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CompletedNCT06016049Updated Aug 29, 2023

Cerebral Changes Following CTS Treated With Guided Plasticity

An interventional study of EMLA® adjuvant and Sensory training in Carpal Tunnel Syndrome, sponsored by Region Skane. Completed. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2023-08-29.

Sponsored by Region Skane · Not applicable, Interventional, and Basic science

From the registry’s dates

  • Registered 13 years 11 months after the study started (first participant enrolled Jul 2009, registered Jun 2023).
Phase
Not applicable
Study type
Interventional
Enrollment
70
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

70 patients with mild to moderate Carpal tunnel Syndrome (CTS) including 24 patients with unilateral CTS were randomized to treatment with ipsilateral cutaneous forearm deafferentation with an anesthetic cream (EMLA®) or placebo during 8 weeks. Patient-rated outcomes was assessed using the symptom severity scale from the Boston carpal tunnel syndrome questionnaire (BCTQ) and the disability of arm, shoulder and hand questionnaire(Quick-DASH). Clinically patients were assessed for tactile discrimination and dexterity and nerve conduction studies (NCS). Cortical activation during sensory stimulation was evaluated with functional magnetic resonance imaging (fMRI) at 3T. Assessments were performed at baseline, after 90 min of initial treatment, and after 8 weeks.

02

Conditions studied

  • Carpal Tunnel Syndrome

Keywords

  • Magnetic Resonance Imaging
  • Somatosensory Cortex
  • Anesthesia
  • Hand
03

In context

Carpal Tunnel Syndrome

589 studies on the registry are indexed under Carpal Tunnel Syndrome; 139 are open to participants now.

This study's enrollment of 70 is above the median of 60 across 445 interventional studies indexed under Carpal Tunnel Syndrome.

Browse Carpal Tunnel Syndrome studies →

Lead sponsor

Region Skane is the lead sponsor of 372 studies on the registry; 113 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • symptoms of CTS for more than 3 months
  • classic or probable CTS according to Katz' hand diagram (2, 27)
  • clinical signs of unilateral CTS with a positive Tinel's and Phalen's test
  • age between 18 and 70 years
  • nerve conduction studies (NCS) with a fractionated sensory nerve conduction velocity for the median nerve across the wrist of 40 m/s or less on the affected side and of more than 43 m/s on the contralateral side
  • no contraindications for MR examinations.

Exclusion criteria

Exclusion Criteria:

  • bilateral symptoms
  • having been operated for CTS previously
  • prior wrist or carpal fracture
  • diabetes
  • thyroid disease
  • rheumatoid arthritis
  • neurological disease
  • drug abuse
  • complete conduction block on electroneurography or prior regular exposure to hand-held vibrating tools.
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
70 participants (actual)

Study arms

  • Active comparator
    EMLA®

    adjuvant forearm anesthesia cream (EMLA®) and sensibility training in a program involving 15 sessions (8 weeks) of guided plasticity

    Other: EMLA® adjuvant · Behavioral: Sensory training

  • Placebo comparator
    Skin cream

    skin cream and sensibility training in a program involving 15 sessions (8 weeks) of guided plasticity training

    Behavioral: Sensory training

Interventions

  • OtherEMLA® adjuvant

    cutaneous forearm deafferentation

  • BehavioralSensory training

    Sensibility training of the median nerve

06

What researchers measure

Primary outcomes

  1. Boston Carpal Tunnel Syndrome Symptom Severity Score

    score between 1 and 5, with higher scores indicating worse symptoms or function

    Time frame: 8 weeks

  2. functional MRI activation affected vs healthy side (more activation voxels means more active brain area)

    The difference in activation using interaction contrast between baseline vs 8 weeks in somatosensory cortex (affected vs healthy side)

    Time frame: 8 weeks

Secondary outcomes

  1. quick-DASH upper extremity symptom score

    score between 1-5, higher scores indicating less symptoms

    Time frame: 8 weeks

  2. 2 Point Discrimination (2PD)

    mean value of 3 measures indicating touch threshold

    Time frame: 8 weeks

  3. Sensory conduction velocity

    Sensory Nerve Conduction Velocity from nerve conduction studies

    Time frame: 8 weeks

  4. Sensory conduction amplitude

    Sensory Nerve Conduction Amplitude from nerve conduction studies

    Time frame: 8 weeks

  5. functional MRI dig 1+2

    comparison between activation using interaction contrast in S1sensory cortex of the

    Time frame: 8 weeks

  6. functional MRI dig 5

    comparison between activation in the sensory cortex of the little finger (EMLA® vs placebo)

    Time frame: 8 weeks

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No — data can be shared upon reasonable demand after personal contact.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 29, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06016049
Lead sponsor
Region Skane
Responsible party
Sponsor
First posted
Aug 29, 2023
Start date
Jul 1, 2009
Primary completion
Nov 1, 2015
Completion
Nov 1, 2015
Last update
Aug 29, 2023

Study contacts

Magnus Flondell, MD PhD
principal investigator · Institute of Translational Sciences Malmö, Lund University
Anders Björkman, MD, Prof.
study chair · Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University

Oversight

Data monitoring committee
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2023. You cannot join it, but the record below documents what was studied.

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