Dry Needling in Patients With Carpal Tunnel Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 78
- 试验地点
- 1
- 主要终点
- Position sense
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
盲法说明
Triple-blind study; the patients will not be informed about their groups (training group or the control group) and they will be evaluated and trained at different places and times.
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Volunteering to participate in the study.
- •Being between the ages of 18-
- •Being diagnosed with mild or moderate stage CTS as a result of the electroneurophysiological test.
排除标准
- •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.
结局指标
主要结局
Position sense
时间窗: 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.
Hands activity level
时间窗: 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.
Nerve cross-sectional area
时间窗: 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.
Pain severity
时间窗: 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.
Wrist range of motion
时间窗: Baseline and 3 weeks post-intervention
Wrist flexion, extension, ulnar deviation and radial deviation joint range degrees will be measured using a universal goniometer.
Severity of symptoms
时间窗: 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.
Pain severity
时间窗: 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.
Wrist range of motion
时间窗: Baseline and 3 weeks post-intervention
Wrist flexion, extension, ulnar deviation and radial deviation joint range degrees will be measured using a universal goniometer.
Position sense
时间窗: 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.
Severity of symptoms
时间窗: 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.
Hands activity level
时间窗: 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.
Nerve cross-sectional area
时间窗: 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.
次要结局
未报告次要终点
研究者
Musa Güneş
Principal Investigator
Karabuk University