Effectiveness of Carpal Ligament Self-myofascial Stretching in Carpal Tunnel Syndrome

NCT06229249 | Completed

• 1 other identifier: AWH/EC/01/2022
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

Carpal tunnel syndrome (CTS), also known as median mononeuropathy, occurs when the median nerve is squeezed or compressed as it travels through the carpal tunnel at the wrist. It is common in the age group of 40-60 years. The main aim of the study was to compare the effectiveness of carpal ligament self-myofascial stretching over conventional physical therapy on reducing pain and improving function in patients with stage I and II CTS-thirty-six subjects with stage I and II (mild) CTS were recruited. Thirty-six subjects who fulfilled the inclusion criteria were randomly assigned to the experimental group and control group, with 18 patients in each group. The experimental group received carpal ligament self-myofascial stretching along with conventional physical therapy, while the control group received traditional physical therapy alone. The duration of the treatment was six weeks. The outcome measures used were the Boston Carpal Tunnel Questionnaire and the Visual Analogue Scale.

Conditions

Carpal Tunnel Syndrome

Keywords

Myo-fascial stretching; Pain; Function

Outcome Measures

Primary Outcomes (2)

• Boston Carpal Tunnel Questionnaire

  The Boston carpal tunnel syndrome is a disease-specific patient-filled questionnaire, which comprises of two scales, a symptom severity scale (SSS) and a functional status scale (FSS). The symptom severity scale has 11 questions scored from 1 point (mildest) to 5 points (most severe) and the functional status scale has eight questions scored from 1 point (no difficulty with activity) to 5 points (cannot perform the activity at all). The greater the score, the more severe the severity of the disease.

  6 weeks

• Visual Analogue Scale

  The visual analogue scale consists of a 10-cm line, with the left extremity representing (the absence of pain) and the right extremity indicating (great pain). The greater the score, the more severe will be the pain.

  6 weeks.

Study Arms (2)

Experimental group

EXPERIMENTAL

The participants in this group received carpal ligament self-myofascial stretching along with conventional physical therapy.

Other: Carpal ligament self-myofascial stretching

Control group

ACTIVE COMPARATOR

The participants in this group received conventional physical therapy.

Other: Conventional physical therapy

Interventions

Carpal ligament self-myofascial stretching OTHER

Carpal ligament self-myofascial stretching is a technique that involves applying pressure and stretching to the carpal ligaments and surrounding myofascial tissues of the wrist and hand. The objective is to release tension, improve flexibility, and alleviate discomfort or pain in the wrist and hand area.

Experimental group

Conventional physical therapy OTHER

In this technique, ultrasound therapy, nerve gliding exercise, tendon gliding exercise, and wrist splinting were performed.

Control group

Eligibility Criteria

• Age: 30 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients diagnosed with CTS between age group 30 - 60 years.
• Patients with stage I and II (mild) CTS, confirmed by nerve conduction study (EMG diagnosed by a medical professional).
• Patients who are able to read and understand English.

You may not qualify if:

• Presence of polyneuropathy.
• Consistent use of adaptive equipment, such as wheel chair or cane.
• Patients presenting with shoulder pathologies.
• Patients with other neurological or musculoskeletal conditions including Cervical radiculopathy, History of wrist and hand fractures, Upper extremity joint dislocations, Brachial plexus injuries, Cubital tunnel syndrome, Rheumatoid arthritis, De quervain's tenosynovitis, Cut injuries of hand.
• Patients who have underwent recent carpal tunnel release (within 1 year).

Sponsors & Collaborators

• King Saud University: lead

Study Sites (1)

King Saud University

Riyadh, 11433, Saudi Arabia

Location

MeSH Terms

Conditions

Carpal Tunnel Syndrome; Pain

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

Study Officials

• Masood Khan, MPTh

  King Saud University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: January 19, 2024
• First Posted: January 29, 2024
• Study Start: November 17, 2022
• Primary Completion: April 10, 2023
• Study Completion: May 15, 2023
• Last Updated: January 29, 2024

Record last verified: 2024-01

Data Sharing

• IPD Sharing: Will not share

Locations

SA (1)