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Neurodynamic Sequencing in Patients With Carpal Tunnel Syndrome

Primary Purpose

Carpal Tunnel Syndrome

Status
Recruiting
Phase
Not Applicable
Locations
Pakistan
Study Type
Interventional
Intervention
Neurodynamic Slider Technique from Proximal to Distal
Neurodynamic Slider Technique from Distal to Proximal
Sponsored by
Riphah International University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Carpal Tunnel Syndrome

Eligibility Criteria

25 Years - 55 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Patients positive for provocative test ( Phalen's test, Wrist decompression test and tinnel test). Exclusion Criteria: Inflammation around the wrist Tumor around the wrist Rheumatoid Arthritis Osteoporosis Joint Hypermobility

Sites / Locations

  • District Headquarters HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Interventional Group A

Interventional Group B

Arm Description

These patients will be treated by nerve sequencing proximal to distal in 3 sets of 15 repetitions in one session on alternate days for 4 weeks. For this, participants will be given a comfortable supine lying position. ULTT method will be implemented to the ipsilateral upper limb given in the table below

These patients will be treated by nerve sequencing distal to proximal in 3 sets of 10 repetitions in one session for 4 weeks. For this, participants will be given a comfortable supine lying position. ULTT method will be implemented to the ipsilateral upper limb

Outcomes

Primary Outcome Measures

Pain at wrist joint
Pain will be assessed by using Numerical Pain Rating Scale Pain will be assessed by using Numerical Pain Rating Scale
Wrist Range of Movement at wrist joint
Range of motion will be assessed by using Goniometer
Functional Ability at wrist joint
Functional Ability will be assessed by using Boston Carpal tunnel syndrome

Secondary Outcome Measures

Full Information

First Posted
May 9, 2023
Last Updated
June 14, 2023
Sponsor
Riphah International University
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1. Study Identification

Unique Protocol Identification Number
NCT05905107
Brief Title
Neurodynamic Sequencing in Patients With Carpal Tunnel Syndrome
Official Title
Effects of Neurodynamic Sequencing on Pain, Wrist Range of Movement and Functional Disability in Patients With Carpal Tunnel Syndrome
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Recruiting
Study Start Date
January 4, 2023 (Actual)
Primary Completion Date
July 15, 2023 (Anticipated)
Study Completion Date
July 30, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Riphah International University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Carpal tunnel syndrome is a compressive neuropathy of median nerve in the fascial tunnel at wrist which causes pain, numbness ,and tingling in the extremities. Common treatment options used in the treatment of carpal tunnel syndrome are conservative and surgical treatment option is better, this question is still a topic requiring more and more clinical trials. Neuromobilisation described by Butler is one of the treatment options which are used in the treatment of carpal tunnel syndrome in conjunction with other conservative measures. This proposed study will find out the effectiveness of Neuromobilisation in treatment of carpal tunnel syndrome. As there is very little evidence available which Neuromobilisation technique is effective and what are the types of patients which can get benefit from this technique. This study will find out the effect of Neuromobilisation in patients suffering from carpal tunnel syndrome of non traumatic origin. This is a randomized clinical trial. Target population is patients suffering from carpal tunnel syndrome of non-traumatic origin. Data will be collected from District Headquarter Hospital Faisalabad. This study will include 56 participants according to the selection criteria. The participants will be randomly divided into two groups through sealed opaque envelop method. Group A will recruit 28 patients which fulfill the inclusion criteria. These patients will be treated by nerve sequencing proximal to distal in 3 sets of 15 repetitions in one session on alternate days for 4 weeks. Group B will recruit 28 patients which fulfill the inclusion criteria. These patients will be treated by nerve sequencing distal to proximal in 3 sets of 10 repetitions in one session for 4 weeks. The Statistical analysis will be performed through SPSS Software 21.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Carpal Tunnel Syndrome

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
56 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Interventional Group A
Arm Type
Experimental
Arm Description
These patients will be treated by nerve sequencing proximal to distal in 3 sets of 15 repetitions in one session on alternate days for 4 weeks. For this, participants will be given a comfortable supine lying position. ULTT method will be implemented to the ipsilateral upper limb given in the table below
Arm Title
Interventional Group B
Arm Type
Active Comparator
Arm Description
These patients will be treated by nerve sequencing distal to proximal in 3 sets of 10 repetitions in one session for 4 weeks. For this, participants will be given a comfortable supine lying position. ULTT method will be implemented to the ipsilateral upper limb
Intervention Type
Other
Intervention Name(s)
Neurodynamic Slider Technique from Proximal to Distal
Intervention Description
Neurodynamic Slider Technique from proximal to distal at wrist, elbow and neck
Intervention Type
Other
Intervention Name(s)
Neurodynamic Slider Technique from Distal to Proximal
Intervention Description
Neurodynamic Slider Technique from proximal to distal at wrist, elbow and neck
Primary Outcome Measure Information:
Title
Pain at wrist joint
Description
Pain will be assessed by using Numerical Pain Rating Scale Pain will be assessed by using Numerical Pain Rating Scale
Time Frame
4 weeks
Title
Wrist Range of Movement at wrist joint
Description
Range of motion will be assessed by using Goniometer
Time Frame
4 weeks
Title
Functional Ability at wrist joint
Description
Functional Ability will be assessed by using Boston Carpal tunnel syndrome
Time Frame
4 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
25 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients positive for provocative test ( Phalen's test, Wrist decompression test and tinnel test). Exclusion Criteria: Inflammation around the wrist Tumor around the wrist Rheumatoid Arthritis Osteoporosis Joint Hypermobility
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Sahreen Anwar, Ph.D
Phone
+923346591705
Email
sahreenanwar@yahoo.com
First Name & Middle Initial & Last Name or Official Title & Degree
Wajida Parveen, Masters
Phone
+923333507157
Email
wajida_parveen@cmhlahore.edu.pk
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sahreen Anwar, Ph.D
Organizational Affiliation
Riphah International University
Official's Role
Principal Investigator
Facility Information:
Facility Name
District Headquarters Hospital
City
Faisalābad
State/Province
Punjab
ZIP/Postal Code
38000
Country
Pakistan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Shaista Bano, PPDPT
Phone
+923077997599
Email
shaista.banodhq@gmail.com
First Name & Middle Initial & Last Name & Degree
Sahreen Anwar, PhD
First Name & Middle Initial & Last Name & Degree
Wajda Parveen, Masters

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Neurodynamic Sequencing in Patients With Carpal Tunnel Syndrome

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