Carpal Tunnel Syndrome
Conditions
Keywords
median neuropathy, thenar muscle atrophy, compression neuropathy, flexor retinaculum
Brief summary
Comparison of flexor retinaculum stretch and carpal mobilizations in carpal tunnel syndrome patients.
Detailed description
* Carpal Bones Mobilization tends to improve the symptoms of carpal tunnel syndrome. * Manual stretching of the flexor retinaculum effective in CTS patients. * As there are no studies available to compare the effectiveness of flexor retinaculum stretch and carpal bone mobilization for the treatment of CTS, hence the purpose of this study is to find the effectiveness of carpal bone mobilization and flexor retinaculum stretch in improving Pain, ROM and Functional Status in patient with CTS.
Interventions
Carpal bone mobilization 5 repetition/1 set lasted for 15 secs followed by 10 secs of rest- 3 sessions on alternate days per week for 04 weeks. Total of 12 sessions will be given, each consisting of 45 mins.
OTHERFlexor retinaculum stretch
Flexor retinaculum stretch 5 repetitions/ 1 set held for 60 secs at a time,-3 sessions on alternate days per week for 04 weeks. Total of 12 sessions will be given, each consisting of 45 mins.
OTHERCarpal bone mobilization and flexor retinaculum stretch
1. Carpal bone mobilization 5 repetition/1 set lasted for 15 secs followed by 10 secs of rest.3 sessions on alternate days per week for 04 weeks. 2. Flexor retinaculum stretch 5 repetitions/ 1 set held for 60 secs at a time-3 sessions on alternate days per week for 04 weeks. Total of 12 sessions will be given, each consisting of 45 mins.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Females * Age between 18-40 years * Unilateral CTS * Already diagnosed patients of CTS.
Exclusion criteria
* Fracture of wrist * Dislocation * Congenital abnormalities * Rheumatoid arthritis * Osteoarthritis * Liver failure * Pregnancy * Bilateral CTS * Systemic neurological condition e.g.: GB syndrome, multiple sclerosis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numeric Pain Rating Scale (NPRS) | 4th week | Changes from baseline. NPRS is an 11 point numeric scale scored from 0-10. The maximum pain value is 10. 0 means no pain whereas 10 means most intense pain imaginable |
| Boston Carpal Tunnel Questionnaire (BCTQ) scale (SSS, FSS) | 4th week | Changes from baseline. The Boston Carpal Tunnel Score is a patient-reported questionnaire that examines symptom severity and overall functional status. It has two subscales. 1. The Symptom Severity Scale (SSS) with 11 questions is scored on a Likert scale from 1-5 where 1 means no symptom and 5 means most severe symptom. The maximum score is 55. 2. The Functional Status Scale (FSS) with 8 questions is scored from 1-5 with 1 as no difficulty and 5 as cannot do at all due to hand or wrist symptoms. The maximum score is 40. |
| 6-item CTS symptoms scale (CTS-6) | 4th week | Changes from baseline.The CTS-6 was scored with conventional scoring (similar to that used for the 11-item symptom severity scale) each item was scored on a scale of 1 (no symptom) to 5 (most severe symptom). |
| ROM wrist flexion | 4th week | Changes from baseline ROM range of motion of wrist flexion was taken by using Goniometer |
| ROM wrist extenion | 4th week | Changes from baseline ROM range of motion of wrist extension was taken by using Goniometer |
| ROM radial deviation | 4th week | Changes from baseline ROM range of motion of radial deviation was taken by using Goniometer |
| ROM ulnar deviation | 4th week | Changes from baseline ROM range of motion of ulnar deviation was taken by using Goniometer |
Countries
Pakistan
Outcome results
None listed