Carpal Tunnel Syndrome
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged >= 18 years, male or female; 2. Combined with clinical symptoms, medical history and physical examination, according to the expert consensus published by the British College of Rheumatology as the standard, the clinical diagnosis is unilateral or bilateral CaTS; 3. Mild-moderate CaTS, and symptoms for more than 6 weeks; if the participant has bilateral CaTS, the degree of the most severe side of the symptoms will be used to determine whether to be included, and only this side will be studied: (1) Mild CaTS: intermittent paresthesia in the distribution area of the median nerve; (2) Moderate CaTS: persistent paresthesia, reversible numbness and/or idiopathic pain; (3) Severe CaTS: persistent numbness or pain, persistent sensory loss, severe thenar muscle atrophy or other severe symptoms requiring surgery; 4. Able to read and write simplified Chinese, understand and complete questionnaires, and provide informed consent.
Exclusion criteria
Exclusion criteria: 1. CaTS secondary to wrist deformity, trauma, mass, pregnancy, hypothyroidism, arthritis, etc.; 2. There is a history of previous wrist surgery on the affected side (or the wrist on the study side, if it is bilateral CaTS); 3. In the past 6 months, the affected wrist has a history of US treatment, NS treatment, hormone injection treatment, or a history of previous CaTS surgery; 4. Inability to accept research interventions; 5. In the past 1 year, the upper extremity on the affected side has been traumatized, requiring surgery or immobilization; 6. The following diseases exist: poorly controlled thyroid disease; poorly controlled diabetes; vibration-induced neuropathy; inflammatory joint disease, osteoarthritis; suspected complex nervous system, skeletal muscle system diseases; 7. Known drug or alcohol abuse; 8. Allergy to any brace material; 9. There are contraindications to US, including skin conditions, abnormal sensation of the affected limb, indwelling electric pump/pacemaker, epilepsy, pregnancy or lactation, etc.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Symptom Severity Scale of the Boston Carpal Tunnel Questionnaire; | — |
Secondary
| Measure | Time frame |
|---|---|
| Numerical rating scale for hand-wrist symptom intensity;shortened version of the Disabilities of the Arm, Shoulder and Hand;sleep questionnaire for interrupted sleep;five-dimensional health scale;The Hospital Anxiety and Depression Scale;Work Limitations Questionnaire;Global Rating of Change;Likert scale for satisfaction;physical function examination;electrophysiology and ultrasound parameters;Functional Status Scale of the Boston Carpal Tunnel Questionnaire; | — |
Countries
China
Contacts
Shanghai Sixth People's Hospital