ClinicalTrials.gg
CompletedNCT07884825TECH-CTS-REHABUpdated Oct 26, 2026

Effects of Technology-Assisted Rehabilitation on Pain and Hand Function in People With Carpal Tunnel Syndrome

An interventional study of Technology-Assisted Multimodal Rehabilitation Group (TARG) and Conventional Physiotherapy Group (CPG) in Carpal Tunnel Syndrome (CTS), sponsored by Hüseyin Melih Göktuğ Akpulat. Completed at 1 site in Turkey (Türkiye). Open to participants aged 35 Years to 55 Years. Per ClinicalTrials.gov, last updated 2026-10-26.

Sponsored by Hüseyin Melih Göktuğ Akpulat · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 4 months after the study started (first participant enrolled May 2025, registered Oct 2026).
Updated Oct 26, 2026Primary outcomes revisedNewly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
35 Years to 55 Years
Sex
All
01

Study summary

Carpal tunnel syndrome (CTS) is a common condition caused by compression of the median nerve at the wrist. It may cause pain, numbness, tingling, reduced hand function, decreased grip strength, and impaired quality of life.

This randomized controlled trial compared the effects of a technology-assisted multimodal rehabilitation program with conventional physiotherapy in adults with mild-to-moderate carpal tunnel syndrome.

A total of 40 participants were randomly allocated to two groups. The technology-assisted rehabilitation group used the ErgoActive system with Leap Motion sensor technology, while the conventional physiotherapy group received conventional physiotherapy. Both groups received 18 treatment sessions over six weeks.

The primary outcome was symptom severity, assessed using the Symptom Severity Scale of the Boston Carpal Tunnel Questionnaire (BCTQ-SSS). Secondary outcomes included pain intensity, functional status, hand-related quality of life, and grip strength. Pain was assessed using a visual analogue scale (VAS), functional status using the Functional Status Scale of the Boston Carpal Tunnel Questionnaire (BCTQ-FSS), hand-related quality of life using the Michigan Hand Outcomes Questionnaire (MHQ), and grip strength using a grip strength measurement device.

All outcomes were assessed before and after the treatment period. The study aimed to determine whether technology-assisted multimodal rehabilitation provides greater improvements in symptoms, pain, hand function, grip strength, and hand-related quality of life than conventional physiotherapy.

Read the detailed description

This study was designed as a randomized controlled trial to compare a technology-assisted multimodal rehabilitation program with conventional physiotherapy in adults with mild-to-moderate carpal tunnel syndrome (CTS).

Study Design and Participants Forty adults with mild-to-moderate CTS participated in the study. Participants were randomly assigned to one of two groups: a technology-assisted rehabilitation group (TARG, n = 20) or a conventional physiotherapy group (CPG, n = 20). Both groups received 18 treatment sessions over a six-week period.

Interventions The technology-assisted rehabilitation group received a multimodal rehabilitation program using the ErgoActive system with Leap Motion sensor technology. The system was used to support rehabilitation activities involving hand movement and function.

The conventional physiotherapy group received conventional physiotherapy according to the study protocol.

Outcome Measures The primary outcome was symptom severity, assessed using the Symptom Severity Scale of the Boston Carpal Tunnel Questionnaire (BCTQ-SSS).

Secondary outcomes included:

Pain intensity, assessed using a visual analogue scale (VAS). Functional status, assessed using the Functional Status Scale of the Boston Carpal Tunnel Questionnaire (BCTQ-FSS).

Hand-related quality of life, assessed using the Michigan Hand Outcomes Questionnaire (MHQ).

Grip strength, assessed using a grip strength measurement device. All outcomes were assessed at baseline and after completion of the six-week treatment period.

Statistical Analysis Between-group differences over time were evaluated using mixed analysis of variance (ANOVA). Analysis of covariance (ANCOVA), adjusting for baseline imbalances, was also performed to compare post-treatment outcomes between groups. Statistical significance was set according to the prespecified analysis plan.

Study Objective The objective was to determine whether a technology-assisted multimodal rehabilitation program produces greater short-term improvements in symptom severity, pain, functional status, grip strength, and hand-related quality of life than conventional physiotherapy in adults with mild-to-moderate CTS.

02

Conditions studied

  • Carpal Tunnel Syndrome (CTS)

Keywords

  • Carpal tunnel syndrome
  • technology-assisted rehabilitation
  • virtual rehabilitation
  • hand function
  • physiotherapy
03

In context

Carpal Tunnel Syndrome

605 studies on the registry are indexed under Carpal Tunnel Syndrome; 138 are open to participants now.

This study's enrollment of 40 is below the median of 60 across 457 interventional studies indexed under Carpal Tunnel Syndrome.

Browse Carpal Tunnel Syndrome studies →

Lead sponsor

This is the only study on the registry with Hüseyin Melih Göktuğ Akpulat as lead sponsor.

