Effect of Neurodynamic Mobilization on Median Nerve Conduction Velocity in Carpal Tunnel Syndrome

Cairo University (CU)

Status: Not yet enrolling

Conditions: Median Nerve Entrapment; Carpal Tunnel Syndrome

Treatments: Other: Neurodynamic mobilization; Other: conventional Treatment

Study type: Interventional

Funder types: Other

Identifiers

NCT05788471

Raghda Ahmed_PhD

Details and patient eligibility

About

The purpose of this study is to examine:

1. The effect of neurodynamic mobilization on the sensory and motor median nerve conduction velocity in carpal tunnel syndrome.
2. The effect of neurodynamic mobilization on the wrist pain in carpal tunnel syndrome.
3. The effect of neurodynamic mobilization on the hand function in carpal tunnel syndrome.

Full description

The findings of this study will provide physiotherapists with information to know if neurodynamic mobilization techniques is effective on median nerve conduction velocity in carpal tunnel syndrome also this will improve our body of knowledge about the best modalities for treating carpal tunnel syndrome. The finding of this study may help carpal tunnel syndrome patients to avoid the exposing to complications as a result of compression of median nerve in carpal tunnel syndrome.

Enrollment: 40 estimated patients

Sex: All

Ages: 20 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Forty carpal tunnel syndrome patients.
• All participants referred from a physician.
• Their ages range from 20-50 years old.
• Both genders will participate in the study.
• Their BMI ranges between 18.5-24.9kg/m2.
• All participants have carpal tunnel syndrome at least in one hand.
• All participants suffering from mild to moderate carpal tunnel syndrome.

Exclusion criteria

• Previous or current disease or trauma that might affect one or both upper limbs.
• Metabolic diseases that might associated with entrapment neuropathy such as diabetes mellitus, thyroid diseases, and autoimmune diseases.
• Pregnant women.
• Participants with congenital hand deformities.
• History of hand surgery.
• Sever cases of carpal tunnel syndrome that suffering from weakness of hand grip and atrophy of thenar muscle.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

40 participants in 2 patient groups

Conventional treatment group

Active Comparator group

Description:

Twenty patients will receive conventional treatment in the form of superficial heat, ultrasound with freq of 1 MHz, pulsed mode 1:4 for 5 min and stretching exercise to lumbrical muscles of the hand.

Treatment:

Other: conventional Treatment

Neurodynamic mobilization therapy group

Experimental group

Description:

Twenty patients will receive neurodynamic mobilization therapy (upper limb tension test 1) in addition to conventional treatment.

Treatment:

Other: Neurodynamic mobilization

Other: conventional Treatment