Efficacy of Laser Acupuncture on Carpal Tunnel Syndrome Following Hand Flexor Tendon Repair
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Symptom Relief:
研究概览
简要总结
The purpose of this study is to determine the efficacy of laser acupuncture in alleviating CTS symptoms following flexor tendon repair in the hand.
详细描述
This study holds significant importance for clinical practice, patient care, and research.
- Clinical Practice: It provides a potential framework for physical therapists to design targeted and effective interventions for laser acupuncture on CTS following flexor tendon repair in the hand.
- Patient Care: Improved rehabilitation outcomes can enhance patients' physical functionality, independence, and overall quality of life, addressing a critical gap in post-operative complications.
- Research Advancement: By contributing to the limited body of literature on laser acupuncture in this context, the study can stimulate further research and innovation in carpal tunnel syndrome following hand flexor tendon repair.
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)
入排标准
- 年龄范围
- 20 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults aged 20-40 years who have undergone flexor tendon repair surgery.
- •Patients who have undergone primary or secondary repair of flexor tendons in the hand at zone 4 (zone of carpal tunnel as it often be complicated by postoperative adhesions due to close quarters and synovial sheath of the carpal tunnel) (Fulchignoni C et al., 2020).
- •Surgery occurred within a specific timeframe, often within 6-12 weeks prior to inclusion (Peters SE, Jha B, Ross M., 2021).
- •Patient have clinical and electro diagnostic evidence of CTS.
- •All patients enrolled to the study will have their informed consent.
排除标准
- •Pre-existing neurological disorders.
- •Systemic illnesses affecting nerve function (e.g., diabetes).
- •Contraindications to laser therapy.
- •Pregnancy or breastfeeding.
- •Active infections or open wounds in the hand or wrist.
- •Previous history of carpal tunnel release surgery or received an injection of steroid for CTS.
- •Previous history of brachial plexus injury or median nerve injury.
- •Other severe neurological or musculoskeletal conditions.
- •Epilepsy or any psychological disorders.
- •Spots over the treated points.
- •Pacemaker or implanted devices.
研究组 & 干预措施
Laser acupuncture
This group includes 30 patients who have had flexor tendon repair surgery and will receive laser acupuncture inform of acupuncture points associated with the median nerve pathway in addition to traditional physical therapy. Patients will receive 3 sessions per week for 8 weeks; each laser acupuncture session lasts 12 minutes, laser applied directly to 12 acupuncture points each point 60 seconds.
干预措施: Laser acupuncture (Device)
Laser acupuncture
This group includes 30 patients who have had flexor tendon repair surgery and will receive laser acupuncture inform of acupuncture points associated with the median nerve pathway in addition to traditional physical therapy. Patients will receive 3 sessions per week for 8 weeks; each laser acupuncture session lasts 12 minutes, laser applied directly to 12 acupuncture points each point 60 seconds.
干预措施: Traditional Therapy (Other)
Traditional therapy
This group includes 30 patients who have had flexor tendon repair surgery and will receive standard postoperative care including physical therapy and medical treatment as needed. Patients will receive 3 sessions per week for 8 weeks; the time of session is 30 minutes according to patient ability.
干预措施: Traditional Therapy (Other)
结局指标
主要结局
Symptom Relief:
时间窗: At baseline and after 8 weeks
Measured by the Visual Analog Scale (VAS) for pain, numbness, and tingling.
次要结局
- - Nerve Conduction Velocity (NCV):(baseline and 8 weeks.)
- - Grip Strength:(Measured at baseline and at the end of the intervention (8 weeks).)
研究者
Mahmoud Adel Abdel-Hakim Amin
Principle Investigator
Cairo University