Effect of Russian Current on Hand Grip Strength and Functional Outcome After Carpal Tunnel Release (CTS)

Cairo University (CU)

Status: Not yet enrolling

Conditions: Carpal Tunnel Syndrome

Treatments: Other: russian current; Other: selected physical therapy program

Study type: Interventional

Funder types: Other

Identifiers

NCT07166029

P.T.REC/012/005964

Details and patient eligibility

About

this study will be conducted to investigate the effect of Russian current on hand grip strength and functional outcome after carpal tunnel release

Full description

Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy syndrome of the upper extremities , the estimated prevalence is 4-5% in the general population ,it occurs due to median nerve compression in carpal tunnel and it is ten times more common in women ,the most common symptoms are numbness and tingling in the radial 3-1/2 finger, night pain, and paresthesias. Although it is most commonly idiopathic, other causes include trauma, oral contraceptive use, pregnancy, arthritis, diabetes hypothyroidism, and repetitive wrist movements. It is well known that distal radius fractures and their sequelae can cause CTS, this suggests that anatomic changes in bony structures of wrist may also contribute to the development of CTS.Russian current (RC), a well-known neuromuscular electrical stimulation operating at 2500 Hz, has demonstrated significant strength improvement over traditional exercises due to its high tolerance and low pain provocation.There are studies about efficacy of Transcutaneous electrical nerve stimulation on wrist pain in patients with CTR but there is lack of literature about efficacy of RC on hand grip strength and function after CTR so this stidu will be conducted.

Enrollment: 52 estimated patients

Sex: All

Ages: 25 to 35 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Fifty-two patients with hand muscles weakness post operative carpal tunnel release ,due to severe carpal tunnel syndrome .
• Patient's age will range from 25 to 35 years.
• Patient's body mass index (BMI) will be less than 30kg/m2.
• Presence of wrist pain associated with hand grip weakness.

Exclusion criteria

• Patients with any other musculoskeletal or neurological disorders in the hand.
• Patients with a history of fractures and dislocations in the hand and wrist.
• Patients with hand deformities and edematous hands.
• Patients with cervical radiculopathy.
• Carpal tunnel syndrome due to conditions like hypothyroidism, rheumatoid arthritis, immunosuppression

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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52 participants in 2 patient groups

russian current

Experimental group

Description:

26 patients will receive Russian current plus a selected physical therapy program three times a week for four weeks.

Treatment:

Other: selected physical therapy program

Other: russian current

selected physical therapy program

Active Comparator group

Description:

26 patients will receive a selected physical therapy program alone three times a week for four weeks.

Treatment:

Other: selected physical therapy program