Carpal Tunnel Syndrome
Conditions
Keywords
Adult, Chronic pain, Entrapment neuropathy. Carpal tunnel, Exercise therapy, Humans, Neuronal plasticity, Mirror neurons, Pain/cognitive aspects, Physiotherapy, Somatosensory cortex
Brief summary
The purpose of this study was to evaluate pain and function after mirror therapy as well as level of catastrophism in bilateral carpal tunnel syndrome patients
Detailed description
The sample calculation was performed based on the previous pilot study, in which 10 subjects were included. Through this study, a statistically significant effect on the variables analyzed was demonstrated. Therefore, it was determined to duplicate the initial sample to confirm the effect previously studied, assuming losses of 20%. Thus, the value of n for the clinical trial is 20 subjects.
Interventions
OTHERMirror therapy
The treatment proposed for the mirror group consisted of 8 weeks of treatment, performing a series of exercises 2 times a day / 4 times a week. The first 4 weeks the treatment was done in the hospital next to the physiotherapist for 2-3 days a week, and the next 4 weeks the patient performed the exercises following the same guidelines at home.
OTHERPlacebo group
The treatment was the same than proposed in inference group but with a mirror covered to avoid the reflexion on the hand and looking at the hand that did not remain hidden.
Sponsors
Hospital Universitario La Fe
University Rovira i Virgili
Olga Del Pozo Blanco
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Masking description
Double Blind
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Must be signed the informed consent. * Bilateral carpal tunnel syndrome: clinic and electromiography positive. * Aged between 18 and 65 years
Exclusion criteria
* Patients undergoing surgical intervention of carpal tunnel syndrome in one of two hands * Unilateral carpal tunnel syndrome * Patients with chronic pain and / or previous injury (wrist tumor, lymphedema ...) in either hand * Patients with systemic diseases (diabetes, thyroid ...) * Patients with pharmacological treatment to take analgesia for any other chronic pathologies * Subjects who have suffered from a neurological disease that affects the musculoskeletal system * Mental illness that prevents the compression and / or realization of the study * Patients with tattoos, scars and / or marks on any of the hands or distal forearm area * Pregnant women and minors
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To evaluate changes on pain | Changes in 8 weeks | Evaluation on pain through McGill Pain Questionnaire This questionnaire is self-administered. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| To evaluate changes on the function of the upper limb. | Changes in 8 weeks | Evaluation on function through disabilities of the arm, shoulder and hand questionnaire (DASH) |
Other
| Measure | Time frame | Description |
|---|---|---|
| To evaluate catastrophism associated with pain. | Day 0 of the study | Evaluation through Pain Catastrophizing Scale This questionnaire is self-administered |
Countries
Spain
Outcome results
None listed