Comparison of Flexor Retinaculum Stretch and Carpal Mobilizations in Patients With Carpal Tunnel Syndrome.

Not Applicable

Completed

• Conditions: Carpal Tunnel Syndrome
• Interventions: Other: Carpal bone mobilization and flexor retinaculum stretch; Other: Carpal bone mobilization; Other: Flexor retinaculum stretch

• Registration Number: NCT05863780
• Lead Sponsor: Riphah International University

Brief Summary

Comparison of flexor retinaculum stretch and carpal mobilizations in carpal tunnel syndrome patients.

Detailed Description

* Carpal Bones Mobilization tends to improve the symptoms of carpal tunnel syndrome.

* Manual stretching of the flexor retinaculum effective in CTS patients.

* As there are no studies available to compare the effectiveness of flexor retinaculum stretch and carpal bone mobilization for the treatment of CTS, hence the purpose of this study is to find the effectiveness of carpal bone mobilization and flexor retinaculum stretch in improving Pain, ROM and Functional Status in patient with CTS.

Study Timeline

• Study Start: 2022-03-10
• Primary Completion: 2022-09-10
• Study Completion: 2023-01-10
• Study First Submitted: 2023-02-20
• Status Verified: 2023-05
• Study First Submitted QC: 2023-05-17
• Last Update Submitted: 2023-05-17
• Study First Posted: 2023-05-18
• Last Update Posted: 2023-05-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 34

Inclusion Criteria

• Females
• Age between 18-40 years
• Unilateral CTS
• Already diagnosed patients of CTS.

Exclusion Criteria

• Fracture of wrist
• Dislocation
• Congenital abnormalities
• Rheumatoid arthritis
• Osteoarthritis
• Liver failure
• Pregnancy
• Bilateral CTS
• Systemic neurological condition e.g.: GB syndrome, multiple sclerosis.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Carpal bone mobilization and flexor retinaculum stretch	Carpal bone mobilization and flexor retinaculum stretch	Carpal bone mobilization and flexor retinaculum stretch will be given together
Carpal bone mobilization	Carpal bone mobilization	Carpal bone mobilization will be done
Flexor retinaculum stretch	Flexor retinaculum stretch	Flexor retinaculum stretch will be given.

Primary Outcome Measures

Name	Time	Method
ROM wrist flexion	4th week	Changes from baseline ROM range of motion of wrist flexion was taken by using Goniometer
Numeric Pain Rating Scale (NPRS)	4th week	Changes from baseline. NPRS is an 11 point numeric scale scored from 0-10. The maximum pain value is 10. 0 means no pain whereas 10 means most intense pain imaginable
Boston Carpal Tunnel Questionnaire (BCTQ) scale (SSS, FSS)	4th week	Changes from baseline. The Boston Carpal Tunnel Score is a patient-reported questionnaire that examines symptom severity and overall functional status. It has two subscales.; 1. The Symptom Severity Scale (SSS) with 11 questions is scored on a Likert scale from 1-5 where 1 means no symptom and 5 means most severe symptom. The maximum score is 55.; 2. The Functional Status Scale (FSS) with 8 questions is scored from 1-5 with 1 as no difficulty and 5 as "cannot do at all due to hand or wrist symptoms". The maximum score is 40.
ROM wrist extenion	4th week	Changes from baseline ROM range of motion of wrist extension was taken by using Goniometer
ROM radial deviation	4th week	Changes from baseline ROM range of motion of radial deviation was taken by using Goniometer
6-item CTS symptoms scale (CTS-6)	4th week	Changes from baseline.The CTS-6 was scored with conventional scoring (similar to that used for the 11-item symptom severity scale) each item was scored on a scale of 1 (no symptom) to 5 (most severe symptom).
ROM ulnar deviation	4th week	Changes from baseline ROM range of motion of ulnar deviation was taken by using Goniometer

Trial Locations

Locations (2)

Rawal Institute of Health Sciences; 🇵🇰 Rawalpindi, Punjab, Pakistan

Islamabad physiotherapy rehabilitation centre; 🇵🇰 Rawalpindi, Punjab, Pakistan