Effects of Kinesiotaping With and Without Active Release Technique in Patients With Carpal Tunnel Syndrome

Carpal Tunnel Syndrome Clinical Trial

Official title:

Effects of Kinesiotaping With and Without Active Release Technique on Pain, Grip Strength, Functional Disability and Range of Motion in Patients With Carpal Tunnel Syndrome

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05354011
• Other study ID #: REC/Lhr/22/0111 Janisar
• Status: Recruiting
• Phase: N/A
• Start date: April 15, 2022
• Est. completion date: October 15, 2022

Study information

• Verified date: April 2022
• Source: Riphah International University
• Contact: NOSHEEN MANZOOR
• Phone: 03236877879
• Email: nosheen.manzoor[@]riphahfsd.edu.pk
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The goal of this study is to compare the effects of Kinesiotaping and Active Release Technique in patients with CTS to see which method is better for improving Pain, Grip Strength, Range of Motion and functional disability.

Description:

Carpal tunnel syndrome (CTS) is a common nerve entrapment condition that causes pain, numbness, tingling and weakness in the hand and wrist. People suffering from CTS complain of pain, decreased ROM, loss of grip strength and in severe cases, disability. This happens when there is an increased pressure within the wrist on a nerve called "Median Nerve". This nerve provides sensations to the thumb, index, middle and half of the ring finger. People who are most susceptible to CTS are computer/keyboard workers. High force, extreme wrist motions, vibrations are causes. Other factors like genetics and pregnancy can also cause CTS. There are a lot of treatment options for CTS such as use of orthotics, steroidal injections, surgery and physical therapy. The aim of this study will be to determine the effects of kinesiotaping with and without active release technique on pain, grip strength, functional disability and range of motion in patients with carpal tunnel syndrome.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 38
• Est. completion date: October 15, 2022
• Est. primary completion date: August 15, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 60 Years

Eligibility

Inclusion Criteria:

• Patients having symptoms for less than 1 year.

• Age above 18 years.

• Patients having positive Tinel and Phalen test.

• Pain in the median nerve distribution with minimum score of 3 on NPRS. Ability to read and understand the study instructions and written consent form

Exclusion Criteria:

• Having any secondary entrapment neuropathy like diabetes, inflammatory arthritis, and hypothyroidism.

• Pregnancy Skin infection on the forearm, cervical radiculopathy or polyneuropathy.

• Previous history of Carpal Tunnel Decompression Surgery.

• Corticosteroid injection into the Carpal Tunnel.

Related Conditions & MeSH terms

• Carpal Tunnel Syndrome
• Syndrome

Intervention

Other:
• Kinesiotape
Tape with a width of 5 cm and a thickness of 0.5 mm will be utilized. Kinesio Tex I Strip is estimated from elbow to fingertips and cut. It will be collapsed roughly two squares from the end and cut into two triangles on the overlay. The third and fourth fingers are fallen through openings and Kinesio Tex is applied on the dorsum of the hand with no strain. The situation of elbow extension, wrist extension, and radial deviation is given, and Kinesio Tex will be applied from hand to medial epicondyle with 15%-25% tension and end at medial epicondyle with no strain
• Active Release Technique
This group will receive Kinesiotaping with the same method along with Active release technique will be performed on group 2. We will apply profound tension at the region of tenderness while the patient is told to effectively move the injury site from a shortened to lengthened position. The setting of a contact point close to the injury and making the patient move in a way that creates a longitudinal sliding movement of delicate tissues e.g. nerves, ligaments and muscles underneath the contact point.

Locations

Country	Name	City	State
Pakistan	Ittefaq Hospital	Lahore	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	NPRS	The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain)	3 months
Primary	hand dynamometer	A hand dynamometer is an evaluation tool that's used to measure isometric grip force (hand grip strength). Some versions use hydraulics to measure the force while others use electronic load cells. Once the grip position is adjusted, the user holds the handle and squeezes the handle	3 months
Primary	Boston CTS Questionnaire	The Boston Carpal Tunnel Questionnaire (BCTQ) is a disease-specific measure of selfreported symptom severity and functional status. It is frequently used in the reporting of outcomes from trials into interventions for carpal tunnel syndrome	3 months