Impact of Technical Aids in the Occurrence of Carpal Tunnel Syndrome in Patients Undergoing Rehabilitation
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Boston Carpal Tunnel Questionnaire
研究概览
简要总结
The purpose of this study is to assess the impact of the use of technical walking aids in the adult population undergoing rehabilitation by evaluating clinical, electrophysiological, and iconographic parameters before and after the use of these devices.
详细描述
The current evidence indicates that the short-term use of walking aids elicits pressure-induced anatomical changes of the median nerve and that long-term use of walking aids leads to a significant percentage of stroke patients developing clinical symptoms of carpal tunnel syndrome. We will investigate the consequences of using technical walking aids for gait in a broader population of rehabilitation patients. The rehabilitation setting per se may be considered a useful clinical 'human pathological model' for peripheral nerve entrapment. Recruited patients will be naïve to previous use of walking aids and de novo will start using them for gait rehabilitation, regardless of the underlying disease. This intervention model will allow us to identify clinical, electrophysiological, and anatomical changes of the median nerve due to the daily direct pressure elicited by walking aids. We consider that a one-month duration of use of walking aids is needed to observe detectable changes in electrophysiological and ultrasonographical assessment to elicit entrapment neuropathies in patients prone to developing them.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Screening
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •admitted into an in-patient rehabilitation unit
- •Functional Ambulation Category ≥ 1
- •de novo need for a walking aid
- •at least one functional upper limb
- •expected duration of need for walking aid at least one month
排除标准
- •less than 18 years old
- •current use of walking aid or use of a walking aid less than 6 months ago)
- •difficulty filling out questionnaires or understanding instructions in French
- •medical contraindications to the use of walking aids
- •refusal to sign the consent form.
研究组 & 干预措施
patient
Rehabilitation patients using a technical walking aid will be followed up for development of carpal tunnel syndrome
干预措施: nerve conduction study (Diagnostic Test)
patient
Rehabilitation patients using a technical walking aid will be followed up for development of carpal tunnel syndrome
干预措施: ultrasonography wrists (Diagnostic Test)
patient
Rehabilitation patients using a technical walking aid will be followed up for development of carpal tunnel syndrome
干预措施: Boston carpal tunnel questionnaire (Diagnostic Test)
patient
Rehabilitation patients using a technical walking aid will be followed up for development of carpal tunnel syndrome
干预措施: clinical provocative tests for carpal tunnel syndrome (Diagnostic Test)
结局指标
主要结局
Boston Carpal Tunnel Questionnaire
时间窗: one month
The Boston Carpal Tunnel Questionnaire comprises two separate scales: the Symptom Severity Scale (SSS), which consists of 11 questions, and the Functional Status Scale (FSS), which consists of 8 items and requires respondents to score the difficulty of each item on a five-point scale. A final score is calculated for each scale (the sum of the individual scores divided by the number of items) and ranges from 1 to 5, with a higher score indicating a more severe handicap.
次要结局
- cross-sectional area of median nerve on ultrasound(one month)
- PADUA score(one month)
- amplitude of sensory nerve potential of the ulnar nerve(one month)
- clinical provocative tests of the median nerve(one month)
- cross-sectional area of ulnar nerve on ultrasound(one month)
- Need for treatment of carpal tunnel syndrome(one month)