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Completed

NCT Number: NCT06464809

Treatment Intervention of Patients With Carpal Tunnel Syndrome (CTS)

The purpose of this study was to investigate the effectiveness of KT versus TENS combining self-myofascial stretching in treatment of CTS through clinical, functional assessment and sensory measurements.

Primary hypothesis The KT group has a more substantial improvement in hand grip, pain relief, enhancing proprioceptive sensitivity and dexterity compare to the TENS group. treatment program,

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Key information

Conditions

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

Age range

30 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

China Medical University

Taichung, 406040, Taiwan

About this study

Objective: To compare the effectiveness of a home-based treatment program involving Kinesio taping (KT) or transcutaneous electrical nerve stimulation (TENS) among carpal tunnel syndrome (CTS) patients.

Methods:

30 participants with CTS were enrolled, age range, 30 to 60 years. The participants who met the inclusion criteria were randomized into one of two treatment groups: KT group and TENS group. Participants were blinded to the treatments used in the other group.

Patients with CTS received aforementioned treatments compared with reliable qualitative and quantitative evaluation tools before and after 4-week treatment, as well as at a additional 4-week follow-up. The main parameters include the Symptom Severity Scale (SSS) and Functional Status Scale (FSS), hand grip and key pinch strengths, two-point discrimination (2PD), Modified Moberg pick-up test (MMPUT), and Pain assessment (visual analog scale, VAS).

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • numbness and tingling in the median nerve territory of the hand.
  • nocturnal paresthesia.
  • induction test (Tinel's sign and Phalen's test) showing a positive finding.,
  • is defined as mild and moderate CTS according to nerve conduction studies (NCSs).

Exclusion criteria

  • is defined severe CTS symptoms.
  • are currently pregnant or have any secondary entrapment neuropathy (e.g., diabetes, inflammatory arthritis, hypothyroidism, previous wrist trauma).
  • cervical radiculopathy or polyneuropathy.
  • previous history of carpal tunnel decompression surgery.
  • corticosteroid injection into the carpal tunnel.

Treatment and study plan

Kinesio taping (KT)

Other

Other names: transcutaneous electrical nerve stimulation (TENS)

Primary outcomes

  1. The SSS and FSS of the Boston Carpal Tunnel Questionnaire (BCTQ)

    Time frame: pre-intervention, 4-week intervention, and 4-week follow-up.

    Assess symptoms and functional status. The SSS subscale includes 11 items assessing pain, paresthesia, numbness, weakness, nocturnal symptoms and over-all functional status. The FSS subscale includes 8 items assessing the hand function during common daily activities. Each item is scored on a 5-point scale (1-5), from 1(no symptoms) to 5 (the worst symptoms) for SSS, and from 1 (no difficulty) to 5 (cannot perform the activity at all) for FSS. The overall SSS and FSS scores are calculated as the mean of the scores for 11 and 8 individual items respectively, such that the higher the score obtained, the worse the SSS or FSS.

  2. Hand grip and key pinch strengths

    Time frame: pre-intervention, 4-week intervention, and 4-week follow-up.

    pinch strength included palmar, three-jaw chuck, tip, and lateral pinches.

  3. Two-point discrimination (2PD)

    Time frame: pre-intervention, 4-week intervention, and 4-week follow-up.

    cutaneous sensory perception threshold. The larger the value of distance, the worse the sensory ability.

  4. Modified Moberg pick-up test (MMPUT)

    Time frame: pre-intervention, 4-week intervention, and 4-week follow-up.

    hand dexterity. The shorter the time, the more dexterity the hand.

  5. The visual analog scale (VAS)

    Time frame: pre-intervention, 4-week intervention, and 4-week follow-up.

    pain measurement. 100 mm straight line, with 0 mm on the far left and 100 mm on the far right, 0 mm positions It is not painful, and 100 mm is extremely painful.

Sponsors and collaborators

Lead sponsor

China Medical University Hospital

Other

Collaborators

  • Ministry of Science and Technology, Taiwan

Registry information

Official study title

Treatment Effects of Transcutaneous Electrical Nerve Stimulation and Kinesio Taping on Hand Functions for Patients With Carpal Tunnel Syndrome

Important dates

Study start
2014
Primary completion
2015
Study completion
2015
First posted
Jun 18, 2024
Registry last updated
Jun 18, 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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