Carpel Tunnel Syndrome and Physical Therapy Modalities

NCT ID: NCT02745652

Last Updated: 2016-04-21

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

55 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-05-31

Study Completion Date

2015-03-31

Brief Summary

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Carpel tunnel syndrome (CTS) is very common complain during pregnancy with high percentage to continue postnatal. Conservative treatment is more recommended in these cases. There are many physical therapy modalities proposed to treat CTS without knowing which modality is better than the other. So the aim of this study to compare the effect of two modalities in treating CTS in postnatal females.

Detailed Description

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Carpal tunnel syndrome (CTS) is one of the most common peripheral nerve entrapment disorders in the upper limb. CTS is common during pregnancy especially in the third trimester as well, a significant percentage of females postnatal may still have some complaints up to at least 3 years postnatal.

Purpose: To compare the effect of pulsed magnetic field (PEMF) versus ultrasound (US) in treating patients with CTS. Forty postnatal female patients with idiopathic CTS were assigned randomly into two equal groups. One group received PEMF with nerve and tendon gliding exercises for the wrist 3 times for week for 4 weeks. The other group received US plus the same exercises. Pain level, sensory and motor distal latencies of the median nerve (MSDL and MMDL), sensory and motor conduction velocities of the median nerve (MSCV and MMCV), functional status scale and hand grip strength were assessed pre and post treatment

Conditions

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Carpal Tunnel Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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pulsed electromagnetic field (PEMF)

patients in this group received the pulse electromagnetic field with frequency 50 Hz and intensity 80 gauss for 30 min.The patient was in sitting position, while the forearm was rested on the bed inside the solenoid in supination position

Group Type EXPERIMENTAL

pulsed electromagnetic field

Intervention Type DEVICE

it is a magnetic device for magneto-therapy, it has an appliance, motorized bed, and applicable large solenoids which can be moved in 4 different positions according to the treatment area, and the additional small solenoid for hand treatment with 30 cm diameter

Therapeutic ultrasound (US)

Pulsed mode US was applied over the volar surface of the forearm (the carpal tunnel area) 15 min per session with a frequency of 1 MHz and intensity of 1.0 W/cm2

Group Type EXPERIMENTAL

Therapeutic ultrasound

Intervention Type DEVICE

Ultrasound is applied using a transducer or applicator that is in direct contact with the patient's skin. Gel is a medium which is used on all surfaces of the head to reduce friction and assist transmission of the ultrasonic waves

Interventions

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pulsed electromagnetic field

it is a magnetic device for magneto-therapy, it has an appliance, motorized bed, and applicable large solenoids which can be moved in 4 different positions according to the treatment area, and the additional small solenoid for hand treatment with 30 cm diameter

Intervention Type DEVICE

Therapeutic ultrasound

Ultrasound is applied using a transducer or applicator that is in direct contact with the patient's skin. Gel is a medium which is used on all surfaces of the head to reduce friction and assist transmission of the ultrasonic waves

Intervention Type DEVICE

Other Intervention Names

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(PEMF) US

Eligibility Criteria

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Inclusion Criteria

* Mild to moderate CTS
* Positive electro diagnostic findings: prolonged median motor distal latency (MMDL) above 4 ms, and below 6ms.
* Prolonged median sensory distal latency above 3.5 ms .
* Positive Phalen and Tinel test.
* Subjects scored pain intensity more than 5 in visual analogue scale (VAS).

Exclusion Criteria

* severe cases with delayed motor distal latency \> 6ms.
* Orthopedic or neurological disorders of neck or the upper limb as cervical radiculopathy.
* Pronator teres syndrome or double crush syndrome.
* Pre- existing CTS before their last pregnancy, current pregnancy.
* Diabetic neuropathy and Thoracic outlet syndrome.
* Wasting of thenar muscles, ulnar neuropathy.
* Rheumatoid arthritis, previous fractured carpal bone and previous surgery in the forearm especially transverse ligament release
Minimum Eligible Age

25 Years

Maximum Eligible Age

35 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Cairo University

OTHER

Sponsor Role lead

Responsible Party

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Dr. Dalia Mohamed Kame

Associate Professor of Physical Therapy

Responsibility Role PRINCIPAL_INVESTIGATOR

Other Identifiers

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P.T.REC/012/001211

Identifier Type: -

Identifier Source: org_study_id

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