Effect of Mechanical Interface Mobilization Technique on Pain and Functional Status in Carpal Tunnel Syndrome

NCT06598748 | Completed DMC

• 1 other identifier: RCRAHS-ISB/REC/MS-PT/017
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to find out the influence of mechanical interface mobilization technique which consists of 5 different steps, in management of carpal tunnel syndrome and how this technique effects pain and functional status in individuals who has carpal tunnel syndrome.

Conditions

Carpal Tunnel Syndrome

Keywords

CTS

Outcome Measures

Primary Outcomes (3)

• Visual analogue scale (VAS)

  The VAS consists of a line, often 10 cm long, with verbal anchors at each end of the line, similar to a Numeric Rating Scale (i.e, no pain on the far left and severe pain on the far right). The patient places a mark at a point on the line corresponding to the patient's rating of pain intensity.

  4 week (will be measured at the end of every week)]

• Symptom Severity Scale

  Symptom Severity Scale (SSS) (24) The SSS consists of 11 items related to six domains said to be critical for the evaluation of CTS. Each item is rated by the patient on a 1-5 (most severe) Likert scale, with higher ratings indicating more pain and disability.

  1st week(pre) and 4th week(post)]

• Hand functional status scale

  Hand functional status scale (FSS) (24) The FSS consists of eight-items related to a variety of activities commonly performed by a diverse of patients. Each item is rated by the patient on a 1-5 (most severe) Likert scale, with higher ratings indicating more pain and disability.

  1st week(pre) and 4th week(post)]

Study Arms (2)

Mechanical Interface Mobilisation Technique

EXPERIMENTAL

In the mechanical interface group, five techniques, including; wrist distraction (3 sets for 3 minutes), rhythmic and gentle stretching of the transverse carpal ligaments, release of palmar hand fascia, gliding of the finger flexor tendons (using oscillatory flexion-extension movement of metacarpophalangeal joint), and release of the upper forearm muscle and fascia will be applied. To release the upper forearm muscle as demonstrated for pronator teres muscle in, the therapist applied a firm pressure on the origin of the muscle by one thumb and concurrently moved the forearm into extension and supination (17).

Other: Mechanical Interface Mobilisation Technique

Exercise Therapy

ACTIVE COMPARATOR

Participants in this group will perform myofascial stretching of the carpal ligament, 3 days per week for four weeks along with isometric exercises at wrist joint as demonstrated by the physiotherapist. The participants will be instructed to perform gentle, pain-free isometrics of the wrist and hand musculature (25). Exercise would be performed with 5-10-second hold, with 10 repetitions (26).

Other: Exercise Therapy

Interventions

Mechanical Interface Mobilisation Technique OTHER

In the mechanical interface group, five techniques, including; wrist distraction (3 sets for 3 minutes), rhythmic and gentle stretching of the transverse carpal ligaments, release of palmar hand fascia, gliding of the finger flexor tendons (using oscillatory flexion-extension movement of metacarpophalangeal joint), and release of the upper forearm muscle and fascia will be applied. To release the upper forearm muscle as demonstrated for pronator teres muscle in, the therapist applied a firm pressure on the origin of the muscle by one thumb and concurrently moved the forearm into extension and supination (17).

Mechanical Interface Mobilisation Technique

Exercise Therapy OTHER

Participants in this group will perform myofascial stretching of the carpal ligament, 3 days per week for four weeks along with isometric exercises at wrist joint as demonstrated by the physiotherapist. The participants will be instructed to perform gentle, pain-free isometrics of the wrist and hand musculature (25). Exercise would be performed with 5-10-second hold, with 10 repetitions (26).

Exercise Therapy

Eligibility Criteria

• Age: 24 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Positive Phalen test and Tinel Test.
• Positive symptoms of CTS (Pain, numbness, or tingling in the first three and lateral half of the fourth finger.

You may not qualify if:

• No previous surgical treatments at the wrist joint, no fractures or open wounds at the wrist.
• Patients with thoracic outlet syndrome, and cervical radiculopathy.
• History of carpal tunnel release surgery.
• Steroid injection in the carpal tunnel.
• Pregnant females.
• Metabolic diseases such as diabetes, severe thyroid disorders and anemia.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Dhqh Campus 2 Khushab

Khushāb, Punjab Province, 41000, Pakistan

Location

Related Publications (26)

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  BACKGROUND

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  BACKGROUND

MeSH Terms

Conditions

Carpal Tunnel Syndrome

Interventions

Exercise Therapy

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)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities

Study Officials

• Ramsha Tariq, MsOMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: The researchers who evaluated the participants were not informed of how the participants were grouped. Participants were informed that they would receive one of two different interventions without indicating which group should undergo mechanical interface mobilization technique or exercise therapy program.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Participants were randomly assigned to the experimental group or control group. Participants were not notified which group was assigned to

Study Record Dates

• First Submitted: April 29, 2024
• First Posted: September 19, 2024
• Study Start: December 1, 2023
• Primary Completion: June 30, 2024
• Study Completion: June 30, 2024
• Last Updated: September 19, 2024

Record last verified: 2024-09

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)