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Sleep Quality in Carpal Tunnel Syndrome, Splinting and Kinesiotaping

Not Applicable
Completed
Conditions
Carpal Tunnel Syndrome
Interventions
Device: splint
Registration Number
NCT06514625
Lead Sponsor
Konya Beyhekim Training and Research Hospital
Brief Summary

The effect of conservative treatments on sleep quality in carpal tunnel syndrome is unclear.

Comparing the effect of splinting and kinesiotaping in carpal tunnel syndrome on functional status, pain, grip strength, nerve cross-sectional area and sleep quality.

Participants were divided into 3 groups. One group received night splint and nerve tendon gliding exercises, one group received kinesiotaping and nerve tendon gliding exercises, and one group received only nerve tendon gliding exercises. Participants were evaluated by a blinded investigator at baseline and at 3 months by Visual Analogue Scale (VAS), Boston Carpal Tunnel Syndrome Questionnaire, Pittsburgh Sleep Quality Index (PSQI), Jamar hand dynamometer and ultrasonography.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
90
Inclusion Criteria

Not provided

Exclusion Criteria
  • Inflammatory disease (rheumatoid arthritis, tendinitis, etc.),
  • Osteoarthritis in the hand/wrist,
  • Musculoskeletal conditions (hand, elbow, wrist),
  • Thyroid disease
  • Chronic kidney failure
  • Carpal tunnel syndrome surgery,
  • History of surgery and/or trauma to the upper extremity and neck.
  • Pregnancy or diabetes-related carpal tunnel syndrome,
  • Receiving any treatment for carpal tunnel syndrome (splint therapy, electrophysical agents, exercise, local corticosteroid injection) up to 3 months prior to the tests.

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
exercisesplintNerve tendon gliding exercises were taught practically by an experienced physiotherapist. Participants were asked to do three sets of 10 repetitions every day for one month. Tendon gliding exercises were performed by bringing the hand into five different positions: regular grip, hook grip, punch, tabletop, and regular punch. Nerve gliding exercises were performed by bringing the fingers and wrist into six different positions: fingers and thumb in flexion with the wrist in neutral position, fingers and thumb in extension with the wrist in neutral position, thumb in neutral position with the wrist and fingers in extension, wrist, fingers, and thumb in extension, forearm in supination, and gentle stretching of the thumb with the other hand. Patients were given a thirty day exercise diary.
kinesiotaping and exercisesplintKinesiotaping was applied twice a week for a total of 8 sessions for 4 weeks. Taping was performed with a "neural technique" for the median and "field correction technique" for releasing the carpal tunnel. The elbow was positioned in full extension, the forearm in supination, and the wrist in 30 extension. I tape was used for neural technique. Tape was applied to the skin along the median nerve from the second and third metacarpophalangeal joints to five centimetres distal to the medial epicondyle. For the area correction technique, the I tape, which is half of the wrist circumference, was heavily stretched to the volar side of the wrist and the middle 1/3 part was taped without stretching the edges.
splint and exercisesplintThe patient was asked to wear the fabricated splint that fixes the wrist in the neutral position every night and during the day as much as possible
Primary Outcome Measures
NameTimeMethod
median nerve cross-sectional areaat baseline and third month

Measured at the wrist by ultrasonography.

sleep qualityat baseline and third month

Evaluated with "The Pittsburgh Sleep Quality Index ".

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Konya Beyhekim Research and Training Hospital

🇹🇷

Konya, Selçuklu, Turkey

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