Effectiveness of Carpal Ligament Self-myofascial Stretching in Carpal Tunnel Syndrome

Carpal Tunnel Syndrome Clinical Trial

Official title:

Effectiveness of Carpal Ligament Self-myofascial Stretching Over Conventional Physical Therapy on Reducing Pain and Improving Function in Patients With Stage i and ii Carpal Tunnel Syndrome - a Comparative Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06229249
• Other study ID #: AWH/EC/01/2022
• Status: Completed
• Phase: N/A
• Start date: November 17, 2022
• Est. completion date: May 15, 2023

Study information

• Verified date: January 2024
• Source: King Saud University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Carpal tunnel syndrome (CTS), also known as median mononeuropathy, occurs when the median nerve is squeezed or compressed as it travels through the carpal tunnel at the wrist. It is common in the age group of 40-60 years. The main aim of the study was to compare the effectiveness of carpal ligament self-myofascial stretching over conventional physical therapy on reducing pain and improving function in patients with stage I and II CTS-thirty-six subjects with stage I and II (mild) CTS were recruited. Thirty-six subjects who fulfilled the inclusion criteria were randomly assigned to the experimental group and control group, with 18 patients in each group. The experimental group received carpal ligament self-myofascial stretching along with conventional physical therapy, while the control group received traditional physical therapy alone. The duration of the treatment was six weeks. The outcome measures used were the Boston Carpal Tunnel Questionnaire and the Visual Analogue Scale.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 36
• Est. completion date: May 15, 2023
• Est. primary completion date: April 10, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 30 Years to 60 Years

Eligibility

Inclusion Criteria:

• Patients diagnosed with CTS between age group 30 - 60 years.

• Patients with stage I and II (mild) CTS, confirmed by nerve conduction study (EMG diagnosed by a medical professional).

• Patients who are able to read and understand English.

Exclusion Criteria:

• Presence of polyneuropathy.

• Consistent use of adaptive equipment, such as wheel chair or cane.

• Patients presenting with shoulder pathologies.

• Patients with other neurological or musculoskeletal conditions including Cervical radiculopathy, History of wrist and hand fractures, Upper extremity joint dislocations, Brachial plexus injuries, Cubital tunnel syndrome, Rheumatoid arthritis, De quervain's tenosynovitis, Cut injuries of hand.

• Patients who have underwent recent carpal tunnel release (within 1 year).

Related Conditions & MeSH terms

• Carpal Tunnel Syndrome
• Syndrome

Intervention

Other:
• Carpal ligament self-myofascial stretching
Carpal ligament self-myofascial stretching is a technique that involves applying pressure and stretching to the carpal ligaments and surrounding myofascial tissues of the wrist and hand. The objective is to release tension, improve flexibility, and alleviate discomfort or pain in the wrist and hand area.
• Conventional physical therapy
In this technique, ultrasound therapy, nerve gliding exercise, tendon gliding exercise, and wrist splinting were performed.

Locations

Country	Name	City	State
Saudi Arabia	King Saud University	Riyadh

Sponsors (1)

Lead Sponsor	Collaborator
King Saud University

Country where clinical trial is conducted

Saudi Arabia, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Boston Carpal Tunnel Questionnaire	The Boston carpal tunnel syndrome is a disease-specific patient-filled questionnaire, which comprises of two scales, a symptom severity scale (SSS) and a functional status scale (FSS). The symptom severity scale has 11 questions scored from 1 point (mildest) to 5 points (most severe) and the functional status scale has eight questions scored from 1 point (no difficulty with activity) to 5 points (cannot perform the activity at all). The greater the score, the more severe the severity of the disease.	6 weeks
Primary	Visual Analogue Scale	The visual analogue scale consists of a 10-cm line, with the left extremity representing (the absence of pain) and the right extremity indicating (great pain). The greater the score, the more severe will be the pain.	6 weeks.