Carpal Tunnel Syndrome in Pregnant Women

Completed

• Conditions: Carpal Tunnel Syndrome; Exercise
• Interventions: Behavioral: Tendon and Nerve Gliding Exercises

• Registration Number: NCT03718598
• Lead Sponsor: Bezmialem Vakif University

Brief Summary

The purpose of our study is to evaluate the effectiveness of the home exercise program in patients who develop Carpal tunnel syndrome (CTS).

Detailed Description

Materials and Method: Thirty-three patients with CTS (mild to moderate) were included to randomized, single-blind, controlled clinical trial. Based on EMG results and clinical examination, patient group was divided two part as mild and moderate CTS (group 1) and normal (group 2). The Sick Boston Carpal Tunnel Syndrome Questionnaire form was filled in face-to-face method.

Cases in this study: Patients who had pain and numbness problems at the hands of the Bezmiâlem Vakif University Polyclinic for Women and Obstetrics were then directed to the Bezmiâlem Vakif University Physical Therapy Rehabilitation Policlinic. After the examination and clinical testing of each patient (Tinel test, Phalen's test, Reverse Phalen's and Durkan's Carpal Compression test), the patients were directed to Bezmiâlem Vakif University Neurology Policlinic. Based on electromyography (EMG) results and clinical examination, the group was classified as mild and moderate CTS (group 1) and normal (group 2). A disease exercise form was distributed for all patients to do exercises.

Study Timeline

• Study Start: 2015-01-01
• Primary Completion: 2016-01-01
• Study Completion: 2017-01-01
• Status Verified: 2018-10
• Study First Submitted: 2018-10-23
• Study First Submitted QC: 2018-10-23
• Study First Posted: 2018-10-24
• Last Update Submitted: 2018-10-26
• Last Update Posted: 2018-10-29

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 33

Inclusion Criteria

• Provocation tests during the examination and physical examination to match the median nerve distribution those who have symptoms of numbness, tingling, weakness and pain in the hands that have lasted at least 1 month.
• Patients with confirmed mild-moderate idiopathic CTS on EMG.

Exclusion Criteria

• Previously undergone carpal tunnel surgery
• Gestational diabetes mellitus,
• Eclampsia, preeclampsia
• Thyroid disorders
• Arthropathies
• Hand or wrist trauma
• Bilateral fractures
• Severe cts
• Atrial fibrillation
• Cervical radiculopathy
• Peripheral neuropathy
• Thoracic outlet syndrome
• Diabetes mellitus
• Hypothyroidism
• Hyperthyroidism
• Rheumatologic disease

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Carpal tunnel syndrome	Tendon and Nerve Gliding Exercises	Patients with mild and moderate carpal tunnel syndrome
normal	Tendon and Nerve Gliding Exercises	Patients without mild and moderate carpal tunnel syndrome

Primary Outcome Measures

Name	Time	Method
Sick Boston Carpal Tunnel Syndrome Questionnaire	Patients were evaluated before treatment and 1 month after the birth.	It is a test consisting of two parts evaluating symptom severity (BSSS) and functional capacity (BFCS). BSSS consists of 11 questions for symptoms. In each question there are five different answers with scores between 1 and 5. The average score is obtained by dividing the total score by the number of questions. High score indicates severe symptom. BFCS consists of 8 questions for functional capacity. Again, there are five different answers in each question, ranging from 1 to 5. The average score is obtained by dividing the total score by the number of questions. The high score indicates that the functional capacity decreases. The questionnaire has been validated and tested for Turkish society (15). The questionnaire has been validated and tested for Turkish society (16).