Effect of Russian Current on Hand Grip Strength and Functional Outcome After Carpal Tunnel Release
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 52
- 试验地点
- 1
- 主要终点
- hand grip strength
研究概览
简要总结
this study will be conducted to investigate the effect of Russian current on hand grip strength and functional outcome after carpal tunnel release
详细描述
Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy syndrome of the upper extremities , the estimated prevalence is 4-5% in the general population ,it occurs due to median nerve compression in carpal tunnel and it is ten times more common in women ,the most common symptoms are numbness and tingling in the radial 3-1/2 finger, night pain, and paresthesias. Although it is most commonly idiopathic, other causes include trauma, oral contraceptive use, pregnancy, arthritis, diabetes hypothyroidism, and repetitive wrist movements. It is well known that distal radius fractures and their sequelae can cause CTS, this suggests that anatomic changes in bony structures of wrist may also contribute to the development of CTS.Russian current (RC), a well-known neuromuscular electrical stimulation operating at 2500 Hz, has demonstrated significant strength improvement over traditional exercises due to its high tolerance and low pain provocation.There are studies about efficacy of Transcutaneous electrical nerve stimulation on wrist pain in patients with CTR but there is lack of literature about efficacy of RC on hand grip strength and function after CTR so this stidu will be conducted.
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 (Outcomes Assessor)
盲法说明
opaque sealed envelope
入排标准
- 年龄范围
- 30 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Fifty-two patients with hand muscles weakness post operative carpal tunnel release ,due to severe carpal tunnel syndrome .
- •Patient's age will range from 30 to 50 years.
- •Patient's body mass index (BMI) will be less than 30kg/m
- •Presence of wrist pain associated with hand grip weakness.
排除标准
- •Patients with any other musculoskeletal or neurological disorders in the hand.
- •Patients with a history of fractures and dislocations in the hand and wrist.
- •Patients with hand deformities and edematous hands.
- •Patients with cervical radiculopathy.
- •Carpal tunnel syndrome due to conditions like hypothyroidism, rheumatoid arthritis, immunosuppression
研究组 & 干预措施
russian current
26 patients will receive Russian current plus a selected physical therapy program three times a week for four weeks.
干预措施: russian current (Other)
russian current
26 patients will receive Russian current plus a selected physical therapy program three times a week for four weeks.
干预措施: selected physical therapy program (Other)
结局指标
主要结局
hand grip strength
时间窗: up to four weeks
hand grip strength will be measured by hand held dynamometer.
fine and gross hand function
时间窗: up to four weeks
jebsen taylor hand test will be used to assess fine and gross hand function.this test includes series of seven subtests representing fine motor, nonweighted and weighted hand function in ADL, which includes printing a 24-letter, third-grade reading difficulty sentence, Turning over 7.6×12.7 cm (3×5-inch) cards (simulated page turning), Picking up small, common objects (e.g. pennies, paper clips, bottle caps) and placing them in a container,Stacking checkers (test of eye-hand co-ordination),Simulated feeding, Moving large empty cans, Moving large weighted \[0.45 kg (l lb)\] cans.The subtests are scored by recording the number of seconds required to complete each test
hand function
时间窗: up to four weeks
hand function will be measured by boston carpal tunnel questionnaire.The Boston Carpal Tunnel Questionnaire (BCTQ) is a patient-reported questionnaire used to assess symptoms and functional limitations in people with carpal tunnel syndrome (CTS). It consists of two modules: an 11-item Symptom Severity Scale (SSS) and an 8-item Functional Status Scale (FSS), which are scored independently on a 1-to-5 Likert scale.A mean score between 1 and 5 is generated for both the SSS and FSS, with higher scores indicating more severe symptoms or greater functional limitation.
次要结局
- pain intensity(up to four weeks)
- wrist range of motion(up to four weeks)
研究者
Nawal Sayed Ahmed Ibrahim Ahmed
principle investigator : nawal sayed ahmed ibrahim ahmed
Cairo University