Carpal Tunnel Syndrome
Conditions
Interventions
Two groups:Group 1: Night Splinting Plus Electroacupuncture”
Group 2: Night Splinting Plus Waiting List. Access the partner registry to get the detail discription. Duration: 17 weeks
Sponsors
JC School of Public Health and Primary Care, The Chinese University of Hong Kong
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: Patients aged 18-70 and fulfilling the Katz CTS hand diagram criteria of (1) Classic / Probable Symptoms or (2) Possible Symptoms. Eligible patients should also (3) have the ability to read and speak Chinese (Cantonese), and (4) agree to sign the Informed consent and (5) are willing to attend follow up and / or electroacupuncture sessions.
Exclusion criteria
Exclusion criteria: Patients with symptoms and signs of axonal loss and evident median nerve denervation, including 1. constant numbness; 2. loss of sensibility, and 3. thenar muscular atrophy or weakness will be excluded. Patients with secondary CTS caused by inflammatory arthropathy, coexisting cervical radical radiculopathy, polyneuropathy, diabetes mellitus, pregnancy, malignancy, hypothyroidism, alcoholism, rheumatoid arthritis, space-occupying lesions (tumours, hypertrophic synovial tissue, fracture callus, and osteophytes), infections, and familial neuropathy will also be excluded. In particular, cervical radiculopathy will be actively ruled out by assessing the existence of related symptoms and signs, including neck pain, reduced reflexes, less well demarcated dermatomal involvement, and positive Spurling's test. Patients who received previous carpal tunnel release surgery, or have used warfarin, oral steroid, local steroid injection, night splint or acupuncture for CTS in the past 6 months, or other serious illnesses will be considered as ineligible.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Boston Carpal Tunnel Questionnaire Scoring at 1, 2, 5 and 17 weeks; | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Disabilities of the Arm, Shoulder, and Hand (DASH) Questionnaire;2. A 0 to 10 point numerical rating scale to measure pain intensity.;3. Tip pinch strength (TPS);4. Semmes-Weinstein monofilament testing (SWMT);5. Dellon-modified Moberg pick-up test (DMMPUT); | — |
Countries
China
Contacts
Public ContactVincent Chi Ho, Chung
Outcome results
None listed