The Comorbidity Between the Trigger Digit and Carpal Tunnel Syndrome
Conditions
Brief summary
The purpose of this study is to comprehend the association between the trigger digit and carpal tunnel syndrome based on the quantification of the tendon and nerve characteristics. It includes three parts. The first part is an observational study. The aim of the first part is to attempts to measure the gliding and morphological characteristics of the flexor tendons and median nerve in the longitudinal or cross-sectional directions via the ultrasonographical images incorporating with the motion capture experiment of the wrist and fingers. The gliding and morphological features of the tendons and nerve will be compared under different postures or movement patterns of the wrist and hand. The second part is an interventional study. The aim of the first part is to establishes a novel hybrid rehabilitation protocol which combines the tendon gliding exercise with nerve mobilization to treat either the trigger digit or the carpal tunnel syndrome. A randomized controlled trial to investigate the short-term treatment effect and the follow-up examination will be carried out as well. The third part is an observational study. The aim of the first part is to investigate the effects of carpal tunnel release on the hand performances from functional perspectives. In addition, a novel wrist orthosis will be developed to eliminate the bowstringing effect of the flexor tendons after carpal tunnel release.
Interventions
OTHERHybrid rehabilitation training
Hybrid rehabilitation training is modified tendon gliding exercise with median nerve mobilization.
Traditional rehabilitation training uses traditional physiotherapy, such as splint, therapeutic ultrasound and electrotherapy.
OTHERWearable anti-bowstringing orthosis (WABO)
WABO is a custom-designed orthosis to restrict the bowstringing effect of the flexor tendon in the carpal tunnel.
Sponsors
National Cheng-Kung University Hospital
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
1. Healthy subjects without any history musculoskeletal diseases 2. Patients with carpal tunnel release surgery
Exclusion criteria
* Subjects with fracture or surgery in the upper extremity.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in the gliding features of tendons | baseline, 1 month, 6 months | The gliding features of tendons is measured by ultrasound images of the flexor tendons |
| Change in the gliding features of median nerve | baseline, 1 month, 6 months | The gliding features of median nerve is measured by ultrasound images of the flexor tendons |
| Change in the grip strength | baseline, 1 month, 6 months | Grip strength is measured by a grip strength meter. |
| Change in the pinch force | baseline, 1 month, 6 months | Three types of pinch force are measured by a pinch gauge. |
| Change in the threshold value of sensitivity | baseline, 1 month, 6 months | Threshold value of sensitivity is examined by using Semmes-Weinstein Monofilament testing. |
| Change in the mechanical properties of the flexor tendons | baseline, 1 month, 6 months | The mechanical properties are examined by measuring torque value contributed by the flexor tendons and movements of the flexor tendons |
Countries
Taiwan
Outcome results
None listed