Sleep Quality in Carpal Tunnel Syndrome, Splinting and Kinesiotaping

NCT ID: NCT06514625

Last Updated: 2024-07-23

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 90 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-11-01
• Study Completion Date: 2023-11-01

Brief Summary

The effect of conservative treatments on sleep quality in carpal tunnel syndrome is unclear.

Comparing the effect of splinting and kinesiotaping in carpal tunnel syndrome on functional status, pain, grip strength, nerve cross-sectional area and sleep quality.

Participants were divided into 3 groups. One group received night splint and nerve tendon gliding exercises, one group received kinesiotaping and nerve tendon gliding exercises, and one group received only nerve tendon gliding exercises. Participants were evaluated by a blinded investigator at baseline and at 3 months by Visual Analogue Scale (VAS), Boston Carpal Tunnel Syndrome Questionnaire, Pittsburgh Sleep Quality Index (PSQI), Jamar hand dynamometer and ultrasonography.

Conditions

Carpal Tunnel Syndrome

Study Design

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

Study Groups

splint and exercise

The patient was asked to wear the fabricated splint that fixes the wrist in the neutral position every night and during the day as much as possible

Group Type: EXPERIMENTAL

splint

Intervention Type: DEVICE

ready night splints

kinesiotaping and exercise

Kinesiotaping was applied twice a week for a total of 8 sessions for 4 weeks. Taping was performed with a "neural technique" for the median and "field correction technique" for releasing the carpal tunnel. The elbow was positioned in full extension, the forearm in supination, and the wrist in 30 extension. I tape was used for neural technique. Tape was applied to the skin along the median nerve from the second and third metacarpophalangeal joints to five centimetres distal to the medial epicondyle. For the area correction technique, the I tape, which is half of the wrist circumference, was heavily stretched to the volar side of the wrist and the middle 1/3 part was taped without stretching the edges.

Group Type: EXPERIMENTAL

splint

Intervention Type: DEVICE

ready night splints

exercise

Nerve tendon gliding exercises were taught practically by an experienced physiotherapist. Participants were asked to do three sets of 10 repetitions every day for one month. Tendon gliding exercises were performed by bringing the hand into five different positions: regular grip, hook grip, punch, tabletop, and regular punch. Nerve gliding exercises were performed by bringing the fingers and wrist into six different positions: fingers and thumb in flexion with the wrist in neutral position, fingers and thumb in extension with the wrist in neutral position, thumb in neutral position with the wrist and fingers in extension, wrist, fingers, and thumb in extension, forearm in supination, and gentle stretching of the thumb with the other hand. Patients were given a thirty day exercise diary.

Group Type: ACTIVE_COMPARATOR

splint

Intervention Type: DEVICE

ready night splints

Interventions

splint

ready night splints

Intervention Type: DEVICE

Eligibility Criteria

Inclusion Criteria

• Being diagnosed with mild and moderate carpal tunnel syndrome with nerve conduction velocity study
• To be between the ages of 18-65

Exclusion Criteria

• Inflammatory disease (rheumatoid arthritis, tendinitis, etc.),
• Osteoarthritis in the hand/wrist,
• Musculoskeletal conditions (hand, elbow, wrist),
• Thyroid disease
• Chronic kidney failure
• Carpal tunnel syndrome surgery,
• History of surgery and/or trauma to the upper extremity and neck.
• Pregnancy or diabetes-related carpal tunnel syndrome,
• Receiving any treatment for carpal tunnel syndrome (splint therapy, electrophysical agents, exercise, local corticosteroid injection) up to 3 months prior to the tests.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Konya Beyhekim Training and Research Hospital

OTHER_GOV

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Konya Beyhekim Research and Training Hospital

Konya, Selçuklu, Turkey (Türkiye)

Countries

Turkey (Türkiye)

References

Karpuz S, Yilmaz R, Ozkan M, Kaya IC, Bulut O, Erol K, Yilmaz H. Effect of splinting and kinesiotaping treatments on functional status, sleep quality and median nerve cross-sectional area in carpal tunnel syndrome: A single blind prospective randomized controlled study. J Hand Ther. 2025 Jul-Sep;38(3):483-491. doi: 10.1016/j.jht.2024.12.001. Epub 2025 Jan 6.

Reference Type: DERIVED

PMID: 39765425 (View on PubMed)

Other Identifiers

79735520-799

Identifier Type: -

Identifier Source: org_study_id