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IRCT2017051634003N1 IRCT 2017-10-05 Guilan University of Medical Sciences Laser in carpal tunnel syndrome The dose response effects of low level and high power laser therapy on pain and electrophysiological parameters of median nerve in subjects with carpal tunnel syndrome 2017-03-20 anticipated 100 Complete https://irct.ir/trial/26120 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: The data collection method will be randomized clinical trials in 5 treatment groups. For this purpose, a questionnaire containing the information, height, weight, type of exercise, upper limb, were given to the subjects. N/A Carpal tunnel syndrome. Intervention 1: Intervention group 1: Low level laser 50 mW, 8 J/cm2 on 10 points each point 19 seconds irradiation and 4 type exercises. Intervention 2: Intervention group 2: Low level laser 50 mW, 20 J/cm2 on 10 points each point 15 seconds irradiation and 4 type exercises. Intervention 3: Intervention group 3: High power laser 5W, 8 J/cm2 on 20 cm2, 64 seconds irradiation and 4 type exercises. Intervention 4: Intervention group 4: High power laser 5W, 20J/cm2 on 20 cm2, 160 seconds irradiation and 4 type exercises. Intervention 5: Control group: 4 type exercises: Wrist extension, stretching the hand on table while standing, open and closing fingers, stretching the hand with opposite one.
public Sosan Komaei
Deputy of Research, Opposie to Azodi Stadium, Namjoo St, Rasht, Iran
Rasht Iran (Islamic Republic of) +98 13 3336 2639 Research@gums.ac.ir Guilan University of Medical Sciences, Deputy of Research scientific Kamran Ezzati
Physiotherapy section, Block 2, , Poursina hospital, Namjoo St, Rasht
Rasht Iran (Islamic Republic of) +98 13 3333 5465 Ez_kamran@yahoo.com Guilan University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria: Age between 20-60 years; Having moderate carpal tunnel syndrome based on electromyographic findings; involvement of sensory and motor fibers provided that no one is absent; sensory delay of more than 3.6 msec and motor delay more than 1/4 millisecond. Exclusion criteria: Individuals with severe and mild carpal tunnel syndrome: In severe patients sensory and motor waveforms are absent, and there is a decrease in the amplitude of motor nerve and denervation in electromyography, but in the mild type, only the involvement of sensory fibers without the involvement of motor fibers is present and sensory delay of more than 3.6 ms and a motor delay less than 1.4 ms; people with secondary neuropathy, such as thyroid problems; people with neck and shoulder myopathy; myelopathy and torticollis; those with a history of neck and shoulder surgery and other areas of the body; people with cancer, infection, pain and pulmonary disease, HIV; people with substance abuse or taking corticosteroids; pregnant women; people who have been continuously did physiotherapy or exercise during the past two weeks; taking analgesic and inflammatory drugs one week before the evaluation; people with Mental and cognitive impairment as well as uncorrected visual impairment; patients with atrophy of ternar muscle. 20 years 60 years Both G56.0 Carpal tunnel syndrome Rehabilitation Rehabilitation Rehabilitation Rehabilitation Rehabilitation Intervention group 1: Low level laser 50 mW, 8 J/cm2 on 10 points each point 19 seconds irradiation and 4 type exercises. Intervention group 2: Low level laser 50 mW, 20 J/cm2 on 10 points each point 15 seconds irradiation and 4 type exercises. Intervention group 3: High power laser 5W, 8 J/cm2 on 20 cm2, 64 seconds irradiation and 4 type exercises. Intervention group 4: High power laser 5W, 20J/cm2 on 20 cm2, 160 seconds irradiation and 4 type exercises. Control group: 4 type exercises: Wrist extension, stretching the hand on table while standing, open and closing fingers, stretching the hand with opposite one. Delay amp area CAMP- Motor & Sensory NCV. Timepoint: Before and after 20 days. Method of measurement: Nerve conduction velocity. Pain. Timepoint: Before and after 20 days. Method of measurement: Visual Analogue Scale. Guilan University of Medical Sciences Approved 2017-03-04 Guilan University of Medical Sciences, Deputy of research Deputy of Research, Opposie to Azodi Stadium, Namjoo St, Rasht, Iran Rasht Iran (Islamic Republic of)