Effectiveness of Manual Therapy and Extracoropral Shock Wave Therapy in Patients With Carpal Tunnel Syndrome

Tanta University

Status: Completed

Conditions: Carpal Tunnel Syndrome; Manual Therapy; Extracoropral Shock Wave Therapy

Treatments: Other: Extracorporeal shock wave therapy; Other: Manual therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT07074509

36208/12/22

Details and patient eligibility

About

This study aimed to compare the effectiveness of manual therapy and extracorporeal shock wave therapy in patients with mild to moderate carpal tunnel syndrome.

Full description

Carpal tunnel syndrome (CTS), the most common peripheral neuropathy in the upper limb, occurs due to the entrapment of the median nerve at the wrist. Treatment options for CTS consist of wrist splints, physical modalities, local corticosteroid injections, and surgical release.

Extracorporeal shockwave therapy (ESWT) is a noninvasive technique that uses single-pulse acoustic waves. These pulses are generated outside the body and focused on a specific part of the body.

Enrollment: 40 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Both sexes.
• Patients with mild and moderate carpal tunnel syndrome (CTS).

Exclusion criteria

• Severe cases of CTS.
• History of carpal tunnel release surgery.
• Steroid injection in carpal tunnel in the past 6 months.
• Cases of thoracic outlet syndrome and cervical radiculopathy.
• Pregnant females.
• Systemic rheumatic diseases such as rheumatoid arthritis.
• Hypothyroidism.
• Patients with bleeding tendency.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

Group 1

Active Comparator group

Description:

Patients were treated by manual therapy in the form of nerve gliding, soft tissue release, and carpal bone mobilization, three sessions per week for 4weeks.

Treatment:

Other: Manual therapy

Group 2

Experimental group

Description:

Patients were treated by extracorporeal shock wave therapy. 4 sessions, one week apart, 2000 pulses per session, intensity 1.6 mj/mm, and frequency 8Hz.

Treatment:

Other: Extracorporeal shock wave therapy