Efficacy of EPSW Plus HILT on Carpal Tunnel Syndrome Post Burn Injury

NCT ID: NCT05876442

Last Updated: 2023-10-25

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 120 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-05-20
• Study Completion Date: 2024-06-01

Brief Summary

To study the effect of adding ESWT as a noninvasive short-term treatment plus high-level laser therapy for moderate carpal-tunnel syndrome post-burn injuries.

Detailed Description

To study the effect of adding ESWT as a noninvasive short-term treatment plus high-level laser therapy for mild to moderate carpal tunnel syndrome post-burn injuries.

The effects of combining EPSW with High-intensity Laser Therapy for improving pain, Symptoms and function of motion, muscle strength, and quality of life in inpatients with carpal tunnel syndrome post-burn injuries

Conditions

Burn Injury

Study Design

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

Study Groups

Group A: ESWT plus HILT in addition to Traditional Physical Therapy Exercise .

patients will receive Extraporeal Shock wave therapy at the area of the wrist for 5 minutes 1 time a week for 2 months, then High-intensity laser therapy at the site of the carpal bones for 5 minutes 2 times a week. Then a program of traditional physical therapy exercises for post-burn carpal tunnel syndrome for 30 minutes of stretching exercise for the wrist and carpal region with the fingers flexed and extended. Followed by strengthening exercises for the wrist flexors, extensors, radial and ulnar deviation muscles. Mobilizing exercise, tendon gliding exercise, and instructed to wear a wrist splint at night.

Group Type: EXPERIMENTAL

Extracorporeal Shock Wave Therapy.

Intervention Type: DEVICE

Patients will receive EPSW therapy at the area of the wrist for 5 minutes 1 time a week for 2 months.

High Intensity Laser Therapy

Intervention Type: DEVICE

High-intensity laser therapy at the area of the carpal bones for 5 minutes 2 times a week for two months..

Traditional Physical Therapy Exercise Program

Intervention Type: OTHER

30 minutes of stretching exercise for the wrist and carpal region with the fingers flexed and extended. Followed by strengthening exercises for the wrist flexors, extensors, and radial and ulnar deviation muscles. Mobilizing exercise, tendon gliding exercise, and instructed to wear a wrist splint at night for two months.

Experimental: Group B: ESWT plus Traditional Physical Therapy Exercise .

Patients will receive Extraporeal Shock wave therapy at the area of the wrist for 5 minutes 1 time a week for 2 months, Then a traditional physical therapy exercise program for the post-burn carpal tunnel syndrome for 30 minutes of stretching exercise for the wrist and carpal region with the fingers flexed and extended. They were followed by strengthening exercises for the wrist flexors, extensors, and radial and ulnar deviation muscles. Mobilizing exercise, tendon gliding exercise, and instructed to wear a wrist splint at night

Group Type: EXPERIMENTAL

Extracorporeal Shock Wave Therapy.

Intervention Type: DEVICE

Patients will receive EPSW therapy at the area of the wrist for 5 minutes 1 time a week for 2 months.

Traditional Physical Therapy Exercise Program

Intervention Type: OTHER

30 minutes of stretching exercise for the wrist and carpal region with the fingers flexed and extended. Followed by strengthening exercises for the wrist flexors, extensors, and radial and ulnar deviation muscles. Mobilizing exercise, tendon gliding exercise, and instructed to wear a wrist splint at night for two months.

Experimental: Group C:HILTplus Traditional Physical Therapy Exercise.

patients will receive High-intensity laser therapy at the area of the carpal bones for 5 minutes 2 times a week for 2 monthes. Then a program of traditional physical therapy exercises for post-burn carpal tunnel syndrome for 30 minutes of stretching exercise for the wrist and carpal region with the fingers flexed and extended. Followed by strengthening exercises for the wrist flexors, extensors, and radial and ulnar deviation muscles. Mobilizing exercise, tendon gliding exercises, and instructed to wear a wrist splint at night

Group Type: EXPERIMENTAL

High Intensity Laser Therapy

Intervention Type: DEVICE

High-intensity laser therapy at the area of the carpal bones for 5 minutes 2 times a week for two months..

Traditional Physical Therapy Exercise Program

Intervention Type: OTHER

30 minutes of stretching exercise for the wrist and carpal region with the fingers flexed and extended. Followed by strengthening exercises for the wrist flexors, extensors, and radial and ulnar deviation muscles. Mobilizing exercise, tendon gliding exercise, and instructed to wear a wrist splint at night for two months.

Traditional Physical Therapy Exercise.

patients will receive a program of traditional physical therapy exercise for post-burn carpal tunnel syndrome for 30 minutes of stretching exercise for the wrist and carpal region with the fingers flexed and extended. They were followed by strengthening exercises for the wrist flexors, extensors, and radial and ulnar deviation muscles. Mobilizing exercise, tendon gliding exercise, and instructed to wear a wrist splint at night.

Group Type: ACTIVE_COMPARATOR

Traditional Physical Therapy Exercise Program

Intervention Type: OTHER

30 minutes of stretching exercise for the wrist and carpal region with the fingers flexed and extended. Followed by strengthening exercises for the wrist flexors, extensors, and radial and ulnar deviation muscles. Mobilizing exercise, tendon gliding exercise, and instructed to wear a wrist splint at night for two months.

Interventions

Extracorporeal Shock Wave Therapy.

Patients will receive EPSW therapy at the area of the wrist for 5 minutes 1 time a week for 2 months.

Intervention Type: DEVICE

High Intensity Laser Therapy

High-intensity laser therapy at the area of the carpal bones for 5 minutes 2 times a week for two months..

Intervention Type: DEVICE

Traditional Physical Therapy Exercise Program

30 minutes of stretching exercise for the wrist and carpal region with the fingers flexed and extended. Followed by strengthening exercises for the wrist flexors, extensors, and radial and ulnar deviation muscles. Mobilizing exercise, tendon gliding exercise, and instructed to wear a wrist splint at night for two months.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Patients diagnosed with carpal tunnel syndrome after thermal burn injuries.
• Patients will be diagnosed with median nerve conduction study and Phalen sign and tinel test.
• Patients age: 20 to 60 years

Exclusion Criteria

• Patients with severe (absent sensory or motor waves) and mild (sensory nerve latency >3.5 ms at third digit) CTS according to EMG-NCV study.
• Conditions that could impact upon or impacted by outcome measures or laser intervention (e.g. hypothyroidism, cancer, active infection, pulmonary disease, acquired immunodeficiency syndrome, associated myopathy, myelopathy, history of neck and/or shoulder surgery, drugabuse, corticosteroids consumption, and pregnancy)
• Patients received continuous physical therapy or exercise during the previous two weeks or taking analgesic or anti-inflammatory drugs during the week prior to the baseline assessment

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Hadaya Mosaad

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Cairo University, Faculty of Physical Therapy

Cairo, , Egypt

Site Status: RECRUITING

Countries

Egypt

Central Contacts

Hadaya M Eladl, PhD

Role: CONTACT

hd_mos@yahoo.com

00201281968332

Facility Contacts

Hadaya M Eladl, PhD

Role: primary

hd_mos@yahoo.com

00201281968332

Other Identifiers

P.T.REC/012/004498

Identifier Type: -

Identifier Source: org_study_id