Effects on Occupational Performance Through Dorsal Application of Kinesio Tape for Musculoskeletal Disorder - Carpal Tunnel Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 44
- 试验地点
- 1
- 主要终点
- Visual Analog Scale for Pain (VAS Pain)
研究概览
简要总结
This randomized controlled trial graduate student research study will explore the effect of non-surgical intervention of the dorsal application of Kinesio Tape for carpal tunnel syndrome, and forearm wrist hand pain.
详细描述
This randomized controlled trial graduate student research study will explore the effect of non-surgical intervention of the dorsal application of Kinesio Tape for carpal tunnel syndrome, and forearm wrist hand pain. Little evidence exists for an effective non-surgical intervention. Semi-structured interviews will be conducted to explore changes in occupational performance and compliance in order to understand if Kinesio Tape contributed to results and if so, how the participants perceived the interventions.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Participant)
盲法说明
Participants do not know which group they will be randomly assigned
入排标准
- 年龄范围
- 18 Years 至 99 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Adults > 18 years of age
- •Fluent in English
- •Report signs and symptoms of carpal tunnel syndrome
- •Pain, numbness, and tingling of the forearm, wrist, or hand, which worsen at night
- •Demonstrate positive Phalen's Test or Tinel's Test of the affected extremity
排除标准
- •Currently receiving treatment for carpal tunnel syndrome
- •History of surgical carpal tunnel release
- •Diabetes not controlled by medication
- •Radiculopathy ie: cervical radiculopathy, diabetic radiculopathy
- •Thoracic outlet syndrome
- •Allergy to adhesives or compromised skin integrity
- •Past history of traumatic event, surgery, or congenital impairment of the forearm, wrist, or hand
研究组 & 干预措施
Kinesio Tape
Dorsal application of Kinesio Tape to the affected extremity: Approximately 12 inches of Kinesio tape will be applied from the musculotendinous junction of the participant's forearm over digits 1 and 5. Two - 2 inch strips of Kinesio Tape will be applied to the participant's wrists over the volar and dorsal aspects. The Kinesio Tape will remain in place for three days, with the participants returning for skin check by the researchers and re-application by the researchers four times during the course of the study.
A tape removal form will be provided should the participants want to remove it prior to the next visit.
干预措施: Kinesio 12 inch Tape (Device)
Control group
Approximately 4 inch strip of Kinesio Tape will be applied to the scapular spine of the same side as the affected extremity. The Kinesio Tape will remain in place for three days, with the participants returning for skin check by the researchers and re-application four times during the course of the study by the researcher. A tape removal form will be provided should the participants want to remove it prior to the next visit.
干预措施: Kinesio 4 inch Tape (Device)
Standard of Care
Currently, the standard of care is a general cock-up splint and lumbrical exercises. A general cock-up splint will be supplied, fitted, and checked on each of the four return visits by the researchers. Lumbrical exercises are also used and consist of active joint ranges for the wrist and hand. The exercises will be demonstrated by the researchers for 3-sets of 10 times each, daily, to be recorded in a log by the participants.
干预措施: Cock up Splint and Lumbrical exercises (Device)
结局指标
主要结局
Visual Analog Scale for Pain (VAS Pain)
时间窗: 3 weeks
The Visual Analogue Scale (VAS) is unidimensional measure of pain intensity, which has been widely used in diverse adult populations. The VAS measures participants perception of pain on a continuous scale. Individuals place a mark on a 10cm-long line. Using a ruler, the score is determined by measuring the distance (mm) on the 10-cm line between the "no pain" anchor and the patient's mark, providing a range of scores from 0-100. A higher score indicates greater pain intensity. These are measured every 3 days for 3 weeks from baseline in the forearm, wrist and fingers.
Numerical Pain Rating Scale (NRS Pain)
时间窗: change between baseline and 3 weeks
Numerical Pain Rating Scale (NRS Pain) involves patient circling a number from 0-10 with "0" meaning no pain and "5" moderate pain, and "10" is worst possible pain. The NRS is a segmented numeric scale, which a respondent selects a whole number (0-10 integers) that best reflects the intensity of their pain. Higher scores indicate greater pain intensity.
次要结局
- Boston Carpal Tunnel Questionnaire Functional Scale (BCTQ FS)(3-weeks)
- Boston Carpal Tunnel Questionnaire Symptom Severity (BCTQ SS)(change between baseline and 3 weeks)
- Grip Strength and Pinch Strength(change between baseline and 3 weeks)
研究者
Heather Javaherian-Dysinger
Associate Professor
Loma Linda University