Does Cervical Mobilization Have an Effect on Hand Function in Patients With Double Crush Syndrome?

Ahmed Alshimy

Status: Completed

Conditions: Double Crush Syndrome

Treatments: Other: Cervical Mobilization; Other: Traditional physical therapy treatment

Study type: Interventional

Funder types: Other

Identifiers

NCT06493617

P.T.REC/012/003943

Details and patient eligibility

About

All Double Crush Syndrome patients were assessed via VAS, BCTQ & Nerve conduction study before and after the treatment program.

Full description

The patients were classified randomly into two groups, the control group received a standard physical therapy program of nerve glide, hand strengthening exercise and mobilization and the study group they received a cervical mobilization in addition to the standard physical therapy program for 12 sessions.

Enrollment: 30 patients

Sex: Female

Ages: 25 to 35 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Thirty female patients diagnosed as Double Crush Syndrome based on the clinical diagnostic criteria of the American Academy of Neurology, (American Academy of Neurology 2019).
• Patient ages ranged from 25 to 35 years old. Patient who reported pain, hyperesthesia, and/or paresthesia at the course of median nerve distribution and upper limb.
• A Nerve Conduction Study (NCS) evidence of peripheral entrapment of median nerve at level of carpal bone "Carpal tunnel Syndrome" with a fractionated sensory nerve conduction velocity for the median nerve across the wrist of 40 m/s or less and with sensory peak latency > 3.6 ms and recordable and with motor distal latency >4.4 ms and less than 6.5ms.

Exclusion criteria

• Patients had Systemic disease causes double Crush Syndrome as rheumatoid arthritis (RA), thyroid disease, Diabetes mellitus (DM), Pregnant women, Patients with concomitant neurological disease as peripheral neuropathy, Patients with history of wrist surgery, fracture, or carpal tunnel injection in the last two weeks before the study, Patients who have wasting of the thenar muscles, Patients with previous surgery for CTS.
• Patients with complete conduction block on EDX or previous regular exposure to hand-held vibrating tools, Patients with Nerve Conduction Study with motor distal latency > 6.5 ms.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Factorial Assignment

Masking: Double Blind

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30 participants in 2 patient groups

Control Group

Experimental group

Description:

received a standard physical therapy program of nerve glide, hand strengthening exercise and mobilization

Treatment:

Other: Traditional physical therapy treatment

Study Group

Experimental group

Description:

received a cervical mobilization in addition to the standard physical therapy program for 12 sessions

Treatment:

Other: Traditional physical therapy treatment

Other: Cervical Mobilization