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

04

Who can participate

Ages eligible
35 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Individuals aged 35-55 years diagnosed with mild to moderate Carpal Tunnel Syndrome (CTS) at Rami Hospital who are able to engage with the Ergo Active rehabilitation system using Leap Motion sensors and artificial intelligence-based applications.
  • Medically and clinically stable at the time of assessment and Ability to understand and follow verbal instructions and perform guided ergonomics exercises using the Ergo Active system.
  • Willingness to participate in the study and provide written informed consent

Exclusion criteria

Exclusion Criteria:

  • Inability to comply with the study protocol due to cognitive, visual, or physical limitations.
  • Severe Carpal Tunnel Syndrome symptoms VAS scale more than 8 in last 6 months or any neurological or musculoskeletal disorders affecting the upper limbs
  • Prior surgical intervention for CTS less than 5 years or concurrent participation in any other rehabilitation program during the study period.
  • Presence of systemic diseases, such as uncontrolled diabetes mellitus or thyroid dysfunction, that could influence the study outcomes.
  • Pregnancy or lactation, which may alter nerve conduction and affect study results.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
40 participants (actual)

Study arms

  • Experimental
    Technology-Assisted Multimodal Rehabilitation Group (TARG)

    Participants in this group received a technology-assisted multimodal rehabilitation program using the ErgoActive system with Leap Motion sensor technology. The intervention consisted of 18 sessions delivered over six weeks for individuals with mild-to-moderate carpal tunnel syndrome. Outcomes were assessed at baseline and after completion of the intervention.

    Device: Technology-Assisted Multimodal Rehabilitation Group (TARG)

  • Active comparator
    Conventional Physiotherapy Group (CPG)

    Participants in this group received conventional physiotherapy for mild-to-moderate carpal tunnel syndrome. The intervention consisted of 18 treatment sessions over six weeks. Outcomes were assessed at baseline and after completion of the intervention period. The results of this group were compared with those of the technology-assisted multimodal rehabilitation group.

    Other: Conventional Physiotherapy Group (CPG)

Interventions

  • DeviceTechnology-Assisted Multimodal Rehabilitation Group (TARG)

    Participants assigned to the technology-assisted rehabilitation group received a multimodal rehabilitation program using the ErgoActive system with Leap Motion sensor technology for individuals with mild-to-moderate carpal tunnel syndrome. The intervention consisted of 18 sessions delivered over six weeks. Outcomes were assessed before and after the intervention.

  • OtherConventional Physiotherapy Group (CPG)

    Participants assigned to the conventional physiotherapy group received conventional physiotherapy for mild-to-moderate carpal tunnel syndrome. The intervention consisted of 18 sessions delivered over six weeks. Outcomes were assessed before and after the intervention.

06

What researchers measure

Primary outcomes

  1. Symptom Severity Assessed Using the Boston Carpal Tunnel Questionnaire (BCTQ-SSS)

    The Symptom Severity Scale (SSS) of the Boston Carpal Tunnel Questionnaire (BCTQ) was used to assess the severity of carpal tunnel syndrome symptoms, such as tingling, pain, and numbness. Each item is rated from 1 (no difficulty or mild symptoms) to 5 (severe symptoms or inability to perform). The scale score is reported as the mean item score, with a range of 1 to 5. Higher scores indicate more severe symptoms, meaning that lower scores reflect a better outcome. The scale was administered at baseline and after the six-week intervention period.

    Time frame: Baseline to immediately after the 6-week intervention period

07

Study locations

1 site
  • Istanbul Rami Hospital
    Istanbul, 34000, Turkey (Türkiye)
08

References and documents

Individual participant data

Plan to share: No — Individual participant data will not be shared publicly to protect participant privacy and confidentiality. The study data will be handled in accordance with applicable ethical requirements and data protection regulations.

No publications or documents are linked to this record.

09

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from May 2025 to primary completion in Feb 2026, 8 months.

Of 257 non-industry interventional studies with no phase under Carpal Tunnel Syndrome, half reached primary completion within 12 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 27. This study's 8 months is below that.

Counting every sponsor, half of 267 studies reached it within 12 months; a quarter within 7 and three quarters within 27.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 13, 2026
First posted
Oct 21, 2026
StartActual
May 15, 2025
Primary completionActual
Feb 1, 2026
CompletionActual
Feb 1, 2026
Last update
Oct 26, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Also revised
primary outcomes
Registered
First appeared on the registry
Oct 21, 2026
Show all 2 updates
  1. Oct 26, 2026
    Primary outcomes Revised (1 change)
  2. Oct 21, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07884825
Lead sponsor
Hüseyin Melih Göktuğ Akpulat
Responsible party
Hüseyin Melih Göktuğ Akpulat (PhD, Istinye University) — Sponsor-investigator
First posted
Oct 21, 2026
Start date
May 15, 2025
Primary completion
Feb 1, 2026
Completion
Feb 1, 2026
Last update
Oct 26, 2026

Oversight

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

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