Carpal Tunnel Syndrome
Conditions
Keywords
Carpal tunnel syndrome, home-based treatment program, kinesio taping, paresthesia, thenar eminence
Brief summary
The purpose of this study was to investigate the effectiveness of KT versus TENS combining self-myofascial stretching in treatment of CTS through clinical, functional assessment and sensory measurements. Primary hypothesis The KT group has a more substantial improvement in hand grip, pain relief, enhancing proprioceptive sensitivity and dexterity compare to the TENS group. treatment program,
Detailed description
Objective: To compare the effectiveness of a home-based treatment program involving Kinesio taping (KT) or transcutaneous electrical nerve stimulation (TENS) among carpal tunnel syndrome (CTS) patients. Methods: 30 participants with CTS were enrolled, age range, 30 to 60 years. The participants who met the inclusion criteria were randomized into one of two treatment groups: KT group and TENS group. Participants were blinded to the treatments used in the other group. Patients with CTS received aforementioned treatments compared with reliable qualitative and quantitative evaluation tools before and after 4-week treatment, as well as at a additional 4-week follow-up. The main parameters include the Symptom Severity Scale (SSS) and Functional Status Scale (FSS), hand grip and key pinch strengths, two-point discrimination (2PD), Modified Moberg pick-up test (MMPUT), and Pain assessment (visual analog scale, VAS).
Interventions
OTHERkinesio taping (KT)
Sponsors
Ministry of Science and Technology, Taiwan
China Medical University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
The participants who met the inclusion criteria were randomized into one of two treatment groups: KT group and TENS group. Participants were blinded to the treatments used in the other group.
Intervention model description
This was a prospective, randomized-controlled trial.
Eligibility
Sex/Gender
ALL
Age
30 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
* numbness and tingling in the median nerve territory of the hand. * nocturnal paresthesia. * induction test (Tinel's sign and Phalen's test) showing a positive finding., * is defined as mild and moderate CTS according to nerve conduction studies (NCSs).
Exclusion criteria
* is defined severe CTS symptoms. * are currently pregnant or have any secondary entrapment neuropathy (e.g., diabetes, inflammatory arthritis, hypothyroidism, previous wrist trauma). * cervical radiculopathy or polyneuropathy. * previous history of carpal tunnel decompression surgery. * corticosteroid injection into the carpal tunnel.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The SSS and FSS of the Boston Carpal Tunnel Questionnaire (BCTQ) | pre-intervention, 4-week intervention, and 4-week follow-up. | Assess symptoms and functional status. The SSS subscale includes 11 items assessing pain, paresthesia, numbness, weakness, nocturnal symptoms and over-all functional status. The FSS subscale includes 8 items assessing the hand function during common daily activities. Each item is scored on a 5-point scale (1-5), from 1(no symptoms) to 5 (the worst symptoms) for SSS, and from 1 (no difficulty) to 5 (cannot perform the activity at all) for FSS. The overall SSS and FSS scores are calculated as the mean of the scores for 11 and 8 individual items respectively, such that the higher the score obtained, the worse the SSS or FSS. |
| Hand grip and key pinch strengths | pre-intervention, 4-week intervention, and 4-week follow-up. | pinch strength included palmar, three-jaw chuck, tip, and lateral pinches. |
| Two-point discrimination (2PD) | pre-intervention, 4-week intervention, and 4-week follow-up. | cutaneous sensory perception threshold. The larger the value of distance, the worse the sensory ability. |
| Modified Moberg pick-up test (MMPUT) | pre-intervention, 4-week intervention, and 4-week follow-up. | hand dexterity. The shorter the time, the more dexterity the hand. |
| The visual analog scale (VAS) | pre-intervention, 4-week intervention, and 4-week follow-up. | pain measurement. 100 mm straight line, with 0 mm on the far left and 100 mm on the far right, 0 mm positions It is not painful, and 100 mm is extremely painful. |
Countries
Taiwan
Outcome results
None listed