Early Motion Following Carpal Tunnel Release, a Randomized Control Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 16
- 试验地点
- 2
- 主要终点
- days to return to activities of daily living, return to work, grip strength, pinch strength, digital sensibility, subjective pain control, number of pain pills used, grading of success,and any complications encountered.
研究概览
简要总结
To objectively and subjectively assess two modes of commonly employed rehabilitation and confirm a superior method to treat patients following carpal tunnel release.
One of the problems following carpal tunnel release (CTR) for carpal tunnel syndrome, and all hand surgeries, is the debilitation in the postoperative period. This relates to muscle atrophy and joint stiffness due to immobilization or relative inactivity in the postoperative period. Specifically, patients suffer increased days off from work, lost wages, and difficulties with activities of daily living affecting the patient and society at large. CTR is a very common procedure in hand surgery making it easy to study and important to optimize the postoperative care.
详细描述
The surgical procedure, carpal tunnel release, will be performed in a standard open fashion. In a random fashion, the patients will be placed into either of two rehabilitation groups following CTR with specifically different postoperative instructions after the procedure.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Clinical diagnosis of carpal tunnel syndrome
- •Recommended for carpal tunnel release
排除标准
- •Severe thenar weakness
- •proximal neuropathy of the same arm.
- •generalized peripheral neuropathy
- •active psychiatric disorder
- •chronic renal failure require dialysis
- •reflex sympathetic dystrophy
- •previous injury of affected wrist or median nerve
- •simultaneous ipsilateral upper extremity surgery
- •carpal tunnel syndrome with acute injury
结局指标
主要结局
days to return to activities of daily living, return to work, grip strength, pinch strength, digital sensibility, subjective pain control, number of pain pills used, grading of success,and any complications encountered.
时间窗: 1 week, 3 weeks, 3 months, and 1 year postoperatively
次要结局
未报告次要终点
研究者
Stephen Colbert
Assistant Professor
University of Missouri-Columbia