Comparison of low and medium energy of extracorporeal shock wave therapy for a short-term improvement of carpal tunnel syndrome: a double-blinded randomized, controlled study.

Phase 3

• Conditions: The patient who had a diagnosis of CTS with mild or moderate degree; Carpal tunnel syndrome; CTS; Extracorporeal shock wave therapy; ESWT; low energy; medium energy; visual analogue scale; VAS; Boston Carpal Tunnel Syndrome Questionnaire

• Registration Number: TCTR20210310001
• Lead Sponsor: Faculty of Medicine, Prince of Songkla University

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2021-03-10
• Study Completion: 2022-09-30
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Pending (Not yet recruiting)
• Sex: All
• Target Recruitment: 56

Inclusion Criteria

1. Patient who had a diagnosis of CTS with mild or moderate degree
- Mild degree: delayed peak sensory distal latency, normal SNAP amplitude, normal distal motor latency, and normal CMAP amplitude
- Moderate degree: delayed peak sensory distal latency, small SNAP amplitude, delayed Distal motor latency, normal CMAP amplitude
- If the patient has clinical bilaterally, the more severe site will be chosen
2. Patient with CTS symptoms which never undergone any treatment
3. Age 18 to 65 years
4. Able to communicate and read in Thai

Exclusion Criteria

1. Patients who had conditions mimicking CTS such as cervical radiculopathy, polyneuropathy, brachial plexopathy, stroke, or spinal cord injury
2. Patients with a history of the distal forearm or wrist fracture and recent wrist or arm trauma
3. Contraindication to ESWT: bleeding disorder and pregnancy
4. Contraindication to electrodiagnostic study: on external wires like external pacing wires or guidewires
5. Participate in two or more trial at the same time

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Visual analogue scale (VAS) of numbness baseline, 1, 4, 8, 12 weeks after the first session of treatmment Visual analogue scale

Secondary Outcome Measures

Name	Time	Method
Boston Carpal Tunnel Syndrome Questionnaire (BCTQ) baseline, 1, 4, 8, 12 weeks after the first session of treatmment Boston Carpal Tunnel Syndrome Questionnaire,Electrodiagnostic parameters at 12 weeks after the first session of treatmment electrodiagnostic parameter of median nerve at wrist level,Patient satisfaction at 1, 4, 8, 12 weeks after the first session of treatmment Patient satisfaction scale (5-point Likert scale)