Physiopathology
Conditions
Keywords
Shockwave, Carpel tunnel
Brief summary
PURPOSE: To investigate the effect of adding Shock wave therapy to kinesio taping on relieving carpal tunnel syndrome symptoms in physical therapist females. BACKGROUND: shockwave therapy is a popular non-invasive therapeutic modality in the medical field for the treatment of numerous musculoskeletal disorders. Shockwaves can generate interstitial and extracellular responses, producing many beneficial effects such as: pain relief, vascularization, protein biosynthesis, cell proliferation, neuro and chondroprotection, and destruction of calcium deposits in musculoskeletal structures. shockwave combined with conventional physiotherapy is an effective noninvasive treatment for mild-to-moderate carpal tunnel syndrome that produces greater and longer-lasting results than conventional physiotherapy alone HYPOTHESES: Adding Shock wave therapy to kinesio taping has positive effects on carpal tunnel syndrome in physical therapist females. RESEARCH QUESTION: Does adding Shock wave therapy to kinesio taping has positive effects on carpal tunnel syndrome in physical therapist females?
Interventions
DEVICEShockwave
Shockwave therapy
OTHERKinesio taping
Kinesio taping application
OTHERconventional physical therapy
conventional physical therapy
Sponsors
Badr University
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Intervention model description
A total of 100 females patients ( two groups each group 50 females) who were diagnosed as having mild or moderate carpal tunnel syndrome were included in the study. One group received shock wave therapy with the conventional physical therapy program including kinesio taping, the second group received the conventional physical therapy program including kinesio taping without shock wave therapy. The patients were evaluated using a Visual Analog Scale-pain, a Visual Analog Scale-numbness, the Boston Symptom Severity Scale, the Boston Functional Status Scale, and handgrip strength tests and Nerve conduction study before treatment 1 and 12 wks after the treatment.
Eligibility
Sex/Gender
FEMALE
Age
20 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Patients aged between 20 and 40 years * diagnosed as having mild and moderate carpal tunnel syndrome through clinical parameters and nerve conduction studies (NCSs),
Exclusion criteria
\- Having any systemic diseases such as renal failure, peptic ulcer, diabetes mellitus, hypothyroidism, coagulopathy, inflammatory rheumatic disease, having a cardiac pacemaker, cervical radiculopathy, polyneuropathy or brachial plexopathy, systemic corticosteroid use, fracture or trauma history in the forearm and wrist pregnancy and lactation, having received a carpal tunnel syndrome surgery, thoracic outlet syndrome or severe carpal tunnel syndrome.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Visual Analog Scale | 1 and 12 week | It is a self reported outcome which is a 10 cm line with zero at one end indicating no pain and 10 at the other end indicating maximum pain. Patient will be asked to mark the current pain on the scale and the distance from the starting point (0) will be measured |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Numbness Visual Analog Scale | 1 and 12 week | It is self reported outcome, which is a 10 cm line with zero at one end indicating no numbness and 10 at the other end indicating maximum numbness.Patient will be asked to mark the current numbness on the scale, and the distance from the starting point (0) will be measured |
| Boston Carpal Tunnel Questionnaire | 1 and 12 week | a Questionnaire widely used for assessing function and/or symptoms in patients with carpal tunnel syndrome. It consists of two separate scales: the Symptom Severity Scale (SSS), which consists of 11 questions and the Functional Status Scale (FSS), which consists of 8 items and requires respondents to score the difficulty of each item on a five-point scale. A final score is calculated for each scale (the sum of the individual scores divided by the number of items) and ranges from 1 to 5, with a higher score indicating a more severe handicap. |
| handgrip strength | 1 and 12 week | hand grip strength will be measured by a hand held dynamometer Participants will be instructed to grip the dynamometer as strongly as they possibly can, using their affected hand. Three measurements will be taken and the highest value will be used in the analysis |
| electrodiagnostic study for median nerve | 1 and 12 week | Sensory distal latency and motor distal latency of the median nerve will be measured by electromyography device according to standard protocol ( sensory distal latency stimulated at wrist and recorded 14cm at middle finger) and motor distal latency was stimulated at wrist and recorded from abductor pollicis brevis muscle. |
Countries
Egypt
Contacts
Primary ContactMina Wahba, PhD
Outcome results
None listed