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IRCT201609178717N4 IRCT 2016-10-24 Vice chancellor for research of Semnan University of Medical Sciences The effect of acupressure in the treatment of carpal tunnel syndrome The effect of acupressure on the clinical manifestations of Carpal Tunnel Syndrome (CTS) 2016-10-22 anticipated 60 Complete https://irct.ir/trial/9215 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Other design features: Randomized blocks. N/A Carpal tunnel syndrome. Intervention 1: The first intervention (the use of acupressure): In this group, acupressure is performed for a period of one month. For applying acupressure, the Sea-Band button is placed at all times day and night on the P6 (Nei guan) point on the internal surface of forearm to the width of 3-2 fingers up inside groove of wrist and on the P7 (Daling) point in the inner surface of transverse groove of wristt, between the tendons of palmaris longus and flexor carpi radialis. Pressure is applied so that the patient does not feel pain or discomfort. Boston Carpal Tunnel Questionnaire (BCTQ) to evaluate the clinical signs, EMG device to measure nerve conduction velocity (NCV), distal sensory latency (DSL), the distal motor latency (DML), and hand-held dynamometer device to measure grip strength (Grip power) of patients affected hand and digital dynamometer device to measure pinch strength (power Pinch) of patients affected hand fingers are used. Assessment and measurements will be done before the intervention in the first session and after the intervention (after a month). People in this group, the routine treatment (splint and analgesic drugs) will receive. Intervention 2: The second intervention (the use of the placebo): In this group, the placebo will be used for one month. For applying placebo, the Sea-Band button is placed at all times day and night on the external surface of patient forearm, on the opposite side the PC6 and PC7 (as a false point). Pressure is applied so that the patient does not feel pain or discomfort. Boston Carpal Tunnel Questionnaire (BCTQ) to evaluate the clinical signs, EMG device to measure nerve conduction velocity (NCV), distal sensory latency (DSL), the distal motor latency (DML), and hand-held dynamometer device to measure grip strength (Grip power) of patients affected hand and digital dynamometer device to measure pinch strength (power Pinch) of patients affected hand fingers are used. Assessment and measurements will be done before the intervention in the first session and after the intervention (after a month). People in this group, the routine treatment (splint and analgesic drugs) will receive. Intervention 3: Third intervention (routine treatment in control group): People in this group, only the routine treatment (splint and analgesic drugs) will receive. Boston Carpal Tunnel Questionnaire (BCTQ) to evaluate the clinical signs, EMG device to measure nerve conduction velocity (NCV), distal sensory latency (DSL), the distal motor latency (DML), and hand-held dynamometer device to measure grip strength (Grip power) of patients affected hand and digital dynamometer device to measure pinch strength (power Pinch) of patients affected hand fingers are used. Assessment and measurements will be done in the first session and after a month.
public Dr. Mohammad Reza Asgari
Faculty of nursing and allied, Semnan University of Medical Sciences, Semnan, Iran
Semnan Iran (Islamic Republic of) +98 23 3344 0758 asgari5000@gmail.com Semnan University of Medical Sciences scientific ِDr. Mohammad Reza Asgari
Faculty of nursing and allied, Semnan University of Medical Sciences, Semnan, Iran
Semnan Iran (Islamic Republic of) 3514743365 +98 23 3344 0758 asgari5000@gmail.com Semnan University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria: The age of patients is 20-70 years; Carpal tunnel syndrome be diagnosed by orthopedic specialist; Symptoms lasting more than 3 months; Having no skin problem at the close Sea-Band site. Exclusion criteria: Patients with a history of wrist or median nerve trauma; CTS that are followed pregnancy, alcoholism, systemic diseases; Patients with a history of stroke and cerebral palsy; Illiterate Patients; Obese patients; Patients with a low level of consciousness; Patients who due to intensity of disease symptoms in during the study, surgical treatment or corticosteroid injections be necessary; Patients who can not tolerate Sea-Band. 20 years 70 years Both G56.0 Carpal tunnel syndrome Treatment - Other Placebo Other The first intervention (the use of acupressure): In this group, acupressure is performed for a period of one month. For applying acupressure, the Sea-Band button is placed at all times day and night on the P6 (Nei guan) point on the internal surface of forearm to the width of 3-2 fingers up inside groove of wrist and on the P7 (Daling) point in the inner surface of transverse groove of wristt, between the tendons of palmaris longus and flexor carpi radialis. Pressure is applied so that the patient does not feel pain or discomfort. Boston Carpal Tunnel Questionnaire (BCTQ) to evaluate the clinical signs, EMG device to measure nerve conduction velocity (NCV), distal sensory latency (DSL), the distal motor latency (DML), and hand-held dynamometer device to measure grip strength (Grip power) of patients affected hand and digital dynamometer device to measure pinch strength (power Pinch) of patients affected hand fingers are used. Assessment and measurements will be done before the intervention in the first session and after the intervention (after a month). People in this group, the routine treatment (splint and analgesic drugs) will receive. The second intervention (the use of the placebo): In this group, the placebo will be used for one month. For applying placebo, the Sea-Band button is placed at all times day and night on the external surface of patient forearm, on the opposite side the PC6 and PC7 (as a false point). Pressure is applied so that the patient does not feel pain or discomfort. Boston Carpal Tunnel Questionnaire (BCTQ) to evaluate the clinical signs, EMG device to measure nerve conduction velocity (NCV), distal sensory latency (DSL), the distal motor latency (DML), and hand-held dynamometer device to measure grip strength (Grip power) of patients affected hand and digital dynamometer device to measure pinch strength (power Pinch) of patients affected hand fingers are used. Assessment and measurements will be done before the intervention in the first session and after the intervention (after a month). People in this group, the routine treatment (splint and analgesic drugs) will receive. Third intervention (routine treatment in control group): People in this group, only the routine treatment (splint and analgesic drugs) will receive. Boston Carpal Tunnel Questionnaire (BCTQ) to evaluate the clinical signs, EMG device to measure nerve conduction velocity (NCV), distal sensory latency (DSL), the distal motor latency (DML), and hand-held dynamometer device to measure grip strength (Grip power) of patients affected hand and digital dynamometer device to measure pinch strength (power Pinch) of patients affected hand fingers are used. Assessment and measurements will be done in the first session and after a month. Distal sensory latency (DSL). Timepoint: Before the intervention in the first session and after the intervention (after a month. Method of measurement: By EMG device. Nerve conduction velocity (NCV). Timepoint: Before the intervention in the first session and after the intervention (after a month). Method of measurement: By EMG device. Hand muscle strength (Grip power). Timepoint: Before the intervention in the first session and after the intervention (after a month). Method of measurement: By hand-held dynamometer device. Clinical manifestations of Carpal Tunnel Syndrome (CTS). Timepoint: Before the intervention in the first session and after the intervention (after a month). Method of measurement: By Boston Carpal Tunnel Questionnaire (BCTQ). Pinch power. Timepoint: Before the intervention in the first session and after the intervention (after a month). Method of measurement: by Digital dynamometer Device. Distal motor latency (DML). Timepoint: Before the intervention in the first session and after the intervention (after a month). Method of measurement: By EMG device. Vice chancellor for research of Semnan University of Medical Sciences Approved 2016-09-13 Ethics committee of Semnan University of Medical Sciences Semnan University of Medical Sciences, Semnan, Semnan Province, Iran Semnan Iran (Islamic Republic of)