Carpal Tunnel Syndrome
Conditions
Keywords
carpal tunnel syndrome, nerve compression syndrome, median nerve, physical therapy technique, percutaneous needle electrolysis
Brief summary
The aim of this study is to compare the effectiveness of Percutaneous Needle Electrolysis (PNE) versus surgical treatment in the treatment of Carpal Tunnel Syndrome (CTS).
Interventions
OTHERPNE
Percutaneous Needle Electrolysis: the application of galvanic current through an acupuncture needle.
PROCEDURESurgery for CTS
Median nerve release
Sponsors
Universidad de Murcia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Over 18 years. * CTS diagnosed by Electromyography (EMG) * Symptoms of CTS + EMG
Exclusion criteria
* Difficulty expressing your feelings properly * Unsurpassed fear of needles * History of adverse reactions to needles * Epilepsy and / or allergies to metals. * Difficulty expressing your feelings properly * Existence of diffuse peripheral neuropathy or cervical radiculopathy * History of potential concurrent cause of idiopathic CTS (such as diabetes, thyroid, chronic rheumatoid arthritis, renal failure with hemodialysis, pregnancy..)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes of the Boston Questionnaire for Carpal Tunnel Syndrome | Baseline and after treatments: 6 weeks, 3 months, 6 months and 12 months | 11-question patient-administered survey that rates the severity of the patient's carpal tunnel syndrome-specific symptoms on a scale of 1 (no symptoms) to 5 (worst symptoms) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes of the Clinical Symptoms Carpal Tunnel Syndrome Scale | Baseline and after treatments: 6 weeks, 3 months, 6 months and 12 months | Describe the symptoms of the hand and wrist (pointing to them in a drawing), and using scales of 1 to 5 (1= No difficulty to do it; 5= I can´t do it), measure the difficulty of performing certain activities (writing, buttoning, holding a book ...) |
| Change of pain level | Baseline and after treatments: 6 weeks, 3 months, 6 months and 12 months | Visual Analogue Scale (VAS: 0=no pain; 100= pain as bad as can be) |
| Change of Semmes Weinstein Mini monofilament kit | Baseline and after treatments: 6 weeks, 3 months, 6 months and 12 months | Contact threshold, to assess if there is a decrease in sensitivity |
| Change of the Hand Dynamometer | Baseline and after treatments: 6 weeks, 3 months, 6 months and 12 months | Hand grip force |
| Changes of the Muscles strength by Kendall´s scale | Baseline and after treatments: 6 weeks, 3 months, 6 months and 12 months | Muscular strength of Opponens pollicis and Abductors policies. Scale of 0 to 5 (0=No visible or palpable contraction; 5=Full ROM against gravity, maximum resistance) |
| Changes of the SF-12 Questionnaire (Short Form 12 Questionnaire) | Baseline and after treatments: 6 weeks, 3 months, 6 months and 12 months | 12 questions self-administered. Assess quality of life, general health and well-being using scales of 1 to 5 (1= Ever; 5= Never) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Direct and indirect health cost measures | 12 months after treatments | Number of visits to the specialist, number of hospitalization days, number of physiotherapy sessions, prescribed medication, days of work absenteeism |
Outcome results
None listed