Neurodynamic Sequencing in Patients With Carpal Tunnel Syndrome

Carpal Tunnel Syndrome Clinical Trial

Official title:

Effects of Neurodynamic Sequencing on Pain, Wrist Range of Movement and Functional Disability in Patients With Carpal Tunnel Syndrome

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05905107
• Other study ID #: REC_FSD_00325
• Status: Recruiting
• Phase: N/A
• Start date: January 4, 2023
• Est. completion date: July 30, 2023

Study information

• Verified date: June 2023
• Source: Riphah International University
• Contact: Sahreen Anwar, Ph.D
• Phone: +923346591705
• Email: sahreenanwar[@]yahoo.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Carpal tunnel syndrome is a compressive neuropathy of median nerve in the fascial tunnel at wrist which causes pain, numbness ,and tingling in the extremities. Common treatment options used in the treatment of carpal tunnel syndrome are conservative and surgical treatment option is better, this question is still a topic requiring more and more clinical trials. Neuromobilisation described by Butler is one of the treatment options which are used in the treatment of carpal tunnel syndrome in conjunction with other conservative measures.

This proposed study will find out the effectiveness of Neuromobilisation in treatment of carpal tunnel syndrome. As there is very little evidence available which Neuromobilisation technique is effective and what are the types of patients which can get benefit from this technique. This study will find out the effect of Neuromobilisation in patients suffering from carpal tunnel syndrome of non traumatic origin. This is a randomized clinical trial. Target population is patients suffering from carpal tunnel syndrome of non-traumatic origin. Data will be collected from District Headquarter Hospital Faisalabad. This study will include 56 participants according to the selection criteria. The participants will be randomly divided into two groups through sealed opaque envelop method.

Group A will recruit 28 patients which fulfill the inclusion criteria. These patients will be treated by nerve sequencing proximal to distal in 3 sets of 15 repetitions in one session on alternate days for 4 weeks. Group B will recruit 28 patients which fulfill the inclusion criteria. These patients will be treated by nerve sequencing distal to proximal in 3 sets of 10 repetitions in one session for 4 weeks. The Statistical analysis will be performed through SPSS Software 21.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 56
• Est. completion date: July 30, 2023
• Est. primary completion date: July 15, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 25 Years to 55 Years

Eligibility

Inclusion Criteria:

• Patients positive for provocative test ( Phalen's test, Wrist decompression test and tinnel test).

Exclusion Criteria:

• Inflammation around the wrist

• Tumor around the wrist

• Rheumatoid Arthritis

• Osteoporosis

• Joint Hypermobility

Related Conditions & MeSH terms

• Carpal Tunnel Syndrome
• Syndrome

Intervention

Other:
• Neurodynamic Slider Technique from Proximal to Distal
Neurodynamic Slider Technique from proximal to distal at wrist, elbow and neck
• Neurodynamic Slider Technique from Distal to Proximal
Neurodynamic Slider Technique from proximal to distal at wrist, elbow and neck

Locations

Country	Name	City	State
Pakistan	District Headquarters Hospital	Faisalabad	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	Pain at wrist joint	Pain will be assessed by using Numerical Pain Rating Scale Pain will be assessed by using Numerical Pain Rating Scale	4 weeks
Primary	Wrist Range of Movement at wrist joint	Range of motion will be assessed by using Goniometer	4 weeks
Primary	Functional Ability at wrist joint	Functional Ability will be assessed by using Boston Carpal tunnel syndrome	4 weeks