Carpal Tunnel Syndrome (CTS)
Conditions
Keywords
Carpal tunnel syndrome, Median nerve, Neurodynamic, PNF, Range of motion
Brief summary
The goal of this clinical trial is to determine the combined effects of neurodynamics with proprioceptive neuromuscular facilitation technique on reducing pain and improving range of motion in patients with carpal tunnel syndrome. This study evaluates whether neurodynamics combined with PNF is an effective approach in treating CTS compared to baseline treatment, as both techniques are well known for their individual effects. This treatment is given for 2 weeks, 5 days per week with 10 repetitions for each exercise.
Interventions
OTHERNeurodynamic and PNF
These 2 exercises were provided in 10 repetitions for 2 weeks (duration), 5 days per week (frequency). i) PNF techniques used in carpal tunnel treatment includes 1. Rhythmic Initiation 2. Agonistic Reversals. ii) For Neurodynamic (1) Distal nerve tension technique :Hand was placed in six different positions each position maintained for 7 second and have 5 repetitions for each step this is done in median nerve tension technique (2) nerve slide
OTHERBaseline Treatment
They were provided with common conservative physical therapy treatment for 2 weeks, 5 days per week, following carpal tunnel syndrome. These treatments included use of a wrist splint, especially at night, along with 10-15 min of cold and ultrasound therapy. Medications like NSAIDs were given for 5 days.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Diagnosed cases of carpal tunnel syndrome. * Patients having positive Tinel's test and Phalen's test. * Symptoms persisted for at least 4 weeks. * Availability and motivation of patients to participate in a 2-week program.
Exclusion criteria
* Patient with contraindications to rehabilitation treatment. * Patients with a history of previous upper limb surgery. * Patient received steroid injection or have any systemic disease that can influence condition.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quick DASH Questionnaire | 2nd week | Changes from Baseline Quick DASH questionnaire (Quick Disabilities of the Arm, Shoulder, and Hand) is a concise version of the DASH questionnaire. It consists of 11 items, with each item scored from 1 (no difficulty) to 5 (unable to perform), assessing daily activities, pain, and social functioning, along with optional modules for work or sports/performing arts. The total score ranges from 0 to 100, where 0 indicates no disability and 100 indicates the most severe disability. Score Ranges: 0-20: Minimal disability 21-40: Mild to moderate disability 41-60: Moderate to severe disability 61-100: Extreme disability The score is calculated by summing responses, dividing by the number of items (n), subtracting 1, and multiplying by 25. |
| Visual Analog Scale | 2nd week | The Visual Analog Scale (VAS) is a frequently utilized tool in clinical and research settings to measure subjective experiences like pain. It was first developed in 1921 by psychologists Mary H.S. Hayes and Donald G. Paterson as a "graphic rating" method for subjective assessments, later adopted and adapted for measuring pain and clinical symptoms in the 1960s. It consists of a 10 cm line where patients spot their pain intensity, from 0 "no pain" at one end to 10 "unbearable pain" at the other. |
Countries
Pakistan
Contacts
PRINCIPAL_INVESTIGATORArnab Altaf, ppdpt
Riphah International University
Outcome results
None listed