Effects of Neuro-dynamic Mobilization Techniques on Upper Limb Functions in Pronator Teres Syndrome

Riphah International University

Status: Completed

Conditions: Pronator Teres Syndrome

Treatments: Other: Conventional Therapy for Upper limb; Other: Upper limb Neuro-dynamics (Slider/ Tensioner Technique)

Study type: Interventional

Funder types: Other

Identifiers

NCT06009692

Umaira Sattar

Details and patient eligibility

About

The study aimed to determine the effects of neuro-dynamic techniques on upper limb motor and sensory functions and to compare the effects of slider versus tensioner neuro-dynamic techniques on upper limb motor and sensory functions in pronator teres syndrome.

Full description

The study aimed to determine the effects of neuro-dynamic techniques on upper limb motor and sensory functions and to compare the effects of slider versus tensioner neuro-dynamic techniques on upper limb motor and sensory functions in pronator teres syndrome.

Pronator teres syndrome is a rare condition and easily overlooked and mistaken for the more prevalent carpal tunnel syndrome. The median nerve may also be squeezed between the heads of the pronator teres muscle in addition to the carpal tunnel. Patients report pain, numbness, or paresthesia over the lateral 3.5-digit area and anterior forearm, which worsens with forced pronation. This condition is most common in the dominant hand or sometimes can be associated with advanced forearm muscle.in our routine clinical practice, The neuro-dynamic techniques is not that common in neurological physical therapy practice so the effects of neuro -dynamics with conventional therapy needs to be evaluated for better outcomes in upper limb functions.

Enrollment: 60 patients

Sex: All

Ages: 30 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosed with pronator teres syndrome
• At least 6 working hours/ day
• Positive Tinel's sign at pronator area (Hoffman's sign)
• Positive Pronator teres syndrome test

Exclusion criteria

• Any previous history of metabolic disease, liver disease/ diabetes
• History of previous injuries to the cervical spine including radiculopathies and myelopathies as well as spinal stenosis and/or spinal disc herniation

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 2 patient groups

Upper Limb Neurodynamics Group

Experimental group

Description:

Upper limb Neuro-dynamics (Slider/Tensioner Technique) along with Task Oriented Training

Treatment:

Other: Upper limb Neuro-dynamics (Slider/ Tensioner Technique)

Upper Limb Conventional Therapy

Active Comparator group

Description:

Stretching, Strengthening exercises along with Task Oriented Training

Treatment:

Other: Conventional Therapy for Upper limb