Carpal Tunnel Syndrome
Conditions
Keywords
carpal tunnel syndrome, russian current, hand grip strength
Brief summary
this study will be conducted to investigate the effect of Russian current on hand grip strength and functional outcome after carpal tunnel release
Detailed description
Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy syndrome of the upper extremities , the estimated prevalence is 4-5% in the general population ,it occurs due to median nerve compression in carpal tunnel and it is ten times more common in women ,the most common symptoms are numbness and tingling in the radial 3-1/2 finger, night pain, and paresthesias. Although it is most commonly idiopathic, other causes include trauma, oral contraceptive use, pregnancy, arthritis, diabetes hypothyroidism, and repetitive wrist movements. It is well known that distal radius fractures and their sequelae can cause CTS, this suggests that anatomic changes in bony structures of wrist may also contribute to the development of CTS.Russian current (RC), a well-known neuromuscular electrical stimulation operating at 2500 Hz, has demonstrated significant strength improvement over traditional exercises due to its high tolerance and low pain provocation.There are studies about efficacy of Transcutaneous electrical nerve stimulation on wrist pain in patients with CTR but there is lack of literature about efficacy of RC on hand grip strength and function after CTR so this stidu will be conducted.
Interventions
OTHERrussian current
russian current will be is applied in 50Hz sinusoidal bursts with a duty cycle of 50% (10ms on/10ms off). Russian Stimulation (at 2500Hz or 2.5kHz) has been shown to be effective in increasing muscle strength and torque generation through stimulation of type II muscle fiber. The stimulation will be given for duration of 10 minutes on followed by 50 sec off and again 10 sec on, three tims per week plus selsected physical therapy program.
OTHERselected physical therapy program
the patients will receive selected physical therapy program in the form of TENS for 15 min, US for 5 min and exercise for 20 min
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
opaque sealed envelope
Intervention model description
russian current and tradional therapy
Eligibility
Sex/Gender
ALL
Age
25 Years to 35 Years
Healthy volunteers
No
Inclusion criteria
* Fifty-two patients with hand muscles weakness post operative carpal tunnel release ,due to severe carpal tunnel syndrome . * Patient's age will range from 25 to 35 years. * Patient's body mass index (BMI) will be less than 30kg/m2. * Presence of wrist pain associated with hand grip weakness.
Exclusion criteria
* Patients with any other musculoskeletal or neurological disorders in the hand. * Patients with a history of fractures and dislocations in the hand and wrist. * Patients with hand deformities and edematous hands. * Patients with cervical radiculopathy. * Carpal tunnel syndrome due to conditions like hypothyroidism, rheumatoid arthritis, immunosuppression
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| hand grip strength | up to four weeks | hand grip strength will be measured by hand held dynamometer. |
| fine and gross hand function | up to four weeks | jebsen taylor hand test will be used to assess fine and gross hand function.this test includes series of seven subtests representing fine motor, nonweighted and weighted hand function in ADL, which includes printing a 24-letter, third-grade reading difficulty sentence, Turning over 7.6×12.7 cm (3×5-inch) cards (simulated page turning), Picking up small, common objects (e.g. pennies, paper clips, bottle caps) and placing them in a container,Stacking checkers (test of eye-hand co-ordination),Simulated feeding, Moving large empty cans, Moving large weighted \[0.45 kg (l lb)\] cans.The subtests are scored by recording the number of seconds required to complete each test |
| hand function | up to four weeks | hand function will be measured by boston carpal tunnel questionnaire.The Boston Carpal Tunnel Questionnaire (BCTQ) is a patient-reported questionnaire used to assess symptoms and functional limitations in people with carpal tunnel syndrome (CTS). It consists of two modules: an 11-item Symptom Severity Scale (SSS) and an 8-item Functional Status Scale (FSS), which are scored independently on a 1-to-5 Likert scale.A mean score between 1 and 5 is generated for both the SSS and FSS, with higher scores indicating more severe symptoms or greater functional limitation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| wrist range of motion | up to four weeks | goniometer device will be used to assess wrist range of motion |
| pain intensity | up to four weeks | pain will be measured by visual analogue scale. Scores are based on self-reported measures of symptoms that are recorded with a single handwritten mark placed at one point along the length of a 10-cm line that represents a continuum between the two ends of the scale-"no pain" on the left end (0 cm) of the scale and the "worst pain" on the right end of the scale (10 cm). |
Countries
Egypt
Outcome results
None listed