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NCT Number: NCT05997823

Dorsovolar Kinesiotape in Carpal Tunnel Syndrome

This study aimed to compare the short- and medium-term efficacy of dorso-volar kinesiotape (KT) added to home exercises (HE) with sham-KT and HE alone in the treatment of mild or moderate carpal tunnel syndrome (CTS) in terms of pain, symptom severity, function, grip strength, and electrophysiological parameters.

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Key information

Conditions

Carpal Tunnel Syndrome Treatment Carpal Tunnel Syndrome Cumulative Trauma Disorders Median Neuropathy Mononeuropathies Nerve Compression Syndromes Nervous System Diseases Neurologic Manifestations Neuromuscular Diseases Pain Pathological Conditions, Signs and Symptoms Peripheral Nervous System Diseases Signs and Symptoms Sprains and Strains Wounds and Injuries

Age range

35 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Health Sciences University, Kocaeli Derince Training and Research Hospital

Kocaeli, Deince, Turkey (Türkiye)

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • pain or numbness radiating to the palm for at least 6 weeks,
  • at least one positive Tinel's, Phalen's, or carpal compression test on physical examination, and
  • mild/moderate CTS on EMG examination.

Exclusion criteria

  • Metabolic disease (diabetes, rheumatoid arthritis, thyroid disease),
  • systemic or malignant disease, history of trauma, fracture or surgery to the wrist,
  • physical therapy programs, surgical procedures, injections or KT applications to the wrist for CTS treatment in the past year,
  • severe thenar atrophy,
  • C6-C7 radiculopathy among CTS differential diagnoses,
  • cervical spondylosis, thoracic outlet syndrome, entrapment of the median nerve above the wrist,
  • polyneuropathy or traumatic injury to the median nerve,
  • rashes or open wounds on the skin of the wrist and forearm that could prevent treatment with kinesiology taping

Treatment and study plan

Kinesiotape

Other

The button hole technique was used for area correction during the KT application (Figure 1). Two I-tapes were applied, one from the medial epicondyle to the proximal phalanx on the palmar side and the other from the lateral epicondyle to the proximal phalanx on the dorsal side. The area where the phalanges are located was marked, and two hole was drilled in the center.After cleaning the skin with alcohol, the tape to be applied to the palmar side was passed over the 3rd and 4th fingers, and the patient was asked to perform radial deviation and wrist extension

Home Exercises

Other

home exercises

Primary outcomes

  1. Electrodiagnostic Evaluation

    Time frame: 30 minutes

    Superficial recording electrodes were placed in the abductor pollicis brevis (APB) muscles (recording stimulus distance 5 cm) for median nerve motor conduction and in the abductor digiti minimi (ADM) muscles (recording stimulus distance 5 cm) for ulnar nerve motor conduction.Superficial recording electrodes were placed on the 3rd finger for median nerve sensory conduction (recording stimulus distance 13 cm) and on the 5th finger for ulnar nerve sensory conduction (recording stimulus distance 11 cm).The ground electrode was placed between the recording and stimulus electrodes for all electrophysiological tests.Sensory latency, amplitude, and conduction velocity of the median nerve and motor latency, amplitude, and conduction velocity were recorded

  2. Hand Strength

    Time frame: 10 minutes

    A Jamar hand dynamometer (Baseline ® hydraulic hand dynamometer, Irvington, NY, USA) was used to measure handgrip strength.

  3. Pain Evaluation

    Time frame: 5 minutes

    A 10-point visual analog scale (VAS) was used to rate pain. Patients were asked to rate the pain they felt at rest, at night, and with movement with a number ranging from 0 (no pain) to 10 (very severe), VAS movement, VAS night, and VAS rest

  4. Finger Strength

    Time frame: 10 minutes

    A pinch meter (Baseline ® hydraulic pinch gauge, Irvington, NY, USA) was used to evaluate lateral grip strength (LGS) and pinch grip strength

Sponsors and collaborators

Lead sponsor

Selcuk University

Other

Registry information

Official study title

Is Dorso-Volar Kinesiotape Added to the Home Exercise Program Effective in the Treatment of Carpal Tunnel Syndrome?-Prospective Randomized Controlled Study

Important dates

Study start
2023
Primary completion
2023
Study completion
2023
First posted
Aug 18, 2023
Registry last updated
Jan 29, 2024

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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