The aim of this study is to evaluates the effectiveness of periscapular trigger points deactivation on pain and disability of patients with carpal tunnel syndrome.
The patients with mild to moderate carpal tunnel syndrome according to the electrodiagnostic findings, existence of trigger points in at least 2 muscles of periscapular region and age between 24 to 60 years old are included.The exclusion criteria are: history of physical therapy, surgery or steroid injection for the treatment of CTS; history of treatment for periscapular trigger points, rheumatoid arthritis and cervical disk herniation.
The sample population are patients with carpal tunnel syndrome who are referred to the physiotherapy clinic of Shiraz school of rehablitation by orthopedic surgeons.
The sample size is 30.
patients are randomly assigned either to control or intervention groups. Both groups receive routine physical therapy including transcutaneous electrical nerve stimulation, ultrasound and hot pack.The intervention group also receive ischemic compression method for deactivation of periscapular trigger points in 10 sessions for 2 weeks.
Variables including pain, grip strength, hand functional disability and sensitivity of trigger points will be measured and compared before 1st and after 10th sessions.
General information
Acronym
IRCT registration information
IRCT registration number:IRCT2014071915932N6
Registration date:2014-08-14, 1393/05/23
Registration timing:prospective
Last update:
Update count:0
Registration date
2014-08-14, 1393/05/23
Registrant information
Name
Alireza Motealleh
Name of organization / entity
Shiraz University of Medical Sciences
Country
Iran (Islamic Republic of)
Phone
+98 71 1626 5108
Email address
motealleh@sums.ac.ir
Recruitment status
Recruitment complete
Funding source
Shiraz University of Medical Sciences, School of Rehabilitation
Expected recruitment start date
2014-08-29, 1393/06/07
Expected recruitment end date
2014-11-03, 1393/08/12
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Evaluation of the effectiveness of periscapular trigger points deactivation on pain and disability in patients with carpal tunnel syndrome
Public title
The effectiveness of manual therapy of shoulder trigger points on pain and disability in patients with carpal tunnel syndrome
Purpose
Treatment
Inclusion/Exclusion criteria
inclusion criteria:patients with CTS syndrome for more than 1 month; positive Tinne'sl sign at the wrist area; positive Phalen's test; mild to moderate carpal tunnel syndrome by electrodiagnostic findings; existence of trigger points in at least two periscapular muscles( teres minor& major؛ supraspinatus؛ infraspinatus؛ subscapularis؛ upper trapezius ); aged between 24 to 60 years.
exclusion criteria:any neuropathy such as diabetic neuropathy; thoracic outlet syndrome; cervical disk herniation; double crush syndrome( positive neck compression test); regular use of analgesics or anti-inflammatory drugs; Pregnancy; Rheumatoid Arthritis; history of physical therapy, surgery or steroid injection for the treatment of CTS; history of treatment for periscapular trigger points such as steroid injection in last 3 months; fibromyalgia; T4 syndrome.
Age
From 24 years old to 60 years old
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size:
30
Randomization (investigator's opinion)
Randomized
Randomization description
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Shiraz University Of Medical Sciences
Street address
Shiraz University of Medical Sciences, Zand Street, Shiraz.
City
Shiraz
Postal code
71345-1987
Approval date
2014-05-22, 1393/03/01
Ethics committee reference number
CT-P-9369-6959
Health conditions studied
1
Description of health condition studied
carpal tunnel syndrome
ICD-10 code
G56.0
ICD-10 code description
carpal tunnel syndrome
Primary outcomes
1
Description
power grip
Timepoint
First and tenth session
Method of measurement
Be assessed by hand-held dynamometer
2
Description
pain
Timepoint
First and tenth session
Method of measurement
Visual analogue scale
3
Description
sensitivity of periscapular trigger points
Timepoint
First and tenth session
Method of measurement
algometry
4
Description
functional disability
Timepoint
First and tenth session
Method of measurement
DASH questionnaire
Secondary outcomes
empty
Intervention groups
1
Description
Patients in control group received 10 sessions of physical therapy at the wrist area as the following:
-Therapeutic ultrasound for 3 min with a continuous 3.0 MHz applicator, ERA = 5 cm2, intensity= 1.0 W/cm2.
- TENS- Burst type with parameters (frequency = 110Hz, pulse width = 200μsec) and the size of the electrode 4* 6 for 20 min and the electrode placed on the median nerve path.
- Hot pack on wrist area
Category
Rehabilitation
2
Description
Patients in intervention group received 10 sessions of physical therapy at the wrist area as the following:
-Therapeutic ultrasound for 3 min with a continuous 3.0 MHz applicator, ERA = 5 cm2, intensity= 1.0 W/cm2.
- TENS- Burst type with parameters (frequency = 110Hz, pulse width = 200μsec) and the size of the electrode 4* 6 for 20 min and the electrode placed on the median nerve path.
- Hot pack on wrist area
Deactivation of periscapular trigger points applying ischemic compression method.
Category
Rehabilitation
Recruitment centers
1
Recruitment center
Name of recruitment center
physiotherapy clinic of Shiraz School of Rehabilitation
Full name of responsible person
Mrs. katayoon Rezaee
Street address
NO.32, Abiverdi 1 Avenue, Chamran Blvd, Shiraz
City
Shiraz
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Shiraz University of Medical Sciense
Full name of responsible person
Dr Basir Hashemy
Street address
Shiraz University Of Medical Sciences Building, Zand Street,shiraz.
City
shiraz
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Shiraz University of Medical Sciense
Proportion provided by this source
100
Public or private sector
empty
Domestic or foreign origin
empty
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
empty
Person responsible for general inquiries
Contact
Name of organization / entity
Shiraz University of Medical Science - Rehablitation School.
Full name of responsible person
Forouzan Foroughi
Position
Student
Other areas of specialty/work
Street address
NO.32, Abiverdi 1 Avenue, Chamran Blvd, Shiraz
City
Shiraz
Postal code
Phone
+98 71 1843 1416
Fax
Email
foroughi.forouzan13@gmail.com
Web page address
Person responsible for scientific inquiries
Contact
Name of organization / entity
School of Rehabilitation Sciences
Full name of responsible person
Dr Alireza Motealleh
Position
ph.d of Physiotherapy
Other areas of specialty/work
Street address
NO.32, Abiverdi 1 Avenue, Chamran Blvd, Shiraz
City
Shiraz
Postal code
Phone
+98 71 1626 1081
Fax
Email
motealleh@sums.ac.ir
Web page address
Person responsible for updating data
Contact
Name of organization / entity
Shiraz University of Medical Science - Rehablitation School .
Full name of responsible person
Forouzan Foroughi
Position
Student
Other areas of specialty/work
Street address
NO.32, Abiverdi 1 Avenue, Chamran Blvd, Shiraz
City
Shiraz
Postal code
Phone
+98 71 1843 1416
Fax
Email
foroughi.forouzan13@gmail.com
Web page address
Sharing plan
Deidentified Individual Participant Data Set (IPD)