Carpal Tunnel Syndrome Clinical Trial
Official title:
Evaluation of The Neuromedulatory Effect of Transcranial Direct Current Electrical Stimulation (tDCS) in Carpal Tunnel Syndrome (CTS): A Double Blinded Randomized Clinical Trial
This is a double blinded randomized clinical trial to study the neuromodulatory effect of tDCS in patients with CTS, the study subject will be randomly into two groups; active and sham group , the active group will receive five sessions of active TDCS over the M1 while the Sham group will receive sham tDCS in which the device will be turned off after 30 seconds. The patient will be assessed by VAS score, Boston carpal tunnel questionnaire , central sensetization inventory , pressure pain threshold, sensory and pain threshold for electerical stimulation before , after the end of the sessions and 4 weeks later.
The study will be carried out on patients attending the Physical Medicine, Rheumatology and
Rehabilitation outpatient clinic in Suez Canal University Hospital, Ismailia, EGYPT and
diagnosed with CTS according to clinical examination and to the American Association of
Neuromuscular and Electrodiagnostic Medicine (AANEM) practice recommendations for CTS.
Study subjects will be divided into two groups:
Group (1): (active group) will include 42 patients with CTS and will receive anodal tDCS of
M1 for 20 minutes, at 2 mA for 5 sessions and less than 72 hrs. may be allowed between
experimental sessions for each participant to avoid any interference.
Group (2): (sham group) will include 42 patients with CTS and will receive sham tDCS M1 (the
set will be turned off after 30 seconds) for 20 minutes, at 2 mA for 5 sessions.
The study sample will be collected from all patients with CTS attending to the Physical
medicine, Rheumatology and Rehabilitation outpatient clinic in Suez Canal University Hospital
fulfilling the eligibility criteria, will be eligible to join the study (either referred for
electrophysiological study or presented to the clinic for primary assessment). To make sure
that no bias should enter the assessment of the results, neither the patient nor the
clinicians will be aware whether active tDCS will be applicated to a particular case. To
ensure this result, two symbols (Square and Triangle) will be applicated to the physiotherapy
sheet and only the physiotherapist knew the key for each symbol. The triangle may represent
the cases of CTS for active tDCS and the square may represent the sham group or vice versa.
At the end of the study the two groups will be revealed in order to analyze the results
according to proper statistical measures.
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