatment three times a week for four weeks

Other: Neural mobilization; Other: conventional treatment

conventional treatment

ACTIVE COMPARATOR

the patients will receive conventional treatment only three times a week for four weeks

Other: conventional treatment

Interventions

Mechanical interference OTHER

The patients will receive mechanical interference treatment in the form of five techniques, including wrist distraction (3 sets for 3 minutes), rhythmic and gentle stretching of the transverse carpal ligaments, the release of palmar hand fascia, gliding of the finger flexor tendons (using the oscillatory flexion-extension movement of the metacarpophalangeal joint) and release of the upper forearm muscle and fascia were applied. Manual techniques were performed total of 15 minutes in each session each technique included 3 sets for 3 minutes and conventional treatment

Mechanical interference

Neural mobilization OTHER

the patients will receive neurodynamic mobilizations, including sliding techniques and tensioning techniques which are thought to enhance ulnar nerve gliding and restore neural tissue mobility and conventional treatment

Neural mobilization

conventional treatment OTHER

the patients will receive therapeutic ultrasound (frequency of 1 MHz, intensity of 1 W/cm2, for 5 minutes), transcutaneous electrical nerve stimulation (TENS) (frequency of 80 Hz, pulse duration of 60 μs, at the level of comfortable tingling sensation, for 20 minutes) and therapeutic exercises.

Mechanical interference; Neural mobilization; conventional treatment

Eligibility Criteria

• Age: 20 Years - 55 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• The patients were diagnosed and referred by an orthopedist.
• The patient's age ranged from 20 to 55 years old.
• Recent NCV for ulnar nerve confirming the diagnosis.
• Unilateral cubital tunnel syndrome with ulnar neuropathy

You may not qualify if:

• Patients with cervical brachialgia.
• Patients with metabolic diseases such as diabetes, severe thyroid disorders, anemia, and -pregnancy.
• Hypertensive patients or patients who had a previous hand or elbow surgery.
• Patients with median nerve involvement in proximal areas such as thoracic outlet syndrome.
• History of carpal tunnel release surgery. Steroid injection

Sponsors & Collaborators

• Cairo University: lead

MeSH Terms

Conditions

Cubital Tunnel Syndrome; Ulnar Neuropathies

Condition Hierarchy (Ancestors)

Mononeuropathies; Peripheral Nervous System Diseases; Neuromuscular Diseases; Nervous System Diseases; Ulnar Nerve Compression Syndromes; Nerve Compression Syndromes; Cumulative Trauma Disorders; Sprains and Strains; Wounds and Injuries

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: opaque sealed envelop
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principle investigator mohamed tarek mohamed hefnawy

Model Details: mechanical interference and neural mobilization

Study Record Dates

• First Submitted: June 24, 2023
• First Posted: July 5, 2023
• Study Start: June 30, 2023
• Primary Completion: December 30, 2023
• Study Completion: December 30, 2023
• Last Updated: July 5, 2023

Record last verified: 2023-07