Effectiveness of Median Nerve Mobilization versus Dry Needling in Carpal Tunnel Syndrome among Housemaids and Housewives
试验速览
- 阶段
- 3 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 90
- 试验地点
- 1
- 主要终点
- Pain level, Symptom severity, Functional status
研究概览
简要总结
Carpal Tunnel Syndrome or CTS the most common entrapment neuropathy, arises from median nerve compression causing pain, numbness and tingling. It affects about 8 per cent of adults and is 2 to 3 times more common in women. Repetitive tasks such as household chores increase the risk, particularly among housemaids and housewives. Physiotherapy plays a key role in managing CTS by alleviating pain, improving wrist function and preventing its progression. A comprehensive bibliometric analysis was performed to identify the most effective interventions for managing CTS in these women revealing that median nerve mobilization was extensively studied while dry needling emerged as a promising treatment option. Need of the Study
Since there is a high incidence of CTS due to household chores among housemaids and housewives, it is important to explore potential interventions. Although both median nerve mobilization and dry needling have been used to treat CTS, there is limited research comparing their effectiveness, particularly in populations engaged in domestic work. This study seeks to determine which intervention is more effective in alleviating symptoms and improving the function of housemaids and housewives.
Aim
The study aims to assess and compare the efficacy of Median Nerve Mobilisation and Dry Needling in the treatment of Carpal Tunnel Syndrome resulting from household chores among housemaids and housewives. Objectives
- To evaluate the effectiveness of Median Nerve Mobilisation in reducing pain and improving function in patients with Carpal Tunnel Syndrome.
- To assess the effectiveness of Dry Needling in alleviating symptoms of Carpal Tunnel Syndrome in the target population.
- To compare the overall outcomes of Median Nerve Mobilisation and Dry Needling in terms of pain relief and functional improvement.
- To explore the prevailing intervention for Carpal Tunnel Syndrome.
Null Hypothesis
• There is no significant improvement of Dry Needling compared to Median nerve mobilisation in the treatment of Carpal Tunnel Syndrome among housemaids and housewives engaged in household activities. • Dry needling has no significant efficacy on carpal tunnel syndrome among housemaids and housewives engaged in household activities. • Median nerve mobilisation has no significant efficacy on carpal tunnel syndrome among housemaids and housewives engaged in household activities.
Alternate Hypothesis
• There is a significant improvement of Dry needling compared to Median Nerve Mobilisation in the treatment of Carpal Tunnel Syndrome among housemaids and housewives engaged in household activities. • Dry needling is significantly more effective for carpal tunnel syndrome among housemaids and housewives engaged in household activities compared to Median nerve mobilisation. • Median nerve mobilisation is significantly more effective for carpal tunnel syndrome among housemaids and housewives engaged in household activities compared to Dry needling.
研究设计
- 研究类型
- Interventional
- 分配方式
- Coin toss, Lottery, toss of dice, shuffling cards etc
- 盲法
- Participant Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 50.00 Year(s)（—）
- 性别
- Female
入选标准
- •Participants must have a clinical diagnosis of CTS confirmed by a healthcare professional (mild to moderate CTS)
- •Participants should be between 18 and 50 years old.
- •Must be housemaids or housewives engaged in regular household activities (involving repetitive wrist movements).
- •Participants should have been experiencing symptoms of CTS for at least 3 months.
- •Participants must be willing to provide informed consent and adhere to the study protocol, including attending all treatment sessions and follow-up evaluations.
排除标准
- •Participants who have undergone surgical intervention for CTS (e.g., carpal tunnel release surgery) are excluded.
- •Participants who were involved in any other economically productive occupation other than housework (industries, home-based workshop, etc).
- •Presence of other neurological conditions that could interfere with the study results (e.g., cervical radiculopathy, polyneuropathy).
- •Participants with severe comorbidities (e.g., rheumatoid arthritis, thyroid, uncontrolled diabetes)
- •Pregnant women are excluded due to potential changes in fluid dynamics and risk factors.
- •Participants who have received corticosteroid injections for CTS within the last 3 months
- •Participants with contraindications to dry needling, such as bleeding disorders, needle phobia, or local skin infections, are excluded.
- •Participants with severe CTS, as indicated by significant muscle atrophy, loss of dexterity, or non-responsiveness to conservative treatments, are excluded.
- •Participants currently undergoing other treatments for CTS, such as alternative physiotherapy techniques, massage, ultrasound etc or participants who have already received physiotherapeutic treatment for CTS within the last 6 months.
结局指标
主要结局
Pain level, Symptom severity, Functional status
时间窗: 1. Baseline assessment - before the intervention | 2. Follow-up assessment - after every session | 3. Final assessment- after 4th week
次要结局
未报告次要终点
研究者
Nikita Priya
Department of Physiotherapy, Amity Institute of Health Allied Sciences