None listed
Conditions
Brief summary
Assess the effectiveness of manual therapy including sliding versus tensioning neurodynamic techniques in the conservative treatment of carpal tunnel syndrome. We hypothesised that the use of sliding and tensioning neurodynamic techniques would be effective in the treatment of carpal tunnel syndrome.
Interventions
Arm.1 – Group 1 (manual therapy) –carpal tunnel syndrome treatment will use manual therapy based on sliding neurodynamic techniques. The therapy will be performed by physiotherapists with more than 10 years of experience in neurodynamic techniques.
a. Sliding neurodynamic techniques for median nerve; position supine; neurodynamic sequence: arm adduction 90 degree and external rotation, wrist and finger extension, forearm supination, elbow extension; neurodynamic technique: one-direction proximal
Arm.1 – Group 1 (manual therapy) –carpal tunnel syndrome treatment will use manual therapy based on sliding neurodynamic techniques. The therapy will be performed by physiotherapists with more than 10 years of experience in neurodynamic techniques. a. Sliding neurodynamic techniques for median nerve; position supine; neurodynamic sequence: arm adduction 90 degree and external rotation, wrist and finger extension, forearm supination, elbow extension; neurodynamic technique: one-direction proximal slide mobilisation (movement – rhythmically elbow flexion and extension –large amplitude of motion), one-direction distal slide mobilisation (movement – rhythmically wrist flexion and extension –large amplitude of motion). Arm.2 – Group 2 (manual therapy) –carpal tunnel syndrome treatment will use manual therapy based on tensioning neurodynamic techniques. The therapy will be performed by physiotherapists with more than 10 years of experience in neurodynamic techniques. a. Tensioning neurodynamic techniques for median nerve; position supine; neurodynamic sequence: arm adduction 90 degree and external rotation, wrist and finger extension, forearm supination, elbow extension; neurodynamic technique: one-direction proximal slide mobilisation (movement – rhythmically elbow flexion and extension – small amplitude of motion et the end of the movement), one-direction distal slide mobilisation (movement – rhythmically wrist flexion and extension – small amplitude of motion et the end of the movement). Standard protocol consisted of ten series of 60 repetitions neurodynamic techniques separated by inter-series intervals of 1 minute. The duration of one therapy session will be approximately 30 minutes. The therapy will be administered twice a week for 5 weeks (10 therapeutic sessions in total). Research will take place in the outpatient clinic. Therapy sessions every other working day. Monitoring of the intervention will be done through attendance checklists.
Sponsors
The Jerzy Kukuczka Academy of Physical Education in Katowice
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
20 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Key inclusion criteria: - Carpal tunnel syndrome diagnosed clinically and neurophysiologically by specialist - Subjective and objective symptoms of carpal tunnel syndrome - No other diseases that could affect the test results - No contraindications to therapy - Consent to participate in research
Exclusion criteria
Key exclusion criteria: - Lack of consent - Lack of cooperation from the patient - Contraindications to therapy - No symptoms of carpal tunnel syndrome - Previous surgical treatment - Other causes of symptoms - Mental illness
Outcome results
None listed