Carpal Tunnel Syndrome, Wrist Injuries
Conditions
Keywords
Carpal tunnel syndrome, Compression, Pain neuroscience education, Median nerve
Brief summary
The aim of this study is to check the effects of Pain Neuroscience education and standard rehabilitation regime in patients of carpal tunnel syndrome.
Detailed description
In 2017 a stud assessed effectiveness of standard conservative protocol of CTS and nerve mobilization along with and without PNE and documented that standard conservative care seems to be the most appropriate option for pain relief, although neuroscience education might be a complementary option to accelerate recovery of function. More high-quality research is still necessary to determine its effectiveness and the subgroups of patients who may respond better to this treatment. In 2019 a study was done to assess the effect of PNE and standard rehabilitation exercises on the 41 patients of CTS. The experimenting group was given one session of PNE plus exercises and the control group was given exercise therapy only. Patients were randomly allocated and double blinded. The analysis of study showed better results with experimental group rather than control group. Many studies have found the effects of standard rehabilitation of Carpal Tunnel syndrome and their results in controlling pain and dysfunction. However as per researchers' knowledge little literature is available on effects of pain neuroscience education and standard rehabilitation regime in carpal tunnel syndrome. Therefore, this study6 is going to determine the effects of effectiveness of Pain Neuroscience education and standard rehabilitation regime in patients of carpal tunnel syndrome.
Interventions
OTHERPain Neuroscience education and standard rehabilitation regime
Median nerve gliding exercises, wrist and forearm muscle stretches, wrist mobilizations and finger joint mobilizations
OTHERstandard Rehabilitation regime
standard Rehabilitation regime
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Age
20 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* age between 20\_40 years old. * Medical diagnosis of moderate to severe CTS. * Symptoms of CTS since 1month * Unilateral or bilateral symptoms * Availability and access to the hospital.
Exclusion criteria
* Inability to understand instructions, neurological conditions of the central nervous system (e.g. stroke, spinal cord injury) * Patients on treatment with alternative therapies * Previous participation in a research program * Previous surgery on the affected upper limb
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numeric pain rate scale (NPRS) | 4th week | Patient level of pain will be assessed using this scale. This scale ranges from 0 to 10. 0 indicates no pain and 10 indicates worst pain. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain Catastrophizing Scale (PCS) | 4th week | The Pain Catastrophizing Scale (PCS) was used to measure catastrophic thinking in response to pain through 13 statements with four possible options, from 1 not at all to 4 all the time. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Boston Carpal Tunnel Questionnaire (BCTQ) | 4th week | BCTQmeasures self reported functional status and severity of symptom. The BCTQ-SSS consists of 11 questions, each question provides 5 response choices, from 1 (no symptoms) to 5 (most severe/often). |
| Goniometer | 4th week | The range of motions like flexion extension radial deviation and ulnar deviation of wrist will be measured by Goniometer. |
Countries
Pakistan
Contacts
Primary ContactImran Amjad
Outcome results
None listed