Ultrasonographic Evaluation of the Effectiveness of Different Techniques

NCT ID: NCT05415618

Last Updated: 2024-03-15

Basic Information

• Recruitment Status: ENROLLING_BY_INVITATION
• Clinical Phase: NA
• Total Enrollment: 30 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-03-12
• Study Completion Date: 2024-04-30

Brief Summary

Carpal tunnel syndrome (CTS) occurs as a result of compression of the median nerve under the transverse ligament along the carpal tunnel. The main cause of median nerve compression and carpal tunnel syndrome is increased volume in the carpal tunnel. The pressure that edema puts on the nerve must be controlled in the early period. Edema that persists beyond the inflammatory process can contribute to the fibrotic stage, delay healing, and even cause complications such as pain and stiffness. Manual lymphatic drainage (MLD) is a specialized technique that involves gentle massage techniques and follows lymphatic pathways from proximal to distal and then from distal to proximal. On the basis of this concept; Increasing circulation by stimulating the lymph system, removing biochemical residues, reducing edema and pain, and regulating sympathetic and parasympathetic system responses. It is known that MLD rapidly regulates lymphatic circulation by creating a change in interstitial fluid pressure, thus preventing even arthrofibrotic tissue that may form after a traumatic situation, reducing edema that predisposes to pain, and increasing mobility. Nerve gliding exercises are another method used in treatment. By providing a sliding movement of the tendons and median nerve in the distal-proximal direction, mobilization of the surrounding soft tissues is achieved and dynamic ischemia is terminated. The aim of this study is to determine the effectiveness of manual lymphatic drainage and nerve mobilization on clinical and ultrasonographic findings in carpal tunnel syndrome.

Conditions

Ultrasound Evaluation of the Effect of Manual Lymph Drainage; Effect of Manual Lymph Drainage on Carpal Tunnel Syndrome

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Kontrol group

Group Type: ACTIVE_COMPARATOR

splint

Intervention Type: DEVICE

In splint treatment, a volar-supported splint that keeps the wrist in a neutral position will be preferred and it will be recommended to both groups to be used only at night for 4 weeks.

MLD group

Group Type: EXPERIMENTAL

Manual lymphatic drainage

Intervention Type: OTHER

Manual lymphatic drainage will be applied 5 days a week for about 15 minutes every day for 4 weeks.

Nerve gliding group

Group Type: EXPERIMENTAL

Nerve gliding

Intervention Type: OTHER

Median nerve gliding exercises as a home exercise program will be performed by the patient 5 days a week for 4 weeks. It will be performed in 6 different consecutive positions of the hand and wrist.

Interventions

Manual lymphatic drainage

Manual lymphatic drainage will be applied 5 days a week for about 15 minutes every day for 4 weeks.

Intervention Type: OTHER

splint

In splint treatment, a volar-supported splint that keeps the wrist in a neutral position will be preferred and it will be recommended to both groups to be used only at night for 4 weeks.

Intervention Type: DEVICE

Nerve gliding

Median nerve gliding exercises as a home exercise program will be performed by the patient 5 days a week for 4 weeks. It will be performed in 6 different consecutive positions of the hand and wrist.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Diagnosis of mild to moderate carpal tunnel syndrome on electrodiagnostic examination
• Being between 20-55 years old
• Volunteering to participate in the treatment to be given

Exclusion Criteria

• Have a systemic inflammatory disease
• Having any disease that may cause polyneuropathy, such as diabetes mellitus
• Cognitive impairment
• Receiving psychotherapy
• Having a pacemaker
• illiterate
• Having a disease affecting the central nervous system
• Having a hearing problem
• Any skin disease that would contraindicate manual lymphatic drainage
• Arterial or venous circulatory disorders that would contraindicate manual lymphatic drainage
• NSAID drug use

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 55 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Selcuk University

OTHER

Sponsor Role: lead

Responsible Party

Emine Cihan

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Kutahya Health Science University Hospital

Kütahya, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

2023-14/01

Identifier Type: -

Identifier Source: org_study_id