Pulsed Magnetic Field Versus Ultrasound in Treatment of Postnatal Carpal Tunnel Syndrome: Randomized Control Trial on Female Egyptian Population
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 55
- 主要终点
- Pain intensity
研究概览
简要总结
Carpel tunnel syndrome (CTS) is very common complain during pregnancy with high percentage to continue postnatal. Conservative treatment is more recommended in these cases. There are many physical therapy modalities proposed to treat CTS without knowing which modality is better than the other. So the aim of this study to compare the effect of two modalities in treating CTS in postnatal females.
详细描述
Carpal tunnel syndrome (CTS) is one of the most common peripheral nerve entrapment disorders in the upper limb. CTS is common during pregnancy especially in the third trimester as well, a significant percentage of females postnatal may still have some complaints up to at least 3 years postnatal.
Purpose: To compare the effect of pulsed magnetic field (PEMF) versus ultrasound (US) in treating patients with CTS. Forty postnatal female patients with idiopathic CTS were assigned randomly into two equal groups. One group received PEMF with nerve and tendon gliding exercises for the wrist 3 times for week for 4 weeks. The other group received US plus the same exercises. Pain level, sensory and motor distal latencies of the median nerve (MSDL and MMDL), sensory and motor conduction velocities of the median nerve (MSCV and MMCV), functional status scale and hand grip strength were assessed pre and post treatment
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
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 25 Years 至 35 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Mild to moderate CTS
- •Positive electro diagnostic findings: prolonged median motor distal latency (MMDL) above 4 ms, and below 6ms.
- •Prolonged median sensory distal latency above 3.5 ms .
- •Positive Phalen and Tinel test.
- •Subjects scored pain intensity more than 5 in visual analogue scale (VAS).
排除标准
- •severe cases with delayed motor distal latency > 6ms.
- •Orthopedic or neurological disorders of neck or the upper limb as cervical radiculopathy.
- •Pronator teres syndrome or double crush syndrome.
- •Pre- existing CTS before their last pregnancy, current pregnancy.
- •Diabetic neuropathy and Thoracic outlet syndrome.
- •Wasting of thenar muscles, ulnar neuropathy.
- •Rheumatoid arthritis, previous fractured carpal bone and previous surgery in the forearm especially transverse ligament release
结局指标
主要结局
Pain intensity
时间窗: 4 weeks change from the baseline scores
it measured by the Visual Analogue Scale (VAS).It is considered a valid way of assessing pain
次要结局
- Functional status scale(4 weeks change from the baseline scores)
研究者
Dr. Dalia Mohamed Kame
Associate Professor of Physical Therapy
Cairo University