Adding Shock Wave Therapy to Kinesio Taping Improves Carpal Tunnel Syndrome in Physical Therapist Females.

Physiopathology Clinical Trial

Official title:

Adding Shock Wave Therapy to Kinesio Taping Improves Carpal Tunnel Syndrome in Physical Therapist Females. A Randomized Controlled Trial.

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06214286
• Other study ID #: BUCN1
• Status: Recruiting
• Phase: N/A
• Start date: March 20, 2024
• Est. completion date: July 1, 2024

Study information

• Verified date: March 2024
• Source: Cairo University
• Contact: Mina Wahba, PhD
• Phone: 01285170876
• Email: mina.magdy[@]buc.edu.eg
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

PURPOSE: To investigate the effect of adding Shock wave therapy to kinesio taping on relieving carpal tunnel syndrome symptoms in physical therapist females.

BACKGROUND: shockwave therapy is a popular non-invasive therapeutic modality in the medical field for the treatment of numerous musculoskeletal disorders. Shockwaves can generate interstitial and extracellular responses, producing many beneficial effects such as: pain relief, vascularization, protein biosynthesis, cell proliferation, neuro and chondroprotection, and destruction of calcium deposits in musculoskeletal structures. shockwave combined with conventional physiotherapy is an effective noninvasive treatment for mild-to-moderate carpal tunnel syndrome that produces greater and longer-lasting results than conventional physiotherapy alone HYPOTHESES: Adding Shock wave therapy to kinesio taping has positive effects on carpal tunnel syndrome in physical therapist females.

RESEARCH QUESTION: Does adding Shock wave therapy to kinesio taping has positive effects on carpal tunnel syndrome in physical therapist females?

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 100
• Est. completion date: July 1, 2024
• Est. primary completion date: June 1, 2024
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 20 Years to 40 Years

Eligibility

Inclusion Criteria:

• Patients aged between 20 and 40 years

• diagnosed as having mild and moderate carpal tunnel syndrome through clinical parameters and nerve conduction studies (NCSs),

Exclusion Criteria:

• Having any systemic diseases such as renal failure, peptic ulcer, diabetes mellitus, hypothyroidism, coagulopathy, inflammatory rheumatic disease, having a cardiac pacemaker, cervical radiculopathy, polyneuropathy or brachial plexopathy, systemic corticosteroid use, fracture or trauma history in the forearm and wrist pregnancy and lactation, having received a carpal tunnel syndrome surgery, thoracic outlet syndrome or severe carpal tunnel syndrome.

Related Conditions & MeSH terms

• Carpal Tunnel Syndrome
• Physiopathology

Intervention

Device:
• Shockwave
Shockwave therapy

Other:
• Kinesio taping
Kinesio taping application
• conventional physical therapy
conventional physical therapy

Locations

Country	Name	City	State
Egypt	Badr University in Cairo (BUC)	Cairo

Sponsors (2)

Lead Sponsor	Collaborator
Cairo University	Badr University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pain Visual Analog Scale	It is a self reported outcome which is a 10 cm line with zero at one end indicating no pain and 10 at the other end indicating maximum pain. Patient will be asked to mark the current pain on the scale and the distance from the starting point (0) will be measured	1 and 12 week
Secondary	Numbness Visual Analog Scale	It is self reported outcome, which is a 10 cm line with zero at one end indicating no numbness and 10 at the other end indicating maximum numbness.Patient will be asked to mark the current numbness on the scale, and the distance from the starting point (0) will be measured	1 and 12 week
Secondary	Boston Carpal Tunnel Questionnaire	a Questionnaire widely used for assessing function and/or symptoms in patients with carpal tunnel syndrome. It consists of two separate scales: the Symptom Severity Scale (SSS), which consists of 11 questions and the Functional Status Scale (FSS), which consists of 8 items and requires respondents to score the difficulty of each item on a five-point scale. A final score is calculated for each scale (the sum of the individual scores divided by the number of items) and ranges from 1 to 5, with a higher score indicating a more severe handicap.	1 and 12 week
Secondary	handgrip strength	hand grip strength will be measured by a hand held dynamometer Participants will be instructed to grip the dynamometer as strongly as they possibly can, using their affected hand. Three measurements will be taken and the highest value will be used in the analysis	1 and 12 week
Secondary	electrodiagnostic study for median nerve	Sensory distal latency and motor distal latency of the median nerve will be measured by electromyography device according to standard protocol ( sensory distal latency stimulated at wrist and recorded 14cm at middle finger) and motor distal latency was stimulated at wrist and recorded from abductor pollicis brevis muscle.	1 and 12 week