Carpal Tunnel Syndrome Pregnancy
Conditions
Keywords
Bioptron light therapy, Phototherapy, Carpal tunnel syndrome
Brief summary
The purpose of this study is to investigate the effect of bioptron light therapy on pregnancy related carpal tunnel syndrome
Detailed description
Carpal tunnel syndrome (CTS) is a symptomatic compression neuropathy of the median nerve at the level of the wrist, characterized by hand pain, numbness, and tingling in the distribution of the median nerve (thumb, index, middle finger, and the radial side of the ring finger) and a reduction in grip strength and hand function. The severity of symptoms can be clinically categorized into mild, moderate, and severe Bioptron phototherapy acts as a sterile trigger on human in vitro isolated peripheral blood mononuclear cells (PBMCs), affecting their cytokine production and driving the immune response towards an anti-inflammatory/reparative profile and representing a non-pharmaceutical and non-invasive option for several clinical conditionsA randomized control study, the women will be randomly assigned into two groups, (31 women for each group) equal in number. Group (A) will include 31 women will receive Bioptron light combined with advice and patient education (10 minutes per session, 3 sessions per week, for 4 weeks). Group (B) will be receiving advice only for same duration as group (A)
Interventions
patient will be sitting on comfortable chair with the hand placed on an armrest in an extended and supinated position. Firstly, the skin over the wrist area will be exposed and cleaned by alcohol to achieve maximal penetration of light. Then, the bioptron device will be held perpendicular to the surface of the treated area, at a distance of 10 cm.
will keep the wrist in a neutral position, not bent back or bent down too far
Sponsors
Study design
Eligibility
Inclusion criteria
* Pregnant females clinically daignosed with carpal tunnel syndrome at least 1 month * age will range from (25-35) years. * body mass index (BMI) will be (BMI ≤ 35 kg/m2)
Exclusion criteria
* history of neurologic disease * hand surgery * hand trauma, * diabetes mellitus * cervical spondylosis * osteoarthritis of cervical spine and wrist joint * chronic renal failure * heart failure * connective tissue disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Nerve conduction studies (NCS) | 4 weeks | assess sensory and motor nerve conduction velocity,gf and sensory nerve action potential |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual analogue scale | 4 weeks | assess pain intensity |
Other
| Measure | Time frame | Description |
|---|---|---|
| Boston carpal tunnel questionnaire | 4 weeks | Assess Symptom severity and functional capacity |
Countries
Egypt