Effects of Pain Neuroscience Education and Standard Rehabilitation Regime in Patients of Carpal Tunnel Syndrome

Not Applicable

Recruiting

• Conditions: Wrist Injuries; Carpal Tunnel Syndrome
• Interventions: Other: standard Rehabilitation regime; Other: Pain Neuroscience education and standard rehabilitation regime

• Registration Number: NCT06509633
• Lead Sponsor: Riphah International University

Brief Summary

The aim of this study is to check the effects of Pain Neuroscience education and standard rehabilitation regime in patients of carpal tunnel syndrome.

Detailed Description

In 2017 a stud assessed effectiveness of standard conservative protocol of CTS and nerve mobilization along with and without PNE and documented that standard conservative care seems to be the most appropriate option for pain relief, although neuroscience education might be a complementary option to accelerate recovery of function. More high-quality research is still necessary to determine its effectiveness and the subgroups of patients who may respond better to this treatment.

In 2019 a study was done to assess the effect of PNE and standard rehabilitation exercises on the 41 patients of CTS. The experimenting group was given one session of PNE plus exercises and the control group was given exercise therapy only. Patients were randomly allocated and double blinded. The analysis of study showed better results with experimental group rather than control group.

Many studies have found the effects of standard rehabilitation of Carpal Tunnel syndrome and their results in controlling pain and dysfunction. However as per researchers' knowledge little literature is available on effects of pain neuroscience education and standard rehabilitation regime in carpal tunnel syndrome. Therefore, this study6 is going to determine the effects of effectiveness of Pain Neuroscience education and standard rehabilitation regime in patients of carpal tunnel syndrome.

Study Timeline

• Study Start: 2024-02-01
• Status Verified: 2024-07
• Study First Submitted: 2024-07-15
• Study First Submitted QC: 2024-07-18
• Last Update Submitted: 2024-07-18
• Study First Posted: 2024-07-19
• Last Update Posted: 2024-07-19
• Primary Completion: 2024-10-10
• Study Completion: 2024-11-10

Recruitment & Eligibility

• Status: RECRUITING
• Sex: Female
• Target Recruitment: 30

Inclusion Criteria

• age between 20_40 years old.
• Medical diagnosis of moderate to severe CTS.
• Symptoms of CTS since 1month
• Unilateral or bilateral symptoms
• Availability and access to the hospital.

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Exclusion Criteria

• Inability to understand instructions, neurological conditions of the central nervous system (e.g. stroke, spinal cord injury)
• Patients on treatment with alternative therapies
• Previous participation in a research program
• Previous surgery on the affected upper limb

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
standard Rehabilitation regime	standard Rehabilitation regime	Patient will get only nerve gliding and wrist forearm muscle stretching exercises.
Pain Neuroscience education and Standard Rehabilitation regime	Pain Neuroscience education and standard rehabilitation regime	Patients will get standard treatment of CTS, which is nerve gliding, stretchings of forearm and wrist muscles and wrist mobilization along with pain neuroscience education.

Primary Outcome Measures

Name	Time	Method
Numeric pain rate scale (NPRS)	4th week	Patient level of pain will be assessed using this scale. This scale ranges from 0 to 10. 0 indicates "no pain" and 10 indicates "worst pain.

Secondary Outcome Measures

Name	Time	Method
Pain Catastrophizing Scale (PCS)	4th week	The Pain Catastrophizing Scale (PCS) was used to measure catastrophic thinking in response to pain through 13 statements with four possible options, from 1 "not at all" to 4 "all the time".

Trial Locations

Locations (1)

Absaar medical center; 🇵🇰 Lahore, Punjab, Pakistan