Effect of Different Doses of Therapeutic Ultrasound in the Treatment of Carpal Tunnel Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- symptoms severity and functional status
研究概览
简要总结
The purpose of this study was to investigate the effective dose of therapeutic ultrasound in the treatment of carpal tunnel syndrome on pain level, functional ability, motor and sensory nerve conduction parameters and pinch strength.
详细描述
Carpal tunnel syndrome (CTS) is among the most common peripheral neuropathies causing the median nerve compression as it crosses the carpal tunnel, with an estimated prevalence of about 4 - 5% of the general population. Patients suffering from this syndrome mainly complain about paresthesia (pain, numbness, and tingling) in the innervation area of the median nerve in the hand which could be accompanied by weakness and atrophy of thenar muscles.
Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy of the upper limb and a significant contributor to hand functional impairment and disability that could be treated through numerous approaches. Effective treatment options include conservative and surgical interventions.
Carpal Tunnel Syndrome (CTS) remains a puzzling and disabling condition present in 3.8% of the general population. CTS is the most well-known and frequent form of median nerve entrapment, and accounts for 90% of all entrapment neuropathies.
Physiotherapy modalities are used to help patients with CTS in many cases. They can both help to improve CTS symptoms as well as resolve the cause of the syndrome. Physiotherapy intervention may include special exercises, mobilizations, ergonomic interventions and advice for as well as electrotherapy modalities, aiming for the treatment and improvement of symptoms.
Ultrasound waves have anti-inflammatory properties, stimulating nerve regeneration and improving nerve conductivity.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 25 Years 至 55 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Subject's age range was 25-55 years .
- •Mild to moderate CTS, that is confirmed by neurologist or orthopedist based on results of physical examination and electrophysiological criteria; i. Mild CTS is characterized by sensory fibers involvement (sensory peak latency > 3.6 milliseconds) with no motor fiber involvement (motor distal latency < 4.1 milliseconds), provided that sensory nerve action potential (SNAP) is not absent.
- •ii. Moderate CTS is characterized by involvement of both sensory and motor fibers, provided that neither of these two waves is absent .
- •Pain intensity more than 5 in visual analogue scale (VAS).
排除标准
- •History of any trauma on the hands, neck, and shoulders within 3 months of the study onset
- •Cervical radiculopathy, peripheral polyneuropathy, or other neurological conditions.
- •Patients suffering from severe CTS according to electrophysiological criteria
结局指标
主要结局
symptoms severity and functional status
时间窗: Four weeks
Symptoms severity and functional status were measured by Boston carpal tunnel syndrome questionnaire. The patients rated their ability to perform the activity on a scale that ranged from 1 (no difficulty with the activity) to 5 (cannot perform the activity at all).
median nerve motor distal latency
时间窗: Four weeks
Electrodiagnostic tests were used to measure median nerve motor distal latency in milliseconds.
Pinch strength
时间窗: Four weeks
Pinch dynamometer was used to measure pinch strength
median nerve motor amplitude
时间窗: Four weeks
Electrodiagnostic tests were used to measure motor amplitude in millivolt.
median nerve sensory distal latency
时间窗: Four weeks
Electrodiagnostic tests were used to measure median nerve sensory distal latency in milliseconds.
median nerve sensory amplitude
时间窗: Four weeks
Electrodiagnostic tests were used to measure sensory amplitude in millivolt
Pain intensity
时间窗: Four weeks
Pain intensity was measured by visual analogue scale. Scores are based on self-reported measures of symptoms that are recorded with a single handwritten mark placed at one point along the length of a 10-cm line that represents a continuum between the two ends of the scale-"no pain" on the left end (0 cm) of the scale and the "worst pain" on the right end of the scale (10 cm).
次要结局
未报告次要终点
研究者
Omnia Gamal Mohamed
physical therapist
Cairo University