An interventional study of Neurodynamic techniques and Exercise therapy in Carpal Tunnel Syndrome, sponsored by University of Jordan. Completed at 1 site in Jordan. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-09-20.
Sponsored by University of Jordan · Not applicable, Interventional, and Treatment
Carpal tunnel syndrome CTS is the most common peripheral neuropathy seen in clinic. It results in marked functional limitations of patients. Most patients undergo surgical release which places a heavy burden on health system. Neurodynamic exercise is claimed to be an effective physiotherapy treatment for these patients. It is a practical and complications-free treatment which can be used as a home exercise program. This study aims to investigate the effect of median nerve gliding exercise on symptoms severity and functional limitation in CTS patients.
Treatment Group: Neurodynamics evaluation and treatment will be provided by an experienced physiotherapist. Each treatment session involves both manual therapy and median nerve mobilization exercise following the neurodynamics concept. Four 60 minutes sessions over a period of four weeks will be performed for each patient. Median nerve mobilization exercise will be continued as home exercise program and will be monitored by the treating physiotherapist using exercise diary.
Control group: four sessions of exercise will be given to participants. CTS standard exercise brochure will be given for the patients to follow over 4 weeks. The brochure will include wrist joint strengthening, stretching and AROM exercise.
Outcomes will be measured at the end of the 4 weeks treatment, 6 weeks and 6 months post treatment.
Descriptive analysis: All obtained data will be tabulated, means, standard deviations and differences will be measured.
Inferential analysis: Two way repeated measure ANOVA will be used to measure differences between the groups.
589 studies on the registry are indexed under Carpal Tunnel Syndrome; 139 are open to participants now.
This study's enrollment of 53 is below the median of 60 across 445 interventional studies indexed under Carpal Tunnel Syndrome.
Browse Carpal Tunnel Syndrome studies →University of Jordan is the lead sponsor of 126 studies on the registry; 20 are open to participants now.
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Confirmed CTS diagnosis
Exclusion Criteria:
Previous trauma or surgery involving the upper extremities known neurological condition pregnancy history of radiating neck or back pain in the previous 3 months
4 sessions of Neurodynamics treatment will be provided by an experienced physiotherapist. It will include manual therapy, median nerve gliding exercise, median nerve tension exercise. patients will continue the exercises as home exercise program during and after the treatment period.
Other: Neurodynamic techniques
Exercise therapy 4 sessions of exercise treatment will be provided by an experienced physiotherapist. It will include active range of motion, stretching, and strengthening exercise. patients will be given a brochure to continue the exercises as home exercise program during and after the treatment period.
Other: Exercise therapy
4 sessions of Neurodynamics treatment will be provided by and experienced physiotherapist. It will include manual therapy, median nerve gliding exercise, median nerve tension exercise. patients will continue the exercises as home exercise program during and after the treatment period.
AROM exercise stretching exercise strengthening exercise 4 sessions
Change in Boston Carpal Tunnel Questionnaire score
BCTS is a patient-based outcome measure used for patients with CTS. It includes two distinct scales, the Symptom Severity Scale (SSS) which has 11 questions and uses a five-point rating scale and the Functional Status Scale (FSS) containing 8 items which have to be rated for degree of difficulty on a five-point scale. Each scale generates a final score (sum of individual scores divided by number of items) which ranges from 1 to 5, with a higher score indicating greater disability.
Time frame: Baseline, 1 month, 6 months
The Disabilities of the Arm, Shoulder and Hand (DASH) Score
DASH is a patient-based outcome measure used to assess function in patients with arm or hand pain. it includes two components: the disability/symptom
Time frame: Baseline, 1 month, 6 months
Pain severity scale
subjective rating of pain severity is specified by patient as a number from 0-10. the higher the number the greater level of pain
Time frame: Baseline,1 month , 6 months
Wrist ROM
Range of movement of the wrist joint is measured using universal goniometer. All wrist joint movements will be measured actively and passively.
Time frame: Baseline, 1 month , 6 months
Grip strength
Hand grip strength is measured using a hand held dynamometer device. Reading is taken in pounds.
Time frame: Baseline, 1 month, 6 months
Surgery
whether or not the patient decided to undergo median nerve decompression surgery
Time frame: 6 months
This study is completed, as verified in Sep 2019. You cannot join it, but the record below documents what was studied.
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University of Jordan