Evaluating the Effectiveness of a Combined Physical and Psychological Intervention in Carpal Tunnel Syndrome Patients With Nociplastic Pain: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 64
- 试验地点
- 1
- 主要终点
- Pain intensity using the Numeric Pain Rating Scale (NPRS)
研究概览
简要总结
To assess the effectiveness of a combined physical and psychological intervention in reducing pain and improving function in carpal tunnel syndrome patients with nociplastic pain.
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 25 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults aged 25-65 years
- •Both sexes
- •Diagnosis of carpal tunnel syndrome based on clinical examination and nerve conduction studies
- •Presence of nociplastic pain as determined by the Central Sensitization Inventory (CSI) with a score ≥40
- •Positive tinel and phalen sign.
排除标准
- •Previous carpal tunnel release surgery
- •Other musculoskeletal or neurological disorders affecting the upper extremity
研究组 & 干预措施
Intervention group
Participants will receive a twelve-week combined physical and psychological intervention.
干预措施: Combined physical and psychological intervention (Other)
Control group
Participants will receive a twelve-week of standard care of splinting, tendon and nerve gliding exercises.
干预措施: Standard care (Other)
结局指标
主要结局
Pain intensity using the Numeric Pain Rating Scale (NPRS)
时间窗: Changes in pain intensity at baseline, 6 weeks, 12 weeks.
Median nerve sensory distal latency
时间窗: Changes in Median nerve sensory distal latency at baseline, 6 weeks, 12 weeks.
Functional ability using the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire
时间窗: Changes in Functional ability at baseline, 6 weeks, 12 weeks.
Median nerve motor distal latency
时间窗: Changes in Median nerve motor distal latency at baseline, 6 weeks, 12 weeks.
次要结局
- Pain catastrophizing using the Pain Catastrophizing Scale (PCS)(Changes in Pain Catastrophizing Scale (PCS) at baseline, 6 weeks, 12 weeks.)
- Fear of movement using the Tampa Scale for Kinesiophobia (TSK)(Changes in Tampa Scale for Kinesiophobia (TSK) at baseline, 6 weeks, 12 weeks.)
- Grip strength measured using a hand dynamometer(Changes in Grip strength at baseline, 6 weeks, 12 weeks.)
研究者
Mohamed Magdy ElMeligie
Lecturer of Physical Therapy and Director of Electromyography Lab
Ahram Canadian University