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Median Nerve Thickness of the Carpal Tunnel Syndrome After Two Different Physiotherapy Modalities

Investigation of the Effects of Two Different Physiotherapy Modalities on Median Nerve Thickness, Electrophysiological Activity, Pain Intensity and Quality of Life in Patients With Carpal Tunnel Syndrome - An Observational Study

Status
Recruiting
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07167667
Enrollment
60
Registered
2025-09-11
Start date
2024-10-25
Completion date
2025-10-25
Last updated
2025-09-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Carpal Tunnel Syndrome (CTS)

Keywords

Median Nerve Thickness, Ultrasound, Electromyograpy, Physiotherapy, ESWT, Paraffin

Brief summary

The study plans to include a total of 60 patients diagnosed with carpal tunnel syndrome. Patients will be divided into two groups according to the treatment they receive. One group will receive only paraffin treatment, while the other group will receive only ESWT treatment. ESWT will be applied for a total of 5 sessions. Paraffin will be applied for a total of 10 sessions. As assessment tools; * Measurement of median nerve thickness with ultrasound * Electromyography * Visual Analog Scale * Short Form-36 Evaluations will be made twice by a specialist physician before and after the treatments.

Interventions

Patients' hands will be dipped into the paraffin bath 8-10 times.

OTHERExtracorporeal Shock Wave Therapy

The patients will be treated with a sound wave pulse frequency of 15 Hz, an intensity of 1.5 bar, and a total number of pulses of 2000 for one session.

Sponsors

Emre Şenocak
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
30 Years to 60 Years
Healthy volunteers
No

Inclusion criteria

* Individuals between the ages of 30-60 who have been diagnosed with CTS by a specialist physician according to international criteria (Those between Stages 1-3), * Those who have complaints of numbness, tingling, and pain in the first three fingers and half of the fourth finger, * Phalen Test and Tinel sign or Durkan Test being positive * Patients who will receive 5 sessions of ESWT application prescribed by a Physical Medicine and Rehabilitation Specialist Physician (for the ESWT group) * Patients who have been recommended 10 sessions of Paraffin application by a Physical Medicine and Rehabilitation Specialist Physician (for the Paraffin group)

Exclusion criteria

* Presence of atrophy in the thenar muscles, * Insufficient sensory and motor response in the median nerve, * History of hand and/or wrist injury or surgery, * Those with cervical stenosis, cervical spondylosis, or cervical radiculopathy, * Corticosteroids in the carpal tunnel area within the last six months those who have had an injection, * Pregnancy or diabetes, renal failure, rheumatoid arthritis or hypothyroidism

Design outcomes

Primary

MeasureTime frameDescription
Median Nerve ThicknessBaselineMedian nerve thickness will be measured by ultrasound

Secondary

MeasureTime frameDescription
ElectromyographyBaselineEMG will be used to diagnose carpal tunnel.
Visual Analog ScaleBaselineIt will be used to assess pain intensity.
Short Form-36BaselineIt will be used to evaluate patients' quality of life.

Countries

Turkey (Türkiye)

Contacts

Primary ContactEsra Sonbahar Bolat, Physician
esra.sonbahar@hotmail.com+9005052686709

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026