Comparative Study of Effectiveness of Manual Therapy and Extracoropral Shock Wave Therapy in Patients With Carpal Tunnel Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Visual analogue scale
研究概览
简要总结
This study aimed to compare the effectiveness of manual therapy and extracorporeal shock wave therapy in patients with mild to moderate carpal tunnel syndrome.
详细描述
Carpal tunnel syndrome (CTS), the most common peripheral neuropathy in the upper limb, occurs due to the entrapment of the median nerve at the wrist. Treatment options for CTS consist of wrist splints, physical modalities, local corticosteroid injections, and surgical release.
Extracorporeal shockwave therapy (ESWT) is a noninvasive technique that uses single-pulse acoustic waves. These pulses are generated outside the body and focused on a specific part of the body.
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
- 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
- •Both sexes.
- •Patients with mild and moderate carpal tunnel syndrome (CTS).
排除标准
- •Severe cases of CTS.
- •History of carpal tunnel release surgery.
- •Steroid injection in carpal tunnel in the past 6 months.
- •Cases of thoracic outlet syndrome and cervical radiculopathy.
- •Pregnant females.
- •Systemic rheumatic diseases such as rheumatoid arthritis.
- •Hypothyroidism.
- •Patients with bleeding tendency.
研究组 & 干预措施
Group 1
Patients were treated by manual therapy in the form of nerve gliding, soft tissue release, and carpal bone mobilization, three sessions per week for 4weeks.
干预措施: Manual therapy (Other)
Group 2
Patients were treated by extracorporeal shock wave therapy. 4 sessions, one week apart, 2000 pulses per session, intensity 1.6 mj/mm, and frequency 8Hz.
干预措施: Extracorporeal shock wave therapy (Other)
结局指标
主要结局
Visual analogue scale
时间窗: 3 months post-procedure
A visual analogue scale (VAS) via 11-point numerical pain rating scale (0=no pain to 10=maximum pain) was used to assess the current level of pain and hand discomfort
次要结局
- Boston Questionnaire(3 months post-procedure)
研究者
Eman Naser Elsayed Elderby
Resident of Rheumatology, Rehabilitation and Physical Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt.
Tanta University