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Completed

NCT Number: NCT05863780

Comparison of Flexor Retinaculum Stretch and Carpal Mobilizations in Patients With Carpal Tunnel Syndrome.

Comparison of flexor retinaculum stretch and carpal mobilizations in carpal tunnel syndrome patients.

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Key information

Age range

18 year–40 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Islamabad physiotherapy rehabilitation centre, Rawalpindi, Punjab Province, Pakistan

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About this study

  • Carpal Bones Mobilization tends to improve the symptoms of carpal tunnel syndrome.
  • Manual stretching of the flexor retinaculum effective in CTS patients.
  • As there are no studies available to compare the effectiveness of flexor retinaculum stretch and carpal bone mobilization for the treatment of CTS, hence the purpose of this study is to find the effectiveness of carpal bone mobilization and flexor retinaculum stretch in improving Pain, ROM and Functional Status in patient with CTS.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Females
  • Age between 18-40 years
  • Unilateral CTS
  • Already diagnosed patients of CTS.

Exclusion criteria

  • Fracture of wrist
  • Dislocation
  • Congenital abnormalities
  • Rheumatoid arthritis
  • Osteoarthritis
  • Liver failure
  • Pregnancy
  • Bilateral CTS
  • Systemic neurological condition e.g.: GB syndrome, multiple sclerosis.

Treatment and study plan

Carpal bone mobilization

Other

Carpal bone mobilization 5 repetition/1 set lasted for 15 secs followed by 10 secs of rest- 3 sessions on alternate days per week for 04 weeks.

Total of 12 sessions will be given, each consisting of 45 mins.

Flexor retinaculum stretch

Other

Flexor retinaculum stretch 5 repetitions/ 1 set held for 60 secs at a time,-3 sessions on alternate days per week for 04 weeks.

Total of 12 sessions will be given, each consisting of 45 mins.

Carpal bone mobilization and flexor retinaculum stretch

Other
  • Carpal bone mobilization 5 repetition/1 set lasted for 15 secs followed by 10 secs of rest.3 sessions on alternate days per week for 04 weeks.
  • Flexor retinaculum stretch 5 repetitions/ 1 set held for 60 secs at a time-3 sessions on alternate days per week for 04 weeks.

Total of 12 sessions will be given, each consisting of 45 mins.

Primary outcomes

  1. Numeric Pain Rating Scale (NPRS)

    Time frame: 4th week

    Changes from baseline. NPRS is an 11 point numeric scale scored from 0-10. The maximum pain value is 10. 0 means no pain whereas 10 means most intense pain imaginable

  2. Boston Carpal Tunnel Questionnaire (BCTQ) scale (SSS, FSS)

    Time frame: 4th week

    Changes from baseline. The Boston Carpal Tunnel Score is a patient-reported questionnaire that examines symptom severity and overall functional status. It has two subscales.

    • The Symptom Severity Scale (SSS) with 11 questions is scored on a Likert scale from 1-5 where 1 means no symptom and 5 means most severe symptom. The maximum score is 55.
    • The Functional Status Scale (FSS) with 8 questions is scored from 1-5 with 1 as no difficulty and 5 as "cannot do at all due to hand or wrist symptoms". The maximum score is 40.
  3. 6-item CTS symptoms scale (CTS-6)

    Time frame: 4th week

    Changes from baseline.The CTS-6 was scored with conventional scoring (similar to that used for the 11-item symptom severity scale) each item was scored on a scale of 1 (no symptom) to 5 (most severe symptom).

  4. ROM wrist flexion

    Time frame: 4th week

    Changes from baseline ROM range of motion of wrist flexion was taken by using Goniometer

  5. ROM wrist extenion

    Time frame: 4th week

    Changes from baseline ROM range of motion of wrist extension was taken by using Goniometer

  6. ROM radial deviation

    Time frame: 4th week

    Changes from baseline ROM range of motion of radial deviation was taken by using Goniometer

  7. ROM ulnar deviation

    Time frame: 4th week

    Changes from baseline ROM range of motion of ulnar deviation was taken by using Goniometer

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

Comparison of Flexor Retinaculum Stretch and Carpal Mobilizations in Patients With Carpal Tunnel Syndrome on Pain, ROM and Functional Status

Important dates

Study start
2022
Primary completion
2022
Study completion
2023
First posted
May 18, 2023
Registry last updated
May 18, 2023

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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