Carpal tunnel syndrome. Carpal tunnel syndrome
Conditions
Interventions
Intervention 1: Intervention group: In the treatment group, in addition to the standard rehabilitation program that is also performed in the control group, dry needling will be applied in the wrist re
Sponsors
Mashhad University of Medical Sciences
Eligibility
Sex/Gender
All
Age
20 Years to 65 Years
Inclusion criteria
Inclusion criteria: Clinical diagnosis of CTS based on at least two criteria proposed by Chang Presence of symptoms for at least 4 weeks Confirmation of mild to moderate severity of CTS based on electrodiagnostic findings
Exclusion criteria
Exclusion criteria: Clinical conditions that can mimic CTS include cervical radiculopathy, brachial plexus injury, proximal median neuropathy, or significant polyneuropathy. Severe CTS with visible muscle atrophy Diabetes Rheumatoid arthritis Hypothyroidism and hyperthyroidism Pregnancy and breastfeeding Alcohol abuse Taking medicine Malignancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hand grip. Timepoint: Before, immediately after and six weeks after the end of treatment. Method of measurement: Grip strength will be measured in kilograms using a hand-held dynamometer. First, patients are taught how to work with the device. They are then asked to maintain maximum grip strength and press the handle 3 times with 10 seconds of rest between each test, and the average score of the three presses of the machine will be calculated. | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain severity. Timepoint: Before, immediately after and six weeks after completion. Method of measurement: Visual analog scale (VAS) will be used to evaluate pain intensity at rest (8). VAS is a 10-point scale from 0 to 10, where 0 represents "no pain" and 10 represents "worst possible pain". All participants are instructed to rate pain intensity based on the past 7 days.;Functional status and symptom severity. Timepoint: Before, immediately after and six weeks after completion. Method of measurement: Functional status and severity of self-reported symptoms will be measured using the self-reported Boston Carpal Tunnel Questionnaire (BCTQ). This is a CTS-specific questionnaire that refers to a typical 24-hour period in the past two weeks. It consists of two different scales: Symptom Severity Scale (SSS) and Functional Status Scale (FSS). The SSS consists of 11 questions about symptom severity, while the FSS consists of 8 daily activities that are rated by severity. These two scales will be rated on a 5-point scale, where greater impairment is indicated by higher scores, and finally, the average of each section is calculated, and the higher the average, the greater the severity of the patient's symptoms and disability. The BCTQ is responsive to clinically relevant changes and is therefore an appropriate measure of treatment outcome. This questionnaire was Persianized by Mashhad University of Medical Sciences and its reliability and validity have been reported before.;The effectiveness of treatment. Timepoint: Before, immediately after and six weeks after completion. Method of measurement: Global rating of change (GRC) will be used to evaluate the effectiveness of the treatment, which evaluates the patient's current health status compared to the patient's status at the beginning of the treatment. It is an 11-point Likert scale ranging from +5 (much better) to -5 (much worse). | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactShayeste Jan Alizadeh
Mashhad University of Medical Sciences
Outcome results
None listed