Treatment Effects of Transcutaneous Electrical Nerve Stimulation and Kinesio Taping on Hand Functions for Patients With Carpal Tunnel Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- Two-point discrimination (2PD)
研究概览
简要总结
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,
详细描述
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).
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 (Participant)
盲法说明
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.
入排标准
- 年龄范围
- 30 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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).
排除标准
- •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.
结局指标
主要结局
Two-point discrimination (2PD)
时间窗: 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
时间窗: 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)
时间窗: 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)
时间窗: 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)
时间窗: 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.
次要结局
未报告次要终点
研究者
Wei-Hsien Hong
Associate Professor
China Medical University Hospital