Effects of Pain Neuroscience Education and Standard Rehabilitation Regime in Patients of Carpal Tunnel Syndrome

Riphah International University

Status: Enrolling

Conditions: Wrist Injuries; Carpal Tunnel Syndrome

Treatments: Other: Pain Neuroscience education and standard rehabilitation regime; Other: standard Rehabilitation regime

Study type: Interventional

Funder types: Other

Identifiers

NCT06509633

REC/RCR&AHS/23/01113

Details and patient eligibility

About

The aim of this study is to check the effects of Pain Neuroscience education and standard rehabilitation regime in patients of carpal tunnel syndrome.

Full description

In 2017 a stud assessed effectiveness of standard conservative protocol of CTS and nerve mobilization along with and without PNE and documented that standard conservative care seems to be the most appropriate option for pain relief, although neuroscience education might be a complementary option to accelerate recovery of function. More high-quality research is still necessary to determine its effectiveness and the subgroups of patients who may respond better to this treatment.

In 2019 a study was done to assess the effect of PNE and standard rehabilitation exercises on the 41 patients of CTS. The experimenting group was given one session of PNE plus exercises and the control group was given exercise therapy only. Patients were randomly allocated and double blinded. The analysis of study showed better results with experimental group rather than control group.

Many studies have found the effects of standard rehabilitation of Carpal Tunnel syndrome and their results in controlling pain and dysfunction. However as per researchers' knowledge little literature is available on effects of pain neuroscience education and standard rehabilitation regime in carpal tunnel syndrome. Therefore, this study6 is going to determine the effects of effectiveness of Pain Neuroscience education and standard rehabilitation regime in patients of carpal tunnel syndrome.

Enrollment: 30 estimated patients

Sex: Female

Ages: 20 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• age between 20_40 years old.
• Medical diagnosis of moderate to severe CTS.
• Symptoms of CTS since 1month
• Unilateral or bilateral symptoms
• Availability and access to the hospital.

Exclusion criteria

• Inability to understand instructions, neurological conditions of the central nervous system (e.g. stroke, spinal cord injury)
• Patients on treatment with alternative therapies
• Previous participation in a research program
• Previous surgery on the affected upper limb

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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30 participants in 2 patient groups

Pain Neuroscience education and Standard Rehabilitation regime

Experimental group

Description:

Patients will get standard treatment of CTS, which is nerve gliding, stretchings of forearm and wrist muscles and wrist mobilization along with pain neuroscience education.

Treatment:

Other: Pain Neuroscience education and standard rehabilitation regime

standard Rehabilitation regime

Active Comparator group

Description:

Patient will get only nerve gliding and wrist forearm muscle stretching exercises.

Treatment:

Other: standard Rehabilitation regime