Dry Needling and Rehabilitatin Carpal Tunnel Syndrome
- Conditions
- Dry NeedlingCarpal Tunnel SyndromeMyofacial Pain
- Interventions
- Other: Dry needlingOther: Control group
- Registration Number
- NCT06358326
- Lead Sponsor
- Karabuk University
- Brief Summary
Dry needling is used for myofascial release. However, its effectiveness in carpal tunnel syndrome (CTS) is not well known. It is thought that dry needling may also be an effective treatment for CTS by providing relaxation in the fascial tissue. Therefore, this study will examine the effects of dry needling treatment on pain, function, range of motion, proprioception and disability in patients with CTS.
- Detailed Description
Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy in the society, which develops due to compression of the median nerve in the carpal tunnel. With the compression of the median nerve, a pain, numbness and tingling sensation spreading to the hand and wrist affects daily living activities and reduces the quality of life. Thickening and myofascial restriction in the carpal tunnel area also contribute to this situation. For this reason, various treatment methods have been developed for CTS, ranging from conservative treatment to surgery. Dry needling is also an alternative treatment method that can be used for CTS. Dry needling allows the fascial tissue to loosen and re-enter the healing process, leading to a decrease in pain and an increase in quality of life. However, its effectiveness in patients with CTS is unknown. This study aimed to examine the effectiveness of dry needling in patients with CTS.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 78
- Volunteering to participate in the study.
- Being between the ages of 18-65.
- Being diagnosed with mild or moderate stage CTS as a result of the electroneurophysiological test.
- Having additional neurological, rheumatological and orthopedic disorders.
- Having had previous hand surgery.
- Having an additional acute neck, shoulder, elbow and hand problem.
- Having a BMI of 40 kg/m2 and above.
- Being pregnant.
- As a result of the electroneurophysiological test, the data related to the median nerve are at a severe level.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Treatment Group Dry needling In addition to the exercise given to the control group, the treatment group will receive dry needling in the carpal tunnel area, 2 days a week for 3 weeks, for a total of 5 sessions. Control Group Control group The control group will be taught and asked to perform stretching, nerve mobilization and tendon-shifting exercises for 3 weeks.
- Primary Outcome Measures
Name Time Method Severity of symptoms Baseline and 3 weeks post-intervention The patients' CTS-related symptom severity and functional status will be evaluated with the Boston Carpal Tunnel Syndrome Questionnaire. The severity of the patient's strain is scored between 1-5. Higher scores indicate greater disability.
Nerve cross-sectional area Baseline and 3 weeks post-intervention With ultrasonography, the doctor will measure the median nerve cross-sectional area of the individual and the distance between the median nerve flexor retinaculum.
Wrist range of motion Baseline and 3 weeks post-intervention Wrist flexion, extension, ulnar deviation and radial deviation joint range degrees will be measured using a universal goniometer.
neuropathic pain severity Baseline and 3 weeks post-intervention Neuropathic pain will be evaluated with the Neuropathic Pain Questionnaire. The change of 4 points determined as the neuropathic pain threshold will be examined.
Pain severity Baseline and 3 weeks post-intervention It will be evaluated with the Visual Analogue Scale. The scale ranges from 1 to 10 at 10 mm intervals. 0 indicates absence of pain and the highest value of 10 indicates extreme pain.
Position sense Baseline and 3 weeks post-intervention In the evaluation of joint position sense (proprioception), wrist extension, elbow flexion and shoulder flexion movements will be evaluated with an inclinometer. An increase in deviation from the target angle indicates a worsening of position sense.
Functional status Baseline and 3 weeks post-intervention Upper Extremity Functional Index will be used to evaluate the functional disability of the upper extremity. Scoring ranges from 0 to 100 points, with a higher score indicating a higher activity level.
Hands activity level Baseline and 3 weeks post-intervention Duruöz hand index will be used to evaluate hand-related activity limitations. The survey yields a total score of 0-90, with a higher score indicating greater activity restriction.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Pursaklar State Hospital
🇹🇷Ankara, Turkey