Treatment Intervention of Patients With Carpal Tunnel Syndrome (CTS)
- Conditions
- Carpal Tunnel Syndrome
- Interventions
- Other: kinesio taping (KT)
- Registration Number
- NCT06464809
- Lead Sponsor
- China Medical University Hospital
- Brief Summary
The purpose of this study was to investigate the effectiveness of KT versus TENS combining self-myofascial stretching in treatment of CTS through clinical, functional assessment and sensory measurements.
Primary hypothesis The KT group has a more substantial improvement in hand grip, pain relief, enhancing proprioceptive sensitivity and dexterity compare to the TENS group. treatment program,
- Detailed Description
Objective: To compare the effectiveness of a home-based treatment program involving Kinesio taping (KT) or transcutaneous electrical nerve stimulation (TENS) among carpal tunnel syndrome (CTS) patients.
Methods:
30 participants with CTS were enrolled, age range, 30 to 60 years. The participants who met the inclusion criteria were randomized into one of two treatment groups: KT group and TENS group. Participants were blinded to the treatments used in the other group.
Patients with CTS received aforementioned treatments compared with reliable qualitative and quantitative evaluation tools before and after 4-week treatment, as well as at a additional 4-week follow-up. The main parameters include the Symptom Severity Scale (SSS) and Functional Status Scale (FSS), hand grip and key pinch strengths, two-point discrimination (2PD), Modified Moberg pick-up test (MMPUT), and Pain assessment (visual analog scale, VAS).
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 30
- numbness and tingling in the median nerve territory of the hand.
- nocturnal paresthesia.
- induction test (Tinel's sign and Phalen's test) showing a positive finding.,
- is defined as mild and moderate CTS according to nerve conduction studies (NCSs).
- is defined severe CTS symptoms.
- are currently pregnant or have any secondary entrapment neuropathy (e.g., diabetes, inflammatory arthritis, hypothyroidism, previous wrist trauma).
- cervical radiculopathy or polyneuropathy.
- previous history of carpal tunnel decompression surgery.
- corticosteroid injection into the carpal tunnel.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description kinesio taping (KT) group kinesio taping (KT) Three precut KT I strips with a width of 5 cm were used. The first strip is applied with the subject's wrist in fully extended hand position. Middle and ring fingers through the holes with the base of the tape as anchored to the knuckles, and then the tape was applied with 15%-25% tension covering the palm and the wrist, and the remainder of the tape without any tension from the wrist up to the forearm. The same process is repeated for the second I-strip, which was applied from the dorsum of the hand to wrist while the wrist in a downward flexed position. The final strip was applied to the carpal tunnel region with 25%-35% tension. transcutaneous electrical nerve stimulation (TENS) group kinesio taping (KT) A portable TENS unit (Gem-Stim, Gemore Technology Co., LTD. Taiwan) was used, and delivered a bi-phasic symmetric waveform at a continuous frequency of 100 Hz and phase duration of 200 µsec. The intensity was gradually adjusted up to a strong but comfortable l level, as reported by the subject. Two electrodes were placed 2 cm apart, respectively attached to the carpal ligament of the affected side and the proximal end along the direction of the median nerve.
- Primary Outcome Measures
Name Time Method Two-point discrimination (2PD) pre-intervention, 4-week intervention, and 4-week follow-up. cutaneous sensory perception threshold. The larger the value of distance, the worse the sensory ability.
Hand grip and key pinch strengths pre-intervention, 4-week intervention, and 4-week follow-up. pinch strength included palmar, three-jaw chuck, tip, and lateral pinches.
Modified Moberg pick-up test (MMPUT) pre-intervention, 4-week intervention, and 4-week follow-up. hand dexterity. The shorter the time, the more dexterity the hand.
The SSS and FSS of the Boston Carpal Tunnel Questionnaire (BCTQ) pre-intervention, 4-week intervention, and 4-week follow-up. Assess symptoms and functional status. The SSS subscale includes 11 items assessing pain, paresthesia, numbness, weakness, nocturnal symptoms and over-all functional status. The FSS subscale includes 8 items assessing the hand function during common daily activities. Each item is scored on a 5-point scale (1-5), from 1(no symptoms) to 5 (the worst symptoms) for SSS, and from 1 (no difficulty) to 5 (cannot perform the activity at all) for FSS. The overall SSS and FSS scores are calculated as the mean of the scores for 11 and 8 individual items respectively, such that the higher the score obtained, the worse the SSS or FSS.
The visual analog scale (VAS) pre-intervention, 4-week intervention, and 4-week follow-up. pain measurement. 100 mm straight line, with 0 mm on the far left and 100 mm on the far right, 0 mm positions It is not painful, and 100 mm is extremely painful.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
China Medical University
🇨🇳Taichung, Taiwan