Effects of Neuro-dynamic Mobilization Techniques on Upper Limb Functions in Pronator Teres Syndrome

NCT ID: NCT06009692

Last Updated: 2024-08-15

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-08-20
• Study Completion Date: 2024-02-20

Brief Summary

The study aimed to determine the effects of neuro-dynamic techniques on upper limb motor and sensory functions and to compare the effects of slider versus tensioner neuro-dynamic techniques on upper limb motor and sensory functions in pronator teres syndrome.

Detailed Description

The study aimed to determine the effects of neuro-dynamic techniques on upper limb motor and sensory functions and to compare the effects of slider versus tensioner neuro-dynamic techniques on upper limb motor and sensory functions in pronator teres syndrome.

Pronator teres syndrome is a rare condition and easily overlooked and mistaken for the more prevalent carpal tunnel syndrome. The median nerve may also be squeezed between the heads of the pronator teres muscle in addition to the carpal tunnel. Patients report pain, numbness, or paresthesia over the lateral 3.5-digit area and anterior forearm, which worsens with forced pronation. This condition is most common in the dominant hand or sometimes can be associated with advanced forearm muscle.in our routine clinical practice, The neuro-dynamic techniques is not that common in neurological physical therapy practice so the effects of neuro -dynamics with conventional therapy needs to be evaluated for better outcomes in upper limb functions.

Conditions

Pronator Teres Syndrome

Study Design

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

Study Groups

Upper Limb Neurodynamics Group

Upper limb Neuro-dynamics (Slider/Tensioner Technique) along with Task Oriented Training

Group Type: EXPERIMENTAL

Upper limb Neuro-dynamics (Slider/ Tensioner Technique)

Intervention Type: OTHER

The experimental group will receive neuro-dynamic mobilization techniques along with task oriented training. Slider versus tensioner technique will be applied according to each patient's need. Session time will be 25-30 minutes. Four series of 10 tensioning movements at a rhythm of ∼6s per cycle and 1 min rest between each series will be performed. After each cycle of 10 repetitions, the position will hold for 10s.

Upper Limb Conventional Therapy

Stretching, Strengthening exercises along with Task Oriented Training

Group Type: ACTIVE_COMPARATOR

Conventional Therapy for Upper limb

Intervention Type: OTHER

Conventional treatment will include therapeutic ultrasound for 4 min, TENS for 10 min. Task oriented training will be designed according to patient's functional outcomes. Sessions will be given for 6 days a week, 25-30 minutes per day.

Interventions

Upper limb Neuro-dynamics (Slider/ Tensioner Technique)

The experimental group will receive neuro-dynamic mobilization techniques along with task oriented training. Slider versus tensioner technique will be applied according to each patient's need. Session time will be 25-30 minutes. Four series of 10 tensioning movements at a rhythm of ∼6s per cycle and 1 min rest between each series will be performed. After each cycle of 10 repetitions, the position will hold for 10s.

Intervention Type: OTHER

Conventional Therapy for Upper limb

Conventional treatment will include therapeutic ultrasound for 4 min, TENS for 10 min. Task oriented training will be designed according to patient's functional outcomes. Sessions will be given for 6 days a week, 25-30 minutes per day.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Diagnosed with pronator teres syndrome
• At least 6 working hours/ day
• Positive Tinel's sign at pronator area (Hoffman's sign)
• Positive Pronator teres syndrome test

Exclusion Criteria

• Any previous history of metabolic disease, liver disease/ diabetes
• History of previous injuries to the cervical spine including radiculopathies and myelopathies as well as spinal stenosis and/or spinal disc herniation

• Minimum Eligible Age: 30 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Abrish Habib Abbasi, MS-NMPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Al-Nafees hospital

Islamabad, Punjab Province, Pakistan

Countries

Pakistan

Other Identifiers

Umaira Sattar

Identifier Type: -

Identifier Source: org_study_id