Carpal Tunnel Syndrome
Conditions
Keywords
Carpal Tunnel Syndrome, Manual Therapy, Range of Motion, Specific Carpal Bone Mobilization, Wrist Mobilization
Brief summary
The study was conducted to compare the effectiveness of Whole Wrist Mobilization versus Specific Carpal Bone Mobilization in reducing symptoms and improving function in patients with Carpal Tunnel Syndrome (CTS).
Interventions
OTHERSpecific Bone Mobilization
Scaphoid Mobilization: The therapist applied anterior-posterior mobilization on the scaphoid while the patient's wrist was in slight flexion. It was held for 5 seconds and repeated for 10 repetitions. Lunate Mobilization: The therapist performed lateral and medial mobilization of the lunate while stabilizing the forearm. It was held for 5 seconds and repeated for 10 repetitions. Triquetrum Mobilization: With the wrist in a neutral position, the therapist applied gentle mobilization to the triquetrum. It was held for 5 seconds and repeated for 10 repetitions.
OTHERWhole Wrist Mobilization
Distal Radioulnar Joint Mobilization: To perform mobilizations at the distal radioulnar joint, the therapist stabilized the patient's hand and radiocarpal region, then provided anteroposterior glide and medial and lateral rotary joint play movements of the distal ulna. Radiocarpal Joint - Dorsal Palmar Glide: The mobilization involved moving the row of carpal bones either dorsally to promote wrist extension or palmary to promote wrist flexion. Radiocarpal Joint - Ulnar and Radial Glide: Ulnar glide was performed to increase radial deviation, while radial glide was performed to increase ulnar deviation of the wrist joint. Mid-Carpal Joint Mobilization: The mobilization involved moving the row of carpal bones either dorsally to promote wrist extension or palmary to promote wrist flexion.
Hot Pack: A hot pack was applied to the wrist and forearm for 10 minutes to help relax the muscles and improve circulation around the carpal tunnel. Transcutaneous Electrical Nerve Stimulation: TENS was applied with a frequency of 2 Hz and a pulse duration of 200 µs for 10 minutes over the wrist area to reduce pain and discomfort. Wrist Flexion and Extension: With the arm supported, the patient actively flexed and extended the wrist through a full range of motion. This was repeated for 10 repetitions. Radial and Ulnar Deviation: With the arm supported, the patient actively moved the wrist side to side (radially and ulnarly). Wrist Circles: The patient performed circular motions with the wrist in both clockwise and counterclockwise directions. This was repeated for 10 repetitions. Wrist Flexor Stretch: The arm was extended in front with the palm facing up, and the fingers were gently pulled back to stretch the wrist flexors. The stretch was held for 30 seconds and repeated 3 times.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
30 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Participants aged 30 to 60 years old * Both male and female participants * CTS for at least 2 months * Pain levels on the Numeric Pain Rating Scale (NPRS) between 3 and 7 * Limited range of motion and wrist pain * Patient with positive PHALEN and TINEL test
Exclusion criteria
* Prior traumatic injury of wrist * History of wrist surgery * Diagnoses of polyneuropathy, cervical radiculopathy, myelopathy, inflammatory arthritis, diabetes, thyroid disease * Presence of abnormal sensation in the wrist region * Hemorrhagic tendency and/or current anticoagulation treatment * History of whiplash injury
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numeric Pain Rating Scale | From enrollment to the end of treatment at 4 weeks | The Numeric Pain Rating Scale (NPRS) was used to assess pain intensity, with participants rating their pain from 0 (no pain) to 10 (worst possible pain). It provided a quantitative measure to track pain changes over time. |
| Boston Carpal Tunnel Questionnaire | From enrollment to the end of treatment at 4 weeks | The Boston Carpal Tunnel Questionnaire (BCTQ) is a recommended tool for assessing the functional status and severity of symptoms in CTS patients. |
| ROM Wrist Flexion | From enrollment to the end of treatment at 4 weeks | Changes in wrist flexion ROM at baseline and 4th week of intervention was measured using goniometer. |
| ROM Wrist Extension | From enrollment to the end of treatment at 4 weeks | Changes in wrist extension ROM at baseline and 4th week of intervention was measured using goniometer. |
| ROM Wrist Radial Deviation | From enrollment to the end of treatment at 4 weeks | Changes in wrist radial deviation ROM at baseline and 4th week of intervention was measured using goniometer. |
| ROM Wrist Ulnar Deviation | From enrollment to the end of treatment at 4 weeks | Changes in wrist ulnar deviation ROM at baseline and 4th week of intervention was measured using goniometer. |
Countries
Pakistan
Contacts
PRINCIPAL_INVESTIGATORAli Raza, MS-OMPT
Riphah International University
Outcome results
None listed