Sleep Quality in Carpal Tunnel Syndrome, Splinting and Kinesiotaping

NCT06514625 | Completed

• 1 other identifier: 79735520-799
• Study Type: interventional
• Target: 90
• Locations: 1 country
• Sites: 1

Brief Summary

The effect of conservative treatments on sleep quality in carpal tunnel syndrome is unclear. Comparing the effect of splinting and kinesiotaping in carpal tunnel syndrome on functional status, pain, grip strength, nerve cross-sectional area and sleep quality. Participants were divided into 3 groups. One group received night splint and nerve tendon gliding exercises, one group received kinesiotaping and nerve tendon gliding exercises, and one group received only nerve tendon gliding exercises. Participants were evaluated by a blinded investigator at baseline and at 3 months by Visual Analogue Scale (VAS), Boston Carpal Tunnel Syndrome Questionnaire, Pittsburgh Sleep Quality Index (PSQI), Jamar hand dynamometer and ultrasonography.

Conditions

Carpal Tunnel Syndrome

Outcome Measures

Primary Outcomes (2)

• sleep quality

  Evaluated with "The Pittsburgh Sleep Quality Index ".

  at baseline and third month

• median nerve cross-sectional area

  Measured at the wrist by ultrasonography.

  at baseline and third month

Study Arms (3)

splint and exercise

EXPERIMENTAL

The patient was asked to wear the fabricated splint that fixes the wrist in the neutral position every night and during the day as much as possible

Device: splint

kinesiotaping and exercise

EXPERIMENTAL

Kinesiotaping was applied twice a week for a total of 8 sessions for 4 weeks. Taping was performed with a "neural technique" for the median and "field correction technique" for releasing the carpal tunnel. The elbow was positioned in full extension, the forearm in supination, and the wrist in 30 extension. I tape was used for neural technique. Tape was applied to the skin along the median nerve from the second and third metacarpophalangeal joints to five centimetres distal to the medial epicondyle. For the area correction technique, the I tape, which is half of the wrist circumference, was heavily stretched to the volar side of the wrist and the middle 1/3 part was taped without stretching the edges.

Device: splint

exercise

ACTIVE COMPARATOR

Nerve tendon gliding exercises were taught practically by an experienced physiotherapist. Participants were asked to do three sets of 10 repetitions every day for one month. Tendon gliding exercises were performed by bringing the hand into five different positions: regular grip, hook grip, punch, tabletop, and regular punch. Nerve gliding exercises were performed by bringing the fingers and wrist into six different positions: fingers and thumb in flexion with the wrist in neutral position, fingers and thumb in extension with the wrist in neutral position, thumb in neutral position with the wrist and fingers in extension, wrist, fingers, and thumb in extension, forearm in supination, and gentle stretching of the thumb with the other hand. Patients were given a thirty day exercise diary.

Device: splint

Interventions

splint DEVICE

ready night splints

exercise; kinesiotaping and exercise; splint and exercise

Eligibility Criteria

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

You may qualify if:

• Being diagnosed with mild and moderate carpal tunnel syndrome with nerve conduction velocity study
• To be between the ages of 18-65

You may not qualify if:

• Inflammatory disease (rheumatoid arthritis, tendinitis, etc.),
• Osteoarthritis in the hand/wrist,
• Musculoskeletal conditions (hand, elbow, wrist),
• Thyroid disease
• Chronic kidney failure
• Carpal tunnel syndrome surgery,
• History of surgery and/or trauma to the upper extremity and neck.
• Pregnancy or diabetes-related carpal tunnel syndrome,
• Receiving any treatment for carpal tunnel syndrome (splint therapy, electrophysical agents, exercise, local corticosteroid injection) up to 3 months prior to the tests.

Sponsors & Collaborators

• Konya Beyhekim Training and Research Hospital: lead

Study Sites (1)

Konya Beyhekim Research and Training Hospital

Konya, Selçuklu, 42060, Turkey (Türkiye)

Location

Related Publications (1)

• Karpuz S, Yilmaz R, Ozkan M, Kaya IC, Bulut O, Erol K, Yilmaz H. Effect of splinting and kinesiotaping treatments on functional status, sleep quality and median nerve cross-sectional area in carpal tunnel syndrome: A single blind prospective randomized controlled study. J Hand Ther. 2025 Jul-Sep;38(3):483-491. doi: 10.1016/j.jht.2024.12.001. Epub 2025 Jan 6.

  PMID: 39765425 DERIVED

MeSH Terms

Conditions

Carpal Tunnel Syndrome

Interventions

Splints

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)

External Fixators; Orthopedic Fixation Devices; Orthopedic Equipment; Surgical Equipment; Equipment and Supplies; Surgical Fixation Devices

Study Design

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

Study Record Dates

• First Submitted: July 8, 2024
• First Posted: July 23, 2024
• Study Start: November 1, 2022
• Primary Completion: November 1, 2023
• Study Completion: November 1, 2023
• Last Updated: July 23, 2024

Record last verified: 2024-07

Locations

TU (1)