Post Burn Cubital Tunnel Syndrome Response to High Intensity Laser Therapy Versus Shock Wave Therapy
- Conditions
- Post Burn Cubital Tunnel Syndrome
- Registration Number
- NCT07102992
- Lead Sponsor
- Ahram Canadian University
- Brief Summary
Significant morbidity in burn patients occurs frequently because of Post burn nerve entrapment syndromes. Nerve entrapment arises due to direct compression because of edema; they may also present due to scar tissue formation.
Burns of the forearm and elbow are associated with swelling, redness and pain. In second to third-degree burns, the eschar forms a tight band constricting the circulation distally and forms edema that leads to compression neuropathy of ulnar nerve. Also the hyper metabolic response of the burned patients, has been suggested as a cause of the peripheral neuropathies, as the basal metabolic rate (B.M.R) of the burned patients increase more than 2 to 2.5 times normal.
- Detailed Description
Significant morbidity in burn patients occurs frequently because of Post burn nerve entrapment syndromes. Nerve entrapment arises due to direct compression because of edema; they may also present due to scar tissue formation.
Burns of the forearm and elbow are associated with swelling, redness and pain. In second to third-degree burns, the eschar forms a tight band constricting the circulation distally and forms edema that leads to compression neuropathy of ulnar nerve. Also the hyper metabolic response of the burned patients, has been suggested as a cause of the peripheral neuropathies, as the basal metabolic rate (B.M.R) of the burned patients increase more than 2 to 2.5 times normal.
Cubital tunnel syndrome is the second most common entrapment neuropathy of the upper extremity, after carpal tunnel syndrome
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 75
- Age 20-50 years.
- Both sexes.
- Post healed elbow burn.
- Diagnosed with cubital tunnel syndrome.
- Willing and able to provide informed consent.
- Patients with brachial plexopathy.
- C8-T1 radiculopathy, polyneuropathy.
- Previous elbow fractures or operation.
- Systemic diseases such as diabetes mellitus, malignancy, and active infection.
- Patients with any contraindications to high intensity laser therapy or shock wave therapy.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Nerve Conduction Studies of ulnar nerve Baseline and 4 weeks Nerve conduction studies will assess the function/integrity of the ulnar nerve. Patients will be evaluated at base line before treatment and after completion of treatment using Neuropack S1MEB-9004 NIHON KODEN, JAPAN for measuring the motor conduction velocity of the ulnar nerve.
- Secondary Outcome Measures
Name Time Method The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire Baseline and 4 weeks The DASH questionnaire consists of 30 questions regarding limitations to complete physical activities due to upper extremity pain/impairment. Participants will be asked to respond to each question based on their experiences over the preceding week according to a 5-point Likert scale ranging from
1 (no difficulty) to 5 (unable to do). Responses will be scored out of 5 and averaged to produce a score out of 100 with higher scores representing greater disability.
Trial Locations
- Locations (2)
Out patient clinic , faculty of Physical Therapy, Benha university
🇪🇬Benha, Al qalyubia, Egypt
Out patient clinic , faculty of Physical Therapy, ahram Canadian university
🇪🇬Giza, Egypt
Out patient clinic , faculty of Physical Therapy, Benha university🇪🇬Benha, Al qalyubia, Egypt