Comparative Effects of Sensory Re-education and Neural Mobilization in CTS Patients

Riphah International University

Status: Not yet enrolling

Conditions: Carpal Tunnel Syndrome (CTS)

Treatments: Other: Sensory re-education+ strengthening exercises+ kinesio taping; Other: Neural mobilization+ Strengthening exercises+ Kinesio taping.

Study type: Interventional

Funder types: Other

Identifiers

NCT06686212

REC/RCR&AHS/24/0233

Details and patient eligibility

About

The aim of study is to compare the effects of sensory re-education and neural mobilization in CTS patients.

Full description

This study will be randomized clinical trial that will be conducted at Services Hospital Lahore and Government Teaching Hospital Shahdara. In this study 48 participants with CTS will be included as per sample size calculation through non-probability convenience sampling technique. Participants that achieve the required standards of inclusion and exclusion criteria will be randomly allocated using online randomization tool into two groups. Group A will receive Sensory Re-education therapy, strengthening exercises and Kinesio taping for 60 minutes, Group B will be given neural mobilization techniques, strengthening exercises and Kinesio taping for 60 minutes with short rest intervals. Both treatments will be given 3 days per week for 12 weeks.

Enrollment: 48 estimated patients

Sex: All

Ages: 20 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients of both genders age 20-50 years with mild and moderate carpal tunnel syndrome.
• Patients having positive score on CTS specific test (Phalen's test and Tinel's test).
• Patients with pain, paresthesia and hyperesthesia at the course of median nerve.
• Patients that are clinically diagnosed with carpal tunnel syndrome by physician. Patients having BMI >25 (kg/m2).

Exclusion criteria

• Patients with polyneuropathies.
• Patients with carpal tunnel syndrome due to any systemic illness (diabetes mellitus, thyroid diseases and R.A).

Patients having cervical radiculopathy.

Patients with history of wrist fracture.

Patients getting steroid injections and after CTS surgery.

Obese and pregnant female with carpal tunnel syndrome.

Patients with any cognitive or neurological problems are excluded from study.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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48 participants in 2 patient groups

Group A: Sensory re-education program, strengthening exercises and kinesio taping

Experimental group

Description:

The patient will be given a session of 60 minutes 3 days in a week which includes : Splinting (15 minutes), Topical anesthesia spray (10 minutes ) and wrist massage (10 minutes). * PNF using upper extremity (D2) pattern (5 minutes). * Strengthening exercises (20 minutes) and Kinesio taping for 12 weeks.

Treatment:

Other: Sensory re-education+ strengthening exercises+ kinesio taping

Group B:Neural mobilization of median nerve, strengthening exercises and kinesio taping.

Experimental group

Description:

The patient will be given a session of 60 minutes 3 days in a week which includes: ,Median nerve mobilization through various steps of gliding. (30 minutes). * Free the bird exercise. (10 minutes). * Strengthening exercises (20 minutes) and kinesio taping for 12 weeks.

Treatment:

Other: Neural mobilization+ Strengthening exercises+ Kinesio taping.