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IRCT20240316061312N1 IRCT 2024-04-04 The University of Faisalabad Carpal Tunnel Syndrome, Neural Tensioner Technique and Neural Slider Technique in Pregnant Women Comparative Effects of Neural slider technique and Neural Tensioner technique on wrist pain, function , and grip strength in pregnant women with Carpal Tunnel Syndrome 2024-02-17 anticipated 59 Complete https://irct.ir/trial/76141 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: non-probability consecutive sampling, Blinding description: single blinded study was conducted to minimize the chance of biaseness, this study was used to allocate the members in single groups. this description involve concealing details that could bias accessors when evaluating retrieval systems or algorithm. this ensures fair and unbiased evaluation of system's performance. N/A Carpal tunnel syndrome. Intervention 1: Intervention group: Nerve tensioner neurodynamic technique In order to effectively address the affected distal extremity, we will carefully position it in six distinct and precise orientations. Begin by positioning subject wrist in a neutral position, ensuring your fingers and thumb are fully flexed. Next, will extend fingers and thumb completely. Will gradually introduce wrist extension. Follow this by extending your thumb as well. Maintain a supinated forearm position. Finally, gently apply a slight tension to thumb. Frequency: 5-10 repetitions for 3-5 sessions a day. Each position to be maintained for 5-7 seconds. The tensioner intervention was conducted in two sets, each lasting 5 minutes, with a 1-minute rest period between sets. Intervention 2: Intervention group: Nerve slider neurodynamic technique The nerve slider neurodynamic approach used in this investigation followed the sequence of shoulder girdle depression, glenohumeral abduction and lateral rotation, supination of the forearm, and extension of the wrist, thumb, and fingers. The individual will perform alternating dynamic movements of elbow flexion and wrist extension in this posture, followed by alternating movements of elbow extension and wrist flexion. The therapist varied the sequence of motions based on the level of resistance in the tissues. The speed and magnitude of the movement were modified to ensure that the procedure did not cause any discomfort. The slider intervention was conducted in two sets, each lasting 5 minutes, with a 1-minute rest period between sets, with frequency of 10 repetition. Yes - There is a plan to make this available What will be shared: comparative effects of neural slider technique and neural tensioner technique on wrist pain, function, and grip strength in pregnant women with carpal tunnel syndrome When: 15 days after publication To whom: Google scholar Conditions: Access to the data will be facilitated through a specified mechanism, such as a secure online portal or data sharing platform. Requests for access will be reviewed by a designated committee or entity responsible for ensuring that they meet the established criteria and comply with relevant regulations and guidelines. Additional supporting information and documents may be provided to assist requesters in understanding the available data and its potential applications. Where to obtain: The University of Faisalabad 38000 https://tuf.edu.pk/ 00924187509715 How to obtain: To receive the documents or data files, the process typically involves the following steps: 1. Request Initiation: The applicant submits a formal request specifying the documents or data files they need. 2. Verification and Authorization: The organization verifies the request and ensures that the applicant is authorized to access the requested documents or data files. This may involve confirming the identity of the requester and checking their permissions. 3. Processing Time: The processing time varies depending on the complexity of the request, the volume of documents or data files, and any legal or regulatory requirements. It could range from a few hours to several weeks. 4. Document Retrieval or Data Extraction: Once the request is approved, the organization retrieves the documents from their archives or extracts the requested data from their databases. 5. Quality Assurance: Before releasing the documents or data files to the applicant, the organization may conduct quality checks to ensure accuracy and completeness. 6. Delivery: The documents or data files are delivered to the applicant through a secure channel, such as encrypted email, secure file transfer protocols, or a secure online portal. 7. Confirmation of Receipt: The applicant acknowledges receipt of the documents or data files, confirming that they have received the information they requested. Comments:
public Dr. Zainab Boota;PT
Faisal Town, West Canal Road, Faisalabad, Punjab
Faisalabad Pakistan 38000 +92 335 7916317 Zainboota9698@gmail.com The University of Faisalabad scientific Dr. Gulraiz Ayub; PT
Faisal Town, West Canal Road, Faisalabad, Punjab
Faisalabad Pakistan 38000 +92 317 0075508 Gulraizayub70@gmail.com The University of Faisalabad Pakistan Age 22-35 years Unilateral CTS females in third trimester of pregnancy Discomfort, tingling, or sensations of paraesthesia in the thumb, the index, the middle, and the radial half of ring finger VAS score (24-hour maximum pain): 4–7 cm at 10 cm VAS scale Positive Tinel’s sign Positive Phalen’s test Sleep disruption from hand pain Signed informed consent 22 years 35 years Female Undergone any form of conservative treatment within the last month Prior neurovascular surgery within the last six months pertaining to the same area of the body Neurovascular pathologic conditions affecting the same area of the body other than CTS Systemic pathologies associated with CTS, such as hypothyroidism, rheumatoid arthritis, or diabetes mellitus Chronic pain conditions, such as myofascial pain syndrome or fibromyalgia which can manifest as hand-referred pain CTS as a result of a fracture of the upper extremity or trauma to the median nerve Undergone previous surgery for CTS Exhibit severe thenar muscle atrophy Psychosocial problems Rehabilitation Rehabilitation Intervention group: Nerve tensioner neurodynamic technique In order to effectively address the affected distal extremity, we will carefully position it in six distinct and precise orientations. Begin by positioning subject wrist in a neutral position, ensuring your fingers and thumb are fully flexed. Next, will extend fingers and thumb completely. Will gradually introduce wrist extension. Follow this by extending your thumb as well. Maintain a supinated forearm position. Finally, gently apply a slight tension to thumb. Frequency: 5-10 repetitions for 3-5 sessions a day. Each position to be maintained for 5-7 seconds. The tensioner intervention was conducted in two sets, each lasting 5 minutes, with a 1-minute rest period between sets. Intervention group: Nerve slider neurodynamic technique The nerve slider neurodynamic approach used in this investigation followed the sequence of shoulder girdle depression, glenohumeral abduction and lateral rotation, supination of the forearm, and extension of the wrist, thumb, and fingers. The individual will perform alternating dynamic movements of elbow flexion and wrist extension in this posture, followed by alternating movements of elbow extension and wrist flexion. The therapist varied the sequence of motions based on the level of resistance in the tissues. The speed and magnitude of the movement were modified to ensure that the procedure did not cause any discomfort. The slider intervention was conducted in two sets, each lasting 5 minutes, with a 1-minute rest period between sets, with frequency of 10 repetition. Wrist Pain. Timepoint: before intervention and 3 weeks after intervention. Method of measurement: Visual Analogue Scale. Functional status. Timepoint: before intervention and 3 weeks after intervention. Method of measurement: Boston Carpal Tunnel Questionnaire (BCTQ). Grip strength. Timepoint: before intervention and 3 weeks after intervention. Method of measurement: Hand-held dynamometer. The University of Faisalabad Approved 2024-01-05 Research and Ethics / technical committee for the university of Faisalabad Faisal Town, West Canal Road, Faisalabad, Punjab Faisalabad Punjab Pakistan