Carpal tunnel syndrome. Carpal tunnel syndrome
Conditions
Interventions
Intervention 1: Intervention group: patients will receive 10 sessions of routine physical therapy at the wrist area: therapeutic continuous ultrasound (for 5 min with 3.0 MHz applicator, ERA = 5 cm2,
Burst TENS on median nerve (frequency 100Hz, pulse width 80 ms, electrode size 4* 6 for 20 min)
hot pack on wrist area
median nerve mobilization technique
Dry needling technique in the muscles around the scapula and shoulder. Intervention 2: Control group: patients will receive 10 sessions of routine physical therapy at the wrist area: therapeutic conti
median nerve mobilization technique.
Sponsors
Shiraz University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
30 Years to 60 Years
Inclusion criteria
Inclusion criteria: Patients with mild to moderate carpal tunnel syndrome Aged between 30 and 60 years Pain and paresthesia in hand (especially thumb, index and middle fingers) Having symptoms for more than one month Positive Phalen’s test Positive Tinel’s test Painful myofascial points at least in two muscles around scapula (Upper Trapezius, Supraspinatus, Infraspinatus, Subscapularis, Teres minor and major) and at least in one muscle around shoulder (Biceps and Deltoid) Normal BMI to overweight
Exclusion criteria
Exclusion criteria: Cervical disc protrusion Cervical radiculopathy Cervical vertebral degeneration Double crush syndrome Upper limb fracture Sensory or motor defects of the ulnar or radial nerves History of wrist or cervical spine severe injury Previous wrist, upper limb or cervical vertebrae surgeries History of steroid injection into the wrist History of systemic disease causing carpal tunnel syndrome such as diabetes, rheumatoid arthritis and fibromyalgia Pregnancy Thenar muscles atrophy Use of blood thinner drugs Tumor Epilepsy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain. Timepoint: Before treatment, after the last treatment session, 1 month after the last treatment sessions. Method of measurement: Visual analogue scale.;Grip power. Timepoint: Before treatment, after the last treatment session, 1 month after the last treatment sessions. Method of measurement: Hand-held dynamometer.;Functional disability. Timepoint: Before treatment, after the last treatment session, 1 month after the last treatment sessions. Method of measurement: DASH questionnaire.;Severity and functional ability. Timepoint: Before treatment, after the last treatment session, 1 month after the last treatment sessions. Method of measurement: Boston questioner.;Two point discrimination. Timepoint: Before treatment, after the last treatment session, 1 month after the last treatment sessions. Method of measurement: Two point discriminator. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactSedighe Rezaeyan
Shiraz University of Medical Sciences
Outcome results
None listed