The Effect of High-intensity Laser Therapy in Patients With Carpal Tunnel Syndrome.

Necmettin Erbakan University

Status: Completed

Conditions: Carpal Tunnel Syndrome

Treatments: Device: sham high-intensity laser therapy; Device: high-intensity laser therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT05678595

fatih yiğit

Details and patient eligibility

About

The aim of this study is to evaluate the effects of high intensity laser therapy (HILT) on pain, functional status, hand grip strength and median nerve cross-sectional area in ultrasonography in patients with carpal tunnel syndrome.

Full description

Patients who are admitted and diagnosed with carpal tunnel syndrome based on anamnesis, physical examination and electromyography are included in the study.

Enrollment: 60 patients

Sex: All

Ages: 20 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Electrophysiologically mild or moderate CTS
2. Patients who are literate and able to understand verbal instructions in our

Exclusion criteria

1. Diabetes
2. Systemic disorders that may affect treatment such as hypothyroidism, SLE, gout
3. History of polyneuropathy, cervical radiculopathy, brachial plexopathy
4. Injection for the carpal tunnel in the last 1 month
5. History of severe trauma, fracture, operation to both upper extremities at any time
6. Malignancy or history of malignancy
7. Renal failure
8. Peripheral or central nervous system diseases
9. Pregnancy
10. History of physical therapy program for the same hand wrist in the last months.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 2 patient groups

A hot laser derived from a Nd: YAG laser

Active Comparator group

Description:

HILT: A hot laser derived from a Nd: YAG laser has 12 W (watt) and 1064 nm characteristics. The device will administered to the hand wrist area in two steps in the HILT group: phase I and phase II. The application will made utilizing continuous circular movements in both phases I and II. The first five sessions consisted of a 100-second intermittent phase analgesic effect at 8 W and 8 J/cm2 for a total energy of 200 J. The following five sessions consisted of a continuous 11 minutes 6 second bio stimulating effect with a dosage of 3 W 80 J/cm2. Over the course of two weeks, ten treatment sessions of HILT will be given.

Treatment:

Device: sham high-intensity laser therapy

Device: high-intensity laser therapy

sham high-intensity laser therapy

Sham Comparator group

Description:

HILT is administered as a placebo for two weeks, 5 sessions a week, for a total of 10 sessions.

Treatment:

Device: sham high-intensity laser therapy

Device: high-intensity laser therapy