Karpal Tünel Sendromu Olan Bireylerde Servikotorakal Egzersizlerin Etkinliğinin Araştırılması
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Enrollment
- 60
- Locations
- 2
- Primary Endpoint
- Boston Carpal Tunnel Syndrome Questionnaire
Study Overview
Brief Summary
This randomized, parallel-group controlled clinical trial aims to investigate the effects of adding cervicothoracic exercises to conventional physiotherapy on pain, functional status, grip strength, and range of motion in individuals with carpal tunnel syndrome (CTS). CTS is a common compressive neuropathy of the median nerve, characterized by pain, numbness, tingling, nocturnal symptoms, and reduced hand function. Sixty adults diagnosed with CTS will be randomly allocated into two groups (n=30 each): a conventional physiotherapy group and a cervicothoracic exercise plus conventional physiotherapy group.
The conventional physiotherapy program includes transcutaneous electrical nerve stimulation (TENS), therapeutic ultrasound, median nerve mobilization, wrist range-of-motion exercises, and strengthening exercises. The intervention group will receive the same conventional physiotherapy program in addition to cervicothoracic exercises targeting cervical mobility, scapular stabilization, and thoracic spine mobility. The intervention will be applied five days per week for six weeks.
Outcome measures will be assessed at baseline and at the end of week 6. Primary outcomes include pain intensity measured by the Visual Analog Scale (VAS), functional status assessed using the Boston Carpal Tunnel Questionnaire (BCTQ), and grip strength measured with a Jamar hand dynamometer. Secondary outcomes include upper extremity function evaluated using the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire and wrist and finger range of motion measured with a goniometer. Data will be analyzed using appropriate statistical methods, with statistical significance set at p<0.05. This study aims to determine whether adding cervicothoracic exercises to conventional physiotherapy provides additional clinical benefits in CTS rehabilitation.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Age over 18
- •Symptom duration of at least 12 weeks,
- •Information about carpal tunnel syndrome received from a physician,
- •Positive Tinel or Phalen test in carpal compression test,
- •Pain intensity, Visual Analog Scale, at least 40 mm out of 100 mm
Exclusion Criteria
- •Any sensory or motor deficit in the ulnar or radial nerve
- •History of previous surgery or injection in the wrist
- •Trauma to the neck, shoulder, or upper extremity
- •Pregnancy
- •Concurrent cervical radiculopathy or polyneuropathy
Arms & Interventions
Arm 1 - Conventional Physiotherapy (Control)
Participants will receive conventional physiotherapy including transcutaneous electrical nerve stimulation (TENS), therapeutic ultrasound, median nerve mobilization, wrist range-of-motion exercises, and strengthening exercises, five days per week for six weeks
Intervention: Conventional Physiotherapy Group (Other)
Arm 2 - Cervicothoracic Exercises + Conventional Physiotherapy
Participants will receive cervicothoracic exercises in addition to conventional physiotherapy. Cervicothoracic exercises will target cervical mobility, scapular stabilization, and thoracic spine mobility. Treatment will be applied five days per week for six weeks.
Intervention: Cervicothoracal Exercise Group (Other)
Outcomes
Primary Outcomes
Boston Carpal Tunnel Syndrome Questionnaire
Time Frame: Assessment will be taken initially and after the intervention (for 6 weeks, 5 days a week).
This questionnaire will be used to measure hand and wrist symptom and function scores in carpal tunnel syndrome. The scale consists of two sub-sections: Symptom Severity and Functional Status. The Symptom Severity Scale evaluates symptoms such as pain, numbness, tingling, and nighttime awakenings, while the Functional Status Scale measures difficulties in daily living activities such as writing, grasping, and carrying objects. Each item is scored between 1 (no complaints) and 5 (very severe complaints); higher scores indicate more symptoms and functional limitations.
Visual Analog Scale
Time Frame: Assessment will be taken initially and after the intervention (for 6 weeks, 5 days a week).
The Visual Analog Scale will be used to assess pain. The Visual Analog Scale is a measurement tool that allows individuals to subjectively assess the intensity of their pain, defined by endpoints of "0 = no pain" and "10 = unbearable pain" on a 10 cm long horizontal line. Participants are asked to mark the point on this line that corresponds to the intensity of the pain they feel. A higher score indicates more severe pain.
Secondary Outcomes
- Disabilities of the Arm Shoulder and Hand (DASH)(Assessment will be taken initially and after the intervention (for 6 weeks, 5 days a week).)
- Jamar Hydraulic Hand Dynamometer (Hand Grip Strength)(Assessment will be taken initially and after the intervention (for 6 weeks, 5 days a week).)
- Goniometer (Wrist Range of Motion)(Assessment will be taken initially and after the intervention (for 6 weeks, 5 days a week).)
Investigators
Zehranur Kaya
Physiotherapist
Medipol University