Effect of Laser Acupuncture on Carpal Tunnel Syndrome Post Aromatase Inhibitors in Breast Cancer Patient .
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Cairo University
- Enrollment
- 54
- Locations
- 1
- Primary Endpoint
- Median Motor Nerve Conduction Study
Study Overview
Brief Summary
The study will be carried out on a total number of fifty-four females with age ranged 40 - 60 years old suffering from CTS post mastectomy ,the patients will be randomly assigned into two groups equal in number (27 patients for each group from Damanhur Medical National institute).
- -Group (A): This group will include 27 patients will receive laser acupuncture technique 3 times per week in addition to traditional physical therapy program (myofascial release, nerve flossing ex., Tendon gliding ex. strengthening ex., ROM ex. and night splint) for 8 weeks.
- -Group (B): This group will include 27 patients will receive traditional physical therapy program (myofascial release, nerve flossing ex., Tendon gliding ex., strengthening ex., ROM ex. and night splint) for 8 weeks.
Detailed Description
The study will be carried out on a total number of fifty-four females with age ranged 40 - 60 years old suffering from CTS post mastectomy , the patients will be randomly assigned into two groups equal in number (27 patients for each group from Damanhur Medical National institute).
- -Group (A): This group will include 27 patients will receive laser acupuncture technique 3 times per week in addition to traditional physical therapy program (myofascial release, nerve flossing ex., Tendon gliding ex. strengthening ex., ROM ex. and night splint) for 8 weeks.
- -Group (B): This group will include 27 patients will receive traditional physical therapy program (myofascial release, nerve flossing ex., Tendon gliding ex., strengthening ex., ROM ex. and night splint) for 8 weeks.
Equipment:
-
Measurement equipment:
-
Nerve Conduction Studies (NCSs)
-
Boston Carpal Tunnel Questionnaire (BCTQ)
-
Hand-Held Dynamometer
-
Therapeutic equipment:
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Investigator)
Eligibility Criteria
- Ages
- 40 Years to 60 Years (Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •The subject selection will be according to the following criteria:
- •Patients' age will be ranged between 40-60 years old.
- •54 Female patients had breast cancer will participate in this study.
- •All patients will have wrist pain and disability post AIS.
- •All patients will suffer from moderate to severe pain.
- •All patients will enroll to the study will have their informed consent
Exclusion Criteria
- •The potential participants will be excluded if they met one of the following criteria:
- •Patients with previous history of fracture at the wrist fracture.
- •History of any arthritis related to wrist.
- •Rheumatoid arthritis wrist secondary to fracture, dislocation,
- •Reflex sympathetic dystrophy and neurological disorder, Malignancy.
- •Epilepsy or any psychological disorders.
Arms & Interventions
LASER acupuncture technique plus traditional physical therapy
Group A: 27 patients ,suffered from CTS post breast cancer treatment with Aromatase inhibitors, will receive Laser acupuncture technique in addition to traditional physical therapy program (myofascial release, nerve flossing ex., Tendon gliding ex. strengthening ex., ROM ex. and night splint)3 times per week for 8 weeks.
Intervention: LASER acupuncture technique (Device)
Traditional physical therapy program
Group (B): 27 patients ,suffered from CTS post breast cancer treatment with Aromatase inhibitors , will receive traditional physical therapy program (myofascial release, nerve flossing ex., Tendon gliding ex., strengthening ex., ROM ex. and night splint) 3 times per week for 8 weeks.
Intervention: Traditional physical therapy (Other)
Outcomes
Primary Outcomes
Median Motor Nerve Conduction Study
Time Frame: 8weeks
With the help of electrode /conducting jelly, the recording was placed closed to motor of Abductor Policis Brevis and referance electrode 3 cm distal at the metacarpophalangeal joint. The ground electrode is placed between stimulation and recording electrode. A supramaximal stimulation was given at first to wrist and then at below. The difference between two latent period in msec gives the time taken by the impulses to travel from the elbow to the wrist.
Median Sensory Nerve Conduction Study:
Time Frame: 8 weeks
The Orthodromic conduction recording was done in this case. Here the recording electrode was placed 3cm proximal to the distal wrist crease 3cm proximal to the recording electrode. The ring electrode were placed in the second and third digit and it was used for stimulation of the nerve with the cathode placed at the proximal inter phalangeal. The grounding electrode was placed between stimulating electrode and grounding electrode.
Secondary Outcomes
- Boston Carpal Tunnel Questionnaire (BCTQ)(8weeks)
- Hand-Held Dynamometer (HHD)(8weeks)
Investigators
Naiera Sabry Mohamed Shams
Physiotherapy Specialist at Damanhur Medical National Institute, EL-Behira, Egypt
Cairo University