Non-surgical Treatment of Carpal Tunnel Syndrome by Means of Mechanical Traction

NCT ID: NCT01949493

Last Updated: 2016-12-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

181 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-10-31

Study Completion Date

2016-06-30

Brief Summary

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The objective of this study is to evaluate the effectiveness of mechanical traction in patients with Carpal Tunnel Syndrome compared to care as usual.

Detailed Description

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This randomized controlled trial will examine the effectiveness of mechanical traction compared to care as usual as a non-surgical treatment for Carpal Tunnel Syndrome (CTS).

Patients diagnosed with CTS are recruited from the outpatient neurology clinic of VieCuri Medical Center in Venlo, The Netherlands. They will be randomly assigned to the intervention or control group. Patients in the intervention group will receive 12 treatments with mechanical traction during six consecutive weeks. Patients in the control group will receive care as usual, which can include splinting, a corticosteroid injection, carpal tunnel release surgery or an expectant strategy. Outcomes will be assessed at baseline and at 3, 6, and 12 months after inclusion.

Conditions

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Carpal Tunnel Syndrome

Keywords

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carpal tunnel syndrome traction mechanical traction Phystrac

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Care as usual

The patient will receive the usual care provided by the neurologists at VieCuri Medical Center. This may include an expectant strategy, a wrist splint, corticosteroid injection or carpal tunnel release surgery.

Group Type OTHER

Care as usual

Intervention Type OTHER

Usual care provided by the neurologist (e.g. corticosteroid injection, wrist splint, carpal tunnel release surgery).

Mechanical traction

Twelve treatments with mechanical traction using the Phystrac traction apparatus.

Group Type EXPERIMENTAL

mechanical traction

Intervention Type DEVICE

Twelve treatments with mechanical traction using the Phystrac traction apparatus. The Phystrac provides traction to the wrist using weights between 1 and 18 kg. The weights provide a pulling force in line with the forearm. After 8 seconds the weight is lifted, and there is a rest period of 4 seconds. This cycle will be repeated 10 times. Another two sets of 10 traction movements will be applied with the wrist positioned in 30 degrees supination and 30 degrees pronation. In total, 30 traction movements will be applied during each treatment.

Interventions

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mechanical traction

Twelve treatments with mechanical traction using the Phystrac traction apparatus. The Phystrac provides traction to the wrist using weights between 1 and 18 kg. The weights provide a pulling force in line with the forearm. After 8 seconds the weight is lifted, and there is a rest period of 4 seconds. This cycle will be repeated 10 times. Another two sets of 10 traction movements will be applied with the wrist positioned in 30 degrees supination and 30 degrees pronation. In total, 30 traction movements will be applied during each treatment.

Intervention Type DEVICE

Care as usual

Usual care provided by the neurologist (e.g. corticosteroid injection, wrist splint, carpal tunnel release surgery).

Intervention Type OTHER

Other Intervention Names

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Phystrac mechanical traction device (type GR 10)

Eligibility Criteria

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Inclusion Criteria

* diagnosed with CTS using electrodiagnostic testing
* being physically capable of visiting the outpatient clinic in Venlo twice per week
* being physically capable of sitting in upright position in a chair for 10-20 minutes, twice per week
* not intending to move outside the area within 3 months after inclusion

Exclusion Criteria

* not understanding Dutch appropriately
* other known (rare) cause of neuropathy
* suffering from severe psychiatric disorders, such as personality disorder, schizophrenia or bipolar disorder
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tilburg University

OTHER

Sponsor Role lead

Responsible Party

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prof.dr. Victor J Pop

Prof. Dr. V.J.M. Pop

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Victor Pop, Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

Tilburg University

Locations

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Viecuri Medisch Centrum

Venlo, Limburg, Netherlands

Site Status

Countries

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Netherlands

References

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Meems M, Boekhorst MGBM, Pop VJM. Long-Term Follow-Up Results of Mechanical Wrist Traction as Non-Invasive Treatment for Carpal Tunnel Syndrome. Front Neurol. 2021 Sep 6;12:668549. doi: 10.3389/fneur.2021.668549. eCollection 2021.

Reference Type DERIVED
PMID: 34552548 (View on PubMed)

Other Identifiers

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NL44692.008.13

Identifier Type: -

Identifier Source: org_study_id