Post Burn Cubital Tunnel Syndrome Response to High Intensity Laser Therapy Versus Shock Wave Therapy
NCT ID: NCT07102992
Last Updated: 2025-08-14
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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RECRUITING
NA
75 participants
INTERVENTIONAL
2025-08-05
2026-05-01
Brief Summary
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Burns of the forearm and elbow are associated with swelling, redness and pain. In second to third-degree burns, the eschar forms a tight band constricting the circulation distally and forms edema that leads to compression neuropathy of ulnar nerve. Also the hyper metabolic response of the burned patients, has been suggested as a cause of the peripheral neuropathies, as the basal metabolic rate (B.M.R) of the burned patients increase more than 2 to 2.5 times normal.
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Detailed Description
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Burns of the forearm and elbow are associated with swelling, redness and pain. In second to third-degree burns, the eschar forms a tight band constricting the circulation distally and forms edema that leads to compression neuropathy of ulnar nerve. Also the hyper metabolic response of the burned patients, has been suggested as a cause of the peripheral neuropathies, as the basal metabolic rate (B.M.R) of the burned patients increase more than 2 to 2.5 times normal.
Cubital tunnel syndrome is the second most common entrapment neuropathy of the upper extremity, after carpal tunnel syndrome
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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High intensity laser therapy
Device: High intensity laser therapy 25 Patients
Ulnar nerve gliding exercises.
While keeping patients head in a neutral position, will teach the patient to:
1. Begin with your arm out, palm side of the hand facing up.
2. Bend the elbow toward you, palm side facing you.
3. Rotate the palm of your hand outward and bend your wrist so that the fingers are pointing towards you.
4. Twist your wrist so that the palm of your hand is now facing upward.
5. While your wrist remains bent, stretch out your arm into a straight position, with your fingers bent towards the floor.
Hold each position for 5 seconds, repeat series 3-5 times. Frequency of treatment: Treatment will be given 5 times / week for 20 sessions.
High intensity laser therapy
High intensity Laser Therapy :A standard handpiece endowed with fixed spacers will used to provide the same distance to the skin and perpendicularly to the zone to be treated with a laser beam diameter of 5 mm. Three phases of treatment will be performed for every session. The total energy that will be delivered to the patient during one session will be 1275 J through three phases of treatment.
Frequency of treatment: Treatment will be given 5 times / week for 20 sessions.
Shock Wave therapy
Extracorporeal shock wave therapy, 25 patients
Ulnar nerve gliding exercises.
While keeping patients head in a neutral position, will teach the patient to:
1. Begin with your arm out, palm side of the hand facing up.
2. Bend the elbow toward you, palm side facing you.
3. Rotate the palm of your hand outward and bend your wrist so that the fingers are pointing towards you.
4. Twist your wrist so that the palm of your hand is now facing upward.
5. While your wrist remains bent, stretch out your arm into a straight position, with your fingers bent towards the floor.
Hold each position for 5 seconds, repeat series 3-5 times. Frequency of treatment: Treatment will be given 5 times / week for 20 sessions.
Shock Wave therapy
radial extracorporeal shock wave therapy (2,000 shots, 4 Bar, 5 Hz) (once a week) will be administered to the ulnar nerve at the proximal cubital tunnel region.
Frequency of treatment: Treatment will be given 1 time / week for 4 sessions
Ulnar nerve gliding exercises.
Ulnar nerve gliding exercises, 25 patients
Ulnar nerve gliding exercises.
While keeping patients head in a neutral position, will teach the patient to:
1. Begin with your arm out, palm side of the hand facing up.
2. Bend the elbow toward you, palm side facing you.
3. Rotate the palm of your hand outward and bend your wrist so that the fingers are pointing towards you.
4. Twist your wrist so that the palm of your hand is now facing upward.
5. While your wrist remains bent, stretch out your arm into a straight position, with your fingers bent towards the floor.
Hold each position for 5 seconds, repeat series 3-5 times. Frequency of treatment: Treatment will be given 5 times / week for 20 sessions.
Interventions
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Ulnar nerve gliding exercises.
While keeping patients head in a neutral position, will teach the patient to:
1. Begin with your arm out, palm side of the hand facing up.
2. Bend the elbow toward you, palm side facing you.
3. Rotate the palm of your hand outward and bend your wrist so that the fingers are pointing towards you.
4. Twist your wrist so that the palm of your hand is now facing upward.
5. While your wrist remains bent, stretch out your arm into a straight position, with your fingers bent towards the floor.
Hold each position for 5 seconds, repeat series 3-5 times. Frequency of treatment: Treatment will be given 5 times / week for 20 sessions.
High intensity laser therapy
High intensity Laser Therapy :A standard handpiece endowed with fixed spacers will used to provide the same distance to the skin and perpendicularly to the zone to be treated with a laser beam diameter of 5 mm. Three phases of treatment will be performed for every session. The total energy that will be delivered to the patient during one session will be 1275 J through three phases of treatment.
Frequency of treatment: Treatment will be given 5 times / week for 20 sessions.
Shock Wave therapy
radial extracorporeal shock wave therapy (2,000 shots, 4 Bar, 5 Hz) (once a week) will be administered to the ulnar nerve at the proximal cubital tunnel region.
Frequency of treatment: Treatment will be given 1 time / week for 4 sessions
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
2. Both sexes.
3. Post healed elbow burn.
4. Diagnosed with cubital tunnel syndrome.
5. Willing and able to provide informed consent.
Exclusion Criteria
2. C8-T1 radiculopathy, polyneuropathy.
3. Previous elbow fractures or operation.
4. Systemic diseases such as diabetes mellitus, malignancy, and active infection.
5. Patients with any contraindications to high intensity laser therapy or shock wave therapy.
20 Years
50 Years
ALL
No
Sponsors
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Benha University
OTHER
Ahram Canadian University
OTHER
Responsible Party
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Mahmoud H Mohamed, PhD
Associate Professor
Principal Investigators
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Waleed Mansour, Ph.D
Role: STUDY_CHAIR
Faculty of Physical Therapy, Benha university
Locations
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Out patient clinic , faculty of Physical Therapy, Benha university
Banhā, Al Qalyubia, Egypt
Out patient clinic , faculty of Physical Therapy, ahram Canadian university
Giza, Giza Governorate, Egypt
Countries
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Central Contacts
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Waleed Mansour, Ph.D
Role: CONTACT
Other Identifiers
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HILT-SHWT 2025
Identifier Type: -
Identifier Source: org_study_id
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