Dorsovolar Kinesiotape in Carpal Tunnel Syndrome

NCT05997823 | Completed

• 1 other identifier: 2023/11-08
• Study Type: interventional
• Target: 120
• Locations: 1 country
• Sites: 1

Brief Summary

This study aimed to compare the short- and medium-term efficacy of dorso-volar kinesiotape (KT) added to home exercises (HE) with sham-KT and HE alone in the treatment of mild or moderate carpal tunnel syndrome (CTS) in terms of pain, symptom severity, function, grip strength, and electrophysiological parameters.

Conditions

Carpal Tunnel Syndrome Treatment

Keywords

carpal tunnel syndromes; kinesiotape; electromyography; median neuropathy; muscle strength; pain

Outcome Measures

Primary Outcomes (4)

• Electrodiagnostic Evaluation

  Superficial recording electrodes were placed in the abductor pollicis brevis (APB) muscles (recording stimulus distance 5 cm) for median nerve motor conduction and in the abductor digiti minimi (ADM) muscles (recording stimulus distance 5 cm) for ulnar nerve motor conduction.Superficial recording electrodes were placed on the 3rd finger for median nerve sensory conduction (recording stimulus distance 13 cm) and on the 5th finger for ulnar nerve sensory conduction (recording stimulus distance 11 cm).The ground electrode was placed between the recording and stimulus electrodes for all electrophysiological tests.Sensory latency, amplitude, and conduction velocity of the median nerve and motor latency, amplitude, and conduction velocity were recorded

  30 minutes

• Hand Strength

  A Jamar hand dynamometer (Baseline ® hydraulic hand dynamometer, Irvington, NY, USA) was used to measure handgrip strength.

  10 minutes

• Pain Evaluation

  A 10-point visual analog scale (VAS) was used to rate pain. Patients were asked to rate the pain they felt at rest, at night, and with movement with a number ranging from 0 (no pain) to 10 (very severe), VAS movement, VAS night, and VAS rest

  5 minutes

• Finger Strength

  A pinch meter (Baseline ® hydraulic pinch gauge, Irvington, NY, USA) was used to evaluate lateral grip strength (LGS) and pinch grip strength

  10 minutes

Study Arms (3)

home exercises

ACTIVE COMPARATOR

Other: home exercises

sham-KT and home exercises

EXPERIMENTAL

Other: kinesiotape; Other: home exercises

dorso-volar KT and home exercises

EXPERIMENTAL

Other: kinesiotape; Other: home exercises

Interventions

kinesiotape OTHER

The button hole technique was used for area correction during the KT application (Figure 1). Two I-tapes were applied, one from the medial epicondyle to the proximal phalanx on the palmar side and the other from the lateral epicondyle to the proximal phalanx on the dorsal side. The area where the phalanges are located was marked, and two hole was drilled in the center.After cleaning the skin with alcohol, the tape to be applied to the palmar side was passed over the 3rd and 4th fingers, and the patient was asked to perform radial deviation and wrist extension

dorso-volar KT and home exercises; sham-KT and home exercises

home exercises OTHER

home exercises

dorso-volar KT and home exercises; home exercises; sham-KT and home exercises

Eligibility Criteria

• Age: 35 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• pain or numbness radiating to the palm for at least 6 weeks,
• at least one positive Tinel's, Phalen's, or carpal compression test on physical examination, and
• mild/moderate CTS on EMG examination.

You may not qualify if:

• Metabolic disease (diabetes, rheumatoid arthritis, thyroid disease),
• systemic or malignant disease, history of trauma, fracture or surgery to the wrist,
• physical therapy programs, surgical procedures, injections or KT applications to the wrist for CTS treatment in the past year,
• severe thenar atrophy,
• C6-C7 radiculopathy among CTS differential diagnoses,
• cervical spondylosis, thoracic outlet syndrome, entrapment of the median nerve above the wrist,
• polyneuropathy or traumatic injury to the median nerve,
• rashes or open wounds on the skin of the wrist and forearm that could prevent treatment with kinesiology taping

Sponsors & Collaborators

• Selcuk University: lead

Study Sites (1)

Health Sciences University, Kocaeli Derince Training and Research Hospital

Kocaeli, Deince, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Carpal Tunnel Syndrome; Median Neuropathy; Pain

Interventions

Athletic Tape

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; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Bandages; Equipment and Supplies; Orthotic Devices; Orthopedic Equipment; Surgical Equipment

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: PRINCIPAL INVESTIGATOR
• PI Title: Asst. Prof

Study Record Dates

• First Submitted: August 11, 2023
• First Posted: August 18, 2023
• Study Start: January 1, 2023
• Primary Completion: July 1, 2023
• Study Completion: July 29, 2023
• Last Updated: January 29, 2024

Record last verified: 2024-01

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)