Neural Exercises vs Surgery in Patients With Carpal Tunnel Syndrome
NCT ID: NCT04058041
Last Updated: 2019-08-15
Study Results
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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UNKNOWN
NA
54 participants
INTERVENTIONAL
2018-03-12
2020-09-20
Brief Summary
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Detailed Description
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STUDY DESIGN: Randomized parallel-group trial. BACKGROUND: Carpal tunnel syndrome (CTS) such as a neuropathic pain condition with altered pain modulation and wind-up, but there is a clack of knowledge if some therapies could have a positive effect.
METHODS: In the Humans study, 54 patients with CTS will be randomly allocated to either a surgery group (n=18) or Surgery with neural exercises group (n=18) or neural exercise group (n=18), the groups with neural exercise will received 10 sessions. The primary outcome will be conditioned pain modulation, temporal summation, pain intensity,. Secondary outcomes will be hand disability assessed with the Boston Carpal Tunnel Questionnaire, pinch-tip grip force, and the symptom severity subscale of the Boston Carpal Tunnel Questionnaire, neuropathic pain questionnaire (DN4), psychological questionnaires (anxiety, catastrophizing, kinesiophobia depression and fear avoid questionnaires), and pressure pain threshold. Patients will be assessed baseline and post-treatment, 1, 3 and 6 months after the last treatment by an assessor unaware of group assignment Patients were assessed at. Analysis was by intention to treat, with mixed analyses of covariance adjusted for baseline scores.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Neural mobilization
passive mobilization of the median nerve by the therapist following by an active movement of the fingers of the pathology hand
Surgery
open or endoscopic surgery will be permed in the patients with tunnel carpal syndrome
Surgery and neural mobilization
following the surgery patients will be treat with neural mobilization exercises.
Surgery
the surgeon will release the median nerve in the tunnel carpal. After that the therapist will teach home exercises (no neural exercises) to the patients.
Neural Mobilization
neural exercise Will be performed in the patients
Surgery and neural mobilization
following the surgery patients will be treat with neural mobilization exercises.
Surgery and Neural mobilization
the surgeon will release the median nerve in the tunnel carpal. After that the therapist will perform mobilizations of the median nerve just like the experimental group.
Neural Mobilization
neural exercise Will be performed in the patients
Surgery
open or endoscopic surgery will be permed in the patients with tunnel carpal syndrome
Interventions
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Neural Mobilization
neural exercise Will be performed in the patients
Surgery
open or endoscopic surgery will be permed in the patients with tunnel carpal syndrome
Surgery and neural mobilization
following the surgery patients will be treat with neural mobilization exercises.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
18 Years
65 Years
ALL
No
Sponsors
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Universidad Rey Juan Carlos
OTHER
Responsible Party
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Josue Fernandez Carnero
Professor
Locations
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Universidad Rey Juan Carlos
Alcorcón, Madrid, Spain
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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CPMP/ICH/135/95
Identifier Type: -
Identifier Source: org_study_id
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