Effects of Radial Extracorporeal Shock Wave and Kinesio Taping Treatments on Quality of Life, Hand Function and Median Nerve Cross-Sectional Area Measured by Ultrasonography in Patients with Carpal Tunnel Syndrome: a Single-Blind Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 76
- 试验地点
- 1
- 主要终点
- Pain level before treatment, 3rd week and 6th week after treatment
研究概览
简要总结
Carpal Tunnel Syndrome (CTS) is a common upper extremity nerve compression syndrome that causes significant economic and social burden to affected individuals. Although the severity may vary among patients, symptoms such as night pain, transient numbness, tingling, constant pain, muscle weakness, and sleep disturbance may be observed. The treatment of CTS can be grouped as nonsurgical and surgical treatments. The aim of this study is to investigate the effects of treatment with sound waves and a healing method called extracorporeal shock wave therapy and a therapeutic flexible tape called kinesiology taping on pain, grip strength, quality of life, depression symptoms, hand functions, and ultrasonographic median nerve cross-sectional area in patients with CTS.
详细描述
Carpal tunnel syndrome is the most common nerve entrapment syndrome, typically affecting the dominant extremity. Symptoms often become more pronounced at night, and may include numbness, tingling, electric shock sensations, pain, and other related symptoms. Diagnosis can be made based on patient history, physical examination, electrodiagnostic tests, and ultrasonography. Treatment options include splinting, exercise therapy, physical therapy modalities, various injections, and surgical methods.
In our study, we compared the effects of extracorporeal shock wave therapy (ESWT) and kinesiology taping (KT) on carpal tunnel syndrome. The study involved four randomized groups: Group 1 received both ESWT and KT, Group 2 received only ESWT, Group 3 received only KT, and Group 4 received exercise therapy alone. Evaluations were conducted using the Visual Analog Scale, Boston Carpal Tunnel Questionnaire, Douleur Neuropathique 4 Questions, Nottingham Health Profile, grip strength measurements, and median nerve cross-sectional area via ultrasonography. Evaluations were performed three times: before treatment, at week 3, and at week 6.
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)
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
- •Mild to moderate unilateral carpal tunnel syndrome confirmed by electroneuromyography (ENMG)
- •Patients over 18 years of age
- •Symptom duration of at least 3 months
- •Those who have not received any medical treatment other than analgesics in the last 3 months
排除标准
- •Bilateral Carpal Tunnel Syndrome (CTS)
- •Severe CTS detected by ENMG
- •Operated CTS
- •Corticosteroid injection within the last 3 months
- •History of peripheral nerve damage
- •Secondary CTS causes (thyroid dysfunction, connective tissue diseases)
- •Cervical disc herniation
- •DeQuervain tenosynovitis, trigger finger, Dupuytren contracture
- •Inflammatory disorder
- •Bleeding disorder
- •Pregnancy
- •Malignancy
研究组 & 干预措施
Group 3
Those who received KT
干预措施: Kinesio taping (KT) (Other)
Group 3
Those who received KT
干预措施: Exercise (Other)
Group 4
Those who received only exercise
干预措施: Exercise (Other)
Group 1
Those who received both extracorporeal shock wave therapy (ESWT) and kinesio taping (KB)
干预措施: Extracorporeal shock wave therapy (ESWT) (Other)
Group 1
Those who received both extracorporeal shock wave therapy (ESWT) and kinesio taping (KB)
干预措施: Kinesio taping (KT) (Other)
Group 1
Those who received both extracorporeal shock wave therapy (ESWT) and kinesio taping (KB)
干预措施: Exercise (Other)
Group 2
Those who received ESWT
干预措施: Extracorporeal shock wave therapy (ESWT) (Other)
Group 2
Those who received ESWT
干预措施: Exercise (Other)
结局指标
主要结局
Pain level before treatment, 3rd week and 6th week after treatment
时间窗: From enrollment to the end of treatment at 3rd week and 6th week
Pain level will be evaluated with the Visual Analog Scale. (minimum: 0, maximum: 100 mm)
Assessment of symptom severity and functionality
时间窗: From enrollment to the end of treatment at 3rd week and 6th week
The Boston Carpal Tunnel Syndrome Questionnaire (BCTQ) questionnaire was used to assess symptom severity and functionality. It includes 2 subgroups: Symptom Severity Scale (SSS) and Functional Status Scale (FSS). Symptom severity is assessed with 11 questions, and functional status is assessed with 8 questions. Each question is scored from low to high, 1 to 5. As the total score increases, deterioration increases.
Assessment of median nerve cross sectional area by ultrasonography
时间窗: From enrollment to the end of treatment at 3rd week and 6th week
The median nerve cross-sectional area was measured by tracing just proximal to the carpal tunnel entrance with the wrist resting on a table in a neutral position. The carpal tunnel entrance was identified by detecting the proximal side of the transverse carpal ligament. The distal radioulnar joint was also observed at this level.
次要结局
- Assessment of grip strength and lateral pinch strength(From enrollment to the end of treatment at 3rd week and 6th week)
- Assessment of functionality(From enrollment to the end of treatment at 3rd week and 6th week)
- Assessment of neuropathic pain(From enrollment to the end of treatment at 3rd week and 6th week)
- Assessment of depression(From enrollment to the end of treatment at 3rd week and 6th week)
- Assessment of quality of life(From enrollment to the end of treatment at 3rd week and 6th week)
研究者
Selda Çiftci
Medical doctor
Sisli Hamidiye Etfal Training and Research Hospital