Post Burn Cubital Tunnel Syndrome Response to High Intensity Laser Therapy Versus Shock Wave Therapy

Ahram Canadian University

Status: Enrolling

Conditions: Post Burn Cubital Tunnel Syndrome

Treatments: Other: Ulnar nerve gliding exercises.; Device: Shock Wave therapy; Device: High intensity laser therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT07102992

HILT-SHWT 2025

Details and patient eligibility

About

Significant morbidity in burn patients occurs frequently because of Post burn nerve entrapment syndromes. Nerve entrapment arises due to direct compression because of edema; they may also present due to scar tissue formation.

Burns of the forearm and elbow are associated with swelling, redness and pain. In second to third-degree burns, the eschar forms a tight band constricting the circulation distally and forms edema that leads to compression neuropathy of ulnar nerve. Also the hyper metabolic response of the burned patients, has been suggested as a cause of the peripheral neuropathies, as the basal metabolic rate (B.M.R) of the burned patients increase more than 2 to 2.5 times normal.

Full description

Significant morbidity in burn patients occurs frequently because of Post burn nerve entrapment syndromes. Nerve entrapment arises due to direct compression because of edema; they may also present due to scar tissue formation.

Burns of the forearm and elbow are associated with swelling, redness and pain. In second to third-degree burns, the eschar forms a tight band constricting the circulation distally and forms edema that leads to compression neuropathy of ulnar nerve. Also the hyper metabolic response of the burned patients, has been suggested as a cause of the peripheral neuropathies, as the basal metabolic rate (B.M.R) of the burned patients increase more than 2 to 2.5 times normal.

Cubital tunnel syndrome is the second most common entrapment neuropathy of the upper extremity, after carpal tunnel syndrome

Enrollment: 75 estimated patients

Sex: All

Ages: 20 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Age 20-50 years.
2. Both sexes.
3. Post healed elbow burn.
4. Diagnosed with cubital tunnel syndrome.
5. Willing and able to provide informed consent.

Exclusion criteria

1. Patients with brachial plexopathy.
2. C8-T1 radiculopathy, polyneuropathy.
3. Previous elbow fractures or operation.
4. Systemic diseases such as diabetes mellitus, malignancy, and active infection.
5. Patients with any contraindications to high intensity laser therapy or shock wave therapy.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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75 participants in 3 patient groups

High intensity laser therapy

Experimental group

Description:

Device: High intensity laser therapy 25 Patients

Treatment:

Device: High intensity laser therapy

Other: Ulnar nerve gliding exercises.

Shock Wave therapy

Active Comparator group

Description:

Extracorporeal shock wave therapy, 25 patients

Treatment:

Device: Shock Wave therapy

Other: Ulnar nerve gliding exercises.

Ulnar nerve gliding exercises.

Active Comparator group

Description:

Ulnar nerve gliding exercises, 25 patients

Treatment:

Other: Ulnar nerve gliding exercises.