Efficacy of EPSW Plus HILT on Carpal Tunnel Syndrome Post Burn Injury

Cairo University (CU)

Status: Enrolling

Conditions: Burn Injury

Treatments: Other: Traditional Physical Therapy Exercise Program; Device: Extracorporeal Shock Wave Therapy.; Device: High Intensity Laser Therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT05876442

P.T.REC/012/004498

Details and patient eligibility

About

To study the effect of adding ESWT as a noninvasive short-term treatment plus high-level laser therapy for moderate carpal-tunnel syndrome post-burn injuries.

Full description

To study the effect of adding ESWT as a noninvasive short-term treatment plus high-level laser therapy for mild to moderate carpal tunnel syndrome post-burn injuries.

The effects of combining EPSW with High-intensity Laser Therapy for improving pain, Symptoms and function of motion, muscle strength, and quality of life in inpatients with carpal tunnel syndrome post-burn injuries

Enrollment: 120 estimated patients

Sex: All

Ages: 20 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients diagnosed with carpal tunnel syndrome after thermal burn injuries.
• Patients will be diagnosed with median nerve conduction study and Phalen sign and tinel test.
• Patients age: 20 to 60 years

Exclusion criteria

• Patients with severe (absent sensory or motor waves) and mild (sensory nerve latency >3.5 ms at third digit) CTS according to EMG-NCV study.
• Conditions that could impact upon or impacted by outcome measures or laser intervention (e.g. hypothyroidism, cancer, active infection, pulmonary disease, acquired immunodeficiency syndrome, associated myopathy, myelopathy, history of neck and/or shoulder surgery, drugabuse, corticosteroids consumption, and pregnancy)
• Patients received continuous physical therapy or exercise during the previous two weeks or taking analgesic or anti-inflammatory drugs during the week prior to the baseline assessment

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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120 participants in 4 patient groups

Group A: ESWT plus HILT in addition to Traditional Physical Therapy Exercise .

Experimental group

Description:

patients will receive Extraporeal Shock wave therapy at the area of the wrist for 5 minutes 1 time a week for 2 months, then High-intensity laser therapy at the site of the carpal bones for 5 minutes 2 times a week. Then a program of traditional physical therapy exercises for post-burn carpal tunnel syndrome for 30 minutes of stretching exercise for the wrist and carpal region with the fingers flexed and extended. Followed by strengthening exercises for the wrist flexors, extensors, radial and ulnar deviation muscles. Mobilizing exercise, tendon gliding exercise, and instructed to wear a wrist splint at night.

Treatment:

Device: Extracorporeal Shock Wave Therapy.

Device: High Intensity Laser Therapy

Other: Traditional Physical Therapy Exercise Program

Experimental: Group B: ESWT plus Traditional Physical Therapy Exercise .

Experimental group

Description:

Patients will receive Extraporeal Shock wave therapy at the area of the wrist for 5 minutes 1 time a week for 2 months, Then a traditional physical therapy exercise program for the post-burn carpal tunnel syndrome for 30 minutes of stretching exercise for the wrist and carpal region with the fingers flexed and extended. They were followed by strengthening exercises for the wrist flexors, extensors, and radial and ulnar deviation muscles. Mobilizing exercise, tendon gliding exercise, and instructed to wear a wrist splint at night

Treatment:

Device: Extracorporeal Shock Wave Therapy.

Other: Traditional Physical Therapy Exercise Program

Experimental: Group C:HILTplus Traditional Physical Therapy Exercise.

Experimental group

Description:

patients will receive High-intensity laser therapy at the area of the carpal bones for 5 minutes 2 times a week for 2 monthes. Then a program of traditional physical therapy exercises for post-burn carpal tunnel syndrome for 30 minutes of stretching exercise for the wrist and carpal region with the fingers flexed and extended. Followed by strengthening exercises for the wrist flexors, extensors, and radial and ulnar deviation muscles. Mobilizing exercise, tendon gliding exercises, and instructed to wear a wrist splint at night

Treatment:

Device: High Intensity Laser Therapy

Other: Traditional Physical Therapy Exercise Program

Traditional Physical Therapy Exercise.

Active Comparator group

Description:

patients will receive a program of traditional physical therapy exercise for post-burn carpal tunnel syndrome for 30 minutes of stretching exercise for the wrist and carpal region with the fingers flexed and extended. They were followed by strengthening exercises for the wrist flexors, extensors, and radial and ulnar deviation muscles. Mobilizing exercise, tendon gliding exercise, and instructed to wear a wrist splint at night.

Treatment:

Other: Traditional Physical Therapy Exercise Program