Comparison of Flexor Retinaculum Stretch and Carpal Mobilizations in Patients With Carpal Tunnel Syndrome.

Carpal Tunnel Syndrome Clinical Trial

Official title:

Comparison of Flexor Retinaculum Stretch and Carpal Mobilizations in Patients With Carpal Tunnel Syndrome on Pain, ROM and Functional Status

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05863780
• Other study ID #: Riphah/RCRS/REC/01317
• Status: Completed
• Phase: N/A
• Start date: March 10, 2022
• Est. completion date: January 10, 2023

Study information

• Verified date: May 2023
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Comparison of flexor retinaculum stretch and carpal mobilizations in carpal tunnel syndrome patients.

Description:

- Carpal Bones Mobilization tends to improve the symptoms of carpal tunnel syndrome. - Manual stretching of the flexor retinaculum effective in CTS patients. - As there are no studies available to compare the effectiveness of flexor retinaculum stretch and carpal bone mobilization for the treatment of CTS, hence the purpose of this study is to find the effectiveness of carpal bone mobilization and flexor retinaculum stretch in improving Pain, ROM and Functional Status in patient with CTS.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 34
• Est. completion date: January 10, 2023
• Est. primary completion date: September 10, 2022
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 18 Years to 40 Years

Eligibility

Inclusion Criteria:

• Females
• Age between 18-40 years
• Unilateral CTS
• Already diagnosed patients of CTS.

Exclusion Criteria:

• Fracture of wrist
• Dislocation
• Congenital abnormalities
• Rheumatoid arthritis
• Osteoarthritis
• Liver failure
• Pregnancy
• Bilateral CTS
• Systemic neurological condition e.g.: GB syndrome, multiple sclerosis.

Related Conditions & MeSH terms

• Carpal Tunnel Syndrome
• Syndrome

Intervention

Other:
• Carpal bone mobilization
Carpal bone mobilization 5 repetition/1 set lasted for 15 secs followed by 10 secs of rest- 3 sessions on alternate days per week for 04 weeks. Total of 12 sessions will be given, each consisting of 45 mins.
• Flexor retinaculum stretch
Flexor retinaculum stretch 5 repetitions/ 1 set held for 60 secs at a time,-3 sessions on alternate days per week for 04 weeks. Total of 12 sessions will be given, each consisting of 45 mins.
• Carpal bone mobilization and flexor retinaculum stretch
Carpal bone mobilization 5 repetition/1 set lasted for 15 secs followed by 10 secs of rest.3 sessions on alternate days per week for 04 weeks. Flexor retinaculum stretch 5 repetitions/ 1 set held for 60 secs at a time-3 sessions on alternate days per week for 04 weeks. Total of 12 sessions will be given, each consisting of 45 mins.

Locations

Country	Name	City	State
Pakistan	Islamabad physiotherapy rehabilitation centre	Rawalpindi	Punjab
Pakistan	Rawal Institute of Health Sciences	Rawalpindi	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	Numeric Pain Rating Scale (NPRS)	Changes from baseline. NPRS is an 11 point numeric scale scored from 0-10. The maximum pain value is 10. 0 means no pain whereas 10 means most intense pain imaginable	4th week
Primary	Boston Carpal Tunnel Questionnaire (BCTQ) scale (SSS, FSS)	Changes from baseline. The Boston Carpal Tunnel Score is a patient-reported questionnaire that examines symptom severity and overall functional status. It has two subscales.; The Symptom Severity Scale (SSS) with 11 questions is scored on a Likert scale from 1-5 where 1 means no symptom and 5 means most severe symptom. The maximum score is 55.; The Functional Status Scale (FSS) with 8 questions is scored from 1-5 with 1 as no difficulty and 5 as "cannot do at all due to hand or wrist symptoms". The maximum score is 40.	4th week
Primary	6-item CTS symptoms scale (CTS-6)	Changes from baseline.The CTS-6 was scored with conventional scoring (similar to that used for the 11-item symptom severity scale) each item was scored on a scale of 1 (no symptom) to 5 (most severe symptom).	4th week
Primary	ROM wrist flexion	Changes from baseline ROM range of motion of wrist flexion was taken by using Goniometer	4th week
Primary	ROM wrist extenion	Changes from baseline ROM range of motion of wrist extension was taken by using Goniometer	4th week
Primary	ROM radial deviation	Changes from baseline ROM range of motion of radial deviation was taken by using Goniometer	4th week
Primary	ROM ulnar deviation	Changes from baseline ROM range of motion of ulnar deviation was taken by using Goniometer	4th week