Effect of Neurodynamic Exercises and Education Program Applied With Virtual Reality Assisted Telerehabilitation Method in Conservative Treatment of Carpal Tunnel Syndrome

Istanbul University

Status: Completed

Conditions: Median Nerve Entrapment; Peripheral Neuropathy; Carpal Tunnel Syndrome

Treatments: Behavioral: Neurodynamic Exercises and Patient Education with Traditional Method; Behavioral: Virtual Reality Assisted Neurodynamic Exercises and Patient Education with Telerehabilitation Method

Study type: Interventional

Funder types: Other

Identifiers

NCT05821127

Istanbul University, Turkey

Details and patient eligibility

About

The aim in this prospective, randomized and controlled, single-blind study; In the conservative treatment of patients diagnosed with carpal tunnel syndrome, to investigate the effects of neurodynamic exercises that applied with nonimmersive virtual reality technology and patient education program presented by the telerehabilitation method on pain-numbness, functional status and quality of life, to compare the effects of neurodynamic exercises that applied with traditional methods and standard education given to patients in outpatient clinic conditions on the same parameters.

Enrollment: 60 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 18-65 years
• Being diagnosed with CTS clinically and electrophysiologically

Exclusion criteria

• <18 years or >65 years
• Distal motor latency > 6.0 msn.
• Thenar atrophy
• Surgery history for CTS
• Steroid injection for CTS
• Physical treatment for CTS in the last 6 months
• Cervical radiculopathy
• Tenosynovitis
• Peripheral polyneuropathy
• Another compressive neuropathy in the ipsilateral upper extremity
• History of trauma/fracture to the hand-wrist region
• Pregnancy
• Metabolic disease
• Rheumatic/autoimmune disease
• Kidney failure
• Lack of internet access
• Not having the equipment to make video calls at home

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 2 patient groups

Virtual Reality Assisted Neurodynamic Exercises and Patient Education with Telerehabilitation Method

Experimental group

Description:

Patient education was provided in 3 sessions via telerehabilitation method, and exercises were provided with virtual reality support. It was requested that the exercises be done in 6 sets (30 repetitions) every day. Participants were given a splint, exercise brochure, and exercise diary for use at night.

Treatment:

Behavioral: Virtual Reality Assisted Neurodynamic Exercises and Patient Education with Telerehabilitation Method

Neurodynamic Exercises and Patient Education with Traditional Method

Active Comparator group

Description:

Participants were given a single session of face-to-face training on the same topics, and were given a splint, exercise brochure and exercise diary to be used at night.

Treatment:

Behavioral: Neurodynamic Exercises and Patient Education with Traditional Method