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IRCT20191222045849N2 IRCT 2020-02-08 Tehran University of Medical Sciences The effect of exercise therapy in Carpal Tunnel Syndrome The Effect of Exercise Therapy with Wrist splint on Pain and Function of Patients with Mild Idiopathic Carpal Tunnel Syndrome 2020-01-05 anticipated 100 Complete https://irct.ir/trial/44440 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: Patients will be randomly allocated to receive either splinting or splinting with exercise . A researcher who not involve in the selection and treatment of patients, prepare and sealed opaque envelopes containing the treatment options. After that, every patient randomly will choose one sealed opaque envelope to determine the type of intervention, Blinding description: Except sports medicine specialist who educated patients for correct exercising, other researchers, patients, and a person who analysis the data will be blind to the allocated treatments. 3 Carpal tunnel syndrome. Intervention 1: Intervention group: Wrist splint with tendon and nerve glide exercise, prefabricated splints (wrist splint, Tynor, India) will wear during the night. In tendon glide exercises, fingers are held in five positions of straight, hook, fist, tabletop, and long fist, respectively. The fingers are in full extension in all these positions. At all stages of this exercise, the wrist is in a neutral position. By doing the nerve glide exercises, the median nerve moves through the wrist and the fingers in six different positions. To do this exercise, the elbows are kept supinated with 90 degrees of flexion and shoulder and neck are in the neutral position. In the 1st state, the wrist is in a neutral position, and the fingers and thumb are in the flexion. In the 2nd state, the wrist is in the neutral position, and the fingers and thumb are in the extension. In the 3rd state, the wrist and fingers are in the extension and the thumb is in a neutral position. Then, the wrist, fingers, and thumb are hold in the extension position. In the next step, maintaining the previous position, the forearm is kept supinated. In the final step, a mild extension is applied to the exercising thumb by the opposite hand. All the above steps are performed respectively. Patients will ask to perform all the exercises three times a day, 10 repeats each time, and hold each position for five seconds. Intervention 2: Control group: Wrist splint (wrist splint, Tynor, India) during at night. No - There is not a plan to make this available Justification or reason for not sharing IPD is No more information
public Maryam Mirshahi
Sina Hospital, Imam Khomeini Ave., Hassan Abad Sq., Tehran, Iran
Tehran Iran (Islamic Republic of) 1136746911 +98 21 6634 8500 m-mirshahi@sina.tums.ac.ir Tehran University of Medical Sciences scientific Maryam Mirshahi
Sina Hospital, Imam Khomeini Ave., Hassan Abad Sq., Tehran, Iran
Tehran Iran (Islamic Republic of) 1136746911 +98 21 6634 8500 m-mirshahi@sina.tums.ac.ir Tehran University of Medical Sciences Iran (Islamic Republic of) Age over 18 years Symptoms of CTS (pain, paresthesia in the area of hand innervated by the median nerve) and electrophysiological findings of nerve compression (mild CTS) 18 years no limit Both Previous treatment with splint or surgery History of any trauma on the hands, neck, and shoulders within three months of the study onset History of wrist surgery Pregnancy History of diabetes, thyroid disorders Any findings suggesting conditions that interfere with CTS (e g, cervical radiculopathy) G56.0 Carpal tunnel syndrome Rehabilitation Treatment - Devices Intervention group: Wrist splint with tendon and nerve glide exercise, prefabricated splints (wrist splint, Tynor, India) will wear during the night. In tendon glide exercises, fingers are held in five positions of straight, hook, fist, tabletop, and long fist, respectively. The fingers are in full extension in all these positions. At all stages of this exercise, the wrist is in a neutral position. By doing the nerve glide exercises, the median nerve moves through the wrist and the fingers in six different positions. To do this exercise, the elbows are kept supinated with 90 degrees of flexion and shoulder and neck are in the neutral position. In the 1st state, the wrist is in a neutral position, and the fingers and thumb are in the flexion. In the 2nd state, the wrist is in the neutral position, and the fingers and thumb are in the extension. In the 3rd state, the wrist and fingers are in the extension and the thumb is in a neutral position. Then, the wrist, fingers, and thumb are hold in the extension position. In the next step, maintaining the previous position, the forearm is kept supinated. In the final step, a mild extension is applied to the exercising thumb by the opposite hand. All the above steps are performed respectively. Patients will ask to perform all the exercises three times a day, 10 repeats each time, and hold each position for five seconds. Control group: Wrist splint (wrist splint, Tynor, India) during at night Pain and function. Timepoint: Baseline, at two- and six-week intervals after the intervention. Method of measurement: By Boston Carpal Tunnel Questionnaire. Grip strength. Timepoint: Baseline, at two- and six-week intervals after the intervention. Method of measurement: Dynamometer. Pinch strength. Timepoint: Baseline, at two- and six-week intervals after the intervention. Method of measurement: Pinch meter. Tehran University of Medical Sciences Approved 2017-02-18 Ethics committee of Tehran University of Medical Sciences Sina Hospital, Imam Khomeini Ave., Hassan Abad Sq., Tehran, Iran Tehran Tehran Iran (Islamic Republic of)