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Completed

NCT Number: NCT02745652

Carpel Tunnel Syndrome and Physical Therapy Modalities

Carpel tunnel syndrome (CTS) is very common complain during pregnancy with high percentage to continue postnatal. Conservative treatment is more recommended in these cases. There are many physical therapy modalities proposed to treat CTS without knowing which modality is better than the other. So the aim of this study to compare the effect of two modalities in treating CTS in postnatal females.

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Key information

Conditions

Carpal Tunnel Syndrome Cumulative Trauma Disorders Median Neuropathy Mononeuropathies Nerve Compression Syndromes Nervous System Diseases Neuromuscular Diseases Peripheral Nervous System Diseases Sprains and Strains Wounds and Injuries

Age range

25 year–35 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

About this study

Carpal tunnel syndrome (CTS) is one of the most common peripheral nerve entrapment disorders in the upper limb. CTS is common during pregnancy especially in the third trimester as well, a significant percentage of females postnatal may still have some complaints up to at least 3 years postnatal.

Purpose: To compare the effect of pulsed magnetic field (PEMF) versus ultrasound (US) in treating patients with CTS. Forty postnatal female patients with idiopathic CTS were assigned randomly into two equal groups. One group received PEMF with nerve and tendon gliding exercises for the wrist 3 times for week for 4 weeks. The other group received US plus the same exercises. Pain level, sensory and motor distal latencies of the median nerve (MSDL and MMDL), sensory and motor conduction velocities of the median nerve (MSCV and MMCV), functional status scale and hand grip strength were assessed pre and post treatment

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Mild to moderate CTS
  • Positive electro diagnostic findings: prolonged median motor distal latency (MMDL) above 4 ms, and below 6ms.
  • Prolonged median sensory distal latency above 3.5 ms .
  • Positive Phalen and Tinel test.
  • Subjects scored pain intensity more than 5 in visual analogue scale (VAS).

Exclusion criteria

  • severe cases with delayed motor distal latency > 6ms.
  • Orthopedic or neurological disorders of neck or the upper limb as cervical radiculopathy.
  • Pronator teres syndrome or double crush syndrome.
  • Pre- existing CTS before their last pregnancy, current pregnancy.
  • Diabetic neuropathy and Thoracic outlet syndrome.
  • Wasting of thenar muscles, ulnar neuropathy.
  • Rheumatoid arthritis, previous fractured carpal bone and previous surgery in the forearm especially transverse ligament release

Treatment and study plan

Pulsed electromagnetic field

Device

it is a magnetic device for magneto-therapy, it has an appliance, motorized bed, and applicable large solenoids which can be moved in 4 different positions according to the treatment area, and the additional small solenoid for hand treatment with 30 cm diameter

Other names: (PEMF)

Therapeutic Ultrasound

Device

Ultrasound is applied using a transducer or applicator that is in direct contact with the patient's skin. Gel is a medium which is used on all surfaces of the head to reduce friction and assist transmission of the ultrasonic waves

Other names: US

Primary outcomes

  1. Pain intensity

    Time frame: 4 weeks change from the baseline scores

    it measured by the Visual Analogue Scale (VAS).It is considered a valid way of assessing pain

Secondary outcomes

  1. Functional status scale

    Time frame: 4 weeks change from the baseline scores

    It is a part of the Carpal Tunnel Syndrome Questionnaire (CTSQ). it asks about eight functional activities as writing, buttoning of clothes, gripping of a telephone handle

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Official study title

Pulsed Magnetic Field Versus Ultrasound in Treatment of Postnatal Carpal Tunnel Syndrome: Randomized Control Trial on Female Egyptian Population

Important dates

Study start
2014
Primary completion
2015
Study completion
2015
First posted
Apr 20, 2016
Registry last updated
Apr 21, 2016

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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