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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04072692
Other study ID # A-ER-103-404
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date April 26, 2016
Est. completion date June 13, 2019

Study information

Verified date August 2019
Source National Cheng-Kung University Hospital
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study is to comprehend the association between the trigger digit and carpal tunnel syndrome based on the quantification of the tendon and nerve characteristics. It includes three parts.

The first part is an observational study. The aim of the first part is to attempts to measure the gliding and morphological characteristics of the flexor tendons and median nerve in the longitudinal or cross-sectional directions via the ultrasonographical images incorporating with the motion capture experiment of the wrist and fingers. The gliding and morphological features of the tendons and nerve will be compared under different postures or movement patterns of the wrist and hand.

The second part is an interventional study. The aim of the first part is to establishes a novel hybrid rehabilitation protocol which combines the tendon gliding exercise with nerve mobilization to treat either the trigger digit or the carpal tunnel syndrome. A randomized controlled trial to investigate the short-term treatment effect and the follow-up examination will be carried out as well.

The third part is an observational study. The aim of the first part is to investigate the effects of carpal tunnel release on the hand performances from functional perspectives. In addition, a novel wrist orthosis will be developed to eliminate the bowstringing effect of the flexor tendons after carpal tunnel release.


Recruitment information / eligibility

Status Completed
Enrollment 59
Est. completion date June 13, 2019
Est. primary completion date June 13, 2019
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria:

1. Healthy subjects without any history musculoskeletal diseases

2. Patients with carpal tunnel release surgery

Exclusion Criteria:

- Subjects with fracture or surgery in the upper extremity.

Study Design


Related Conditions & MeSH terms


Intervention

Other:
Hybrid rehabilitation training
Hybrid rehabilitation training is modified tendon gliding exercise with median nerve mobilization.
Traditional rehabilitation training
Traditional rehabilitation training uses traditional physiotherapy, such as splint, therapeutic ultrasound and electrotherapy.
Wearable anti-bowstringing orthosis (WABO)
WABO is a custom-designed orthosis to restrict the bowstringing effect of the flexor tendon in the carpal tunnel.

Locations

Country Name City State
Taiwan National Cheng-Kung University Tainan

Sponsors (1)

Lead Sponsor Collaborator
National Cheng-Kung University Hospital

Country where clinical trial is conducted

Taiwan, 

Outcome

Type Measure Description Time frame Safety issue
Primary Change in the gliding features of tendons The gliding features of tendons is measured by ultrasound images of the flexor tendons baseline, 1 month, 6 months
Primary Change in the gliding features of median nerve The gliding features of median nerve is measured by ultrasound images of the flexor tendons baseline, 1 month, 6 months
Primary Change in the grip strength Grip strength is measured by a grip strength meter. baseline, 1 month, 6 months
Primary Change in the pinch force Three types of pinch force are measured by a pinch gauge. baseline, 1 month, 6 months
Primary Change in the threshold value of sensitivity Threshold value of sensitivity is examined by using Semmes-Weinstein Monofilament testing. baseline, 1 month, 6 months
Primary Change in the mechanical properties of the flexor tendons The mechanical properties are examined by measuring torque value contributed by the flexor tendons and movements of the flexor tendons baseline, 1 month, 6 months