Investigation of the Effects of Two Different Physiotherapy Modalities on Median Nerve Thickness, Electrophysiological Activity, Pain Intensity and Quality of Life in Patients With Carpal Tunnel Syndrome - An Observational Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- Median Nerve Thickness
研究概览
简要总结
The study plans to include a total of 60 patients diagnosed with carpal tunnel syndrome. Patients will be divided into two groups according to the treatment they receive. One group will receive only paraffin treatment, while the other group will receive only ESWT treatment. ESWT will be applied for a total of 5 sessions. Paraffin will be applied for a total of 10 sessions. As assessment tools;
- Measurement of median nerve thickness with ultrasound
- Electromyography
- Visual Analog Scale
- Short Form-36
Evaluations will be made twice by a specialist physician before and after the treatments.
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
- None
入排标准
- 年龄范围
- 30 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Individuals between the ages of 30-60 who have been diagnosed with CTS by a specialist physician according to international criteria (Those between Stages 1-3),
- •Those who have complaints of numbness, tingling, and pain in the first three fingers and half of the fourth finger,
- •Phalen Test and Tinel sign or Durkan Test being positive
- •Patients who will receive 5 sessions of ESWT application prescribed by a Physical Medicine and Rehabilitation Specialist Physician (for the ESWT group)
- •Patients who have been recommended 10 sessions of Paraffin application by a Physical Medicine and Rehabilitation Specialist Physician (for the Paraffin group)
排除标准
- •Presence of atrophy in the thenar muscles,
- •Insufficient sensory and motor response in the median nerve,
- •History of hand and/or wrist injury or surgery,
- •Those with cervical stenosis, cervical spondylosis, or cervical radiculopathy,
- •Corticosteroids in the carpal tunnel area within the last six months those who have had an injection,
- •Pregnancy or diabetes, renal failure, rheumatoid arthritis or hypothyroidism
研究组 & 干预措施
Paraffin
干预措施: Paraffin Bath (Other)
ESWT
干预措施: Extracorporeal Shock Wave Therapy (Other)
结局指标
主要结局
Median Nerve Thickness
时间窗: 5 days later for the first ESWT intervention and 10 days later for the first Paraffin Intervention
Median nerve thickness will be measured by ultrasound
Median Nerve Thickness
时间窗: 5 days later for the first ESWT intervention and 10 days later for the first Paraffin Intervention
Median nerve thickness will be measured by ultrasound
Median Nerve Thickness
时间窗: Baseline
Median nerve thickness will be measured by ultrasound
次要结局
- Electromyography(Baseline)
- Visual Analog Scale(5 days later for the first ESWT intervention and 10 days later for the first Paraffin Intervention)
- Short Form-36(5 days later for the first ESWT intervention and 10 days later for the first Paraffin Intervention)
- Electromyography(Baseline)
- Visual Analog Scale(5 days later for the first ESWT intervention and 10 days later for the first Paraffin Intervention)
- Short Form-36(5 days later for the first ESWT intervention and 10 days later for the first Paraffin Intervention)
- Visual Analog Scale(Baseline)
- Short Form-36(Baseline)
研究者
Emre Şenocak
Assistant Professor
Karadeniz Technical University