Effectiveness of Kinesiotaping and Peloidotherapy in Carpal Tunnel Syndrome
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorKonya Beyhekim Training and Research Hospital
About this trial
Patients diagnosed with mild and moderate idiopathic CTS will be randomly divided into three groups. Patients who received 15 sessions of peloid therapy along with a home exercise program will constitute the first group. The second group will consist of patients who received a total of 6 sessions of kinesiotaping twice a week along with a home exercise program. Patients who were given only a home exercise program will be included in the third group. "Patients will be evaluated in detail in terms of clinical examination and outcomes three weeks after the end of treatment and again at three months.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Being between the ages of 18-65
Agreeing to participate voluntarily in the study
Being diagnosed with mild or moderate idiopathic chronic CTS as a result of anamnesis, clinical examination and nerve conduction study
Disqualifiers
Presence of predisposing etiological factors for CTS such as diabetes mellitus, chronic kidney and liver disease, acromegaly, rheumatological diseases, acute trauma, hypothyroidism, etc.
Being diagnosed with severe CTS
Having a history of previous wrist surgery or trauma
Having atrophy in the thenar region or weakness in the thenar muscles
Trial design
Design model
Parallel
Treatments tested in this trial
Kinesiotaping
Other interventionKinesiotaping, unlike wrist splints, which are frequently used in the treatment of carpal tunnel syndrome, does not restrict daily living activities. Space correction technique will be applied while performing kinesio taping.
Peloidotherapy
Other interventionPeloidotherapy stands out among superficial heating physical therapy modalities with its mineral and natural origin.
Home exercise
Other interventionFlexor tendon gliding exercises, median nerve gliding exercises, and isometric wrist strengthening exercises will be given as exercises.
Treatment groups
90 Participants
are divided into 3 treatment groupsGroup A: KinesiotapingExperimental treatment 2 interventions
Group B: PeloidotherapyExperimental treatment 2 interventions
Group C: Home exerciseExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
VAS pain
A 10 cm long line is drawn, this line is divided into 10 intervals of 10 mm width, 0: no pain and 10: the most severe pain is explained, and the patient is asked to mark the value corresponding to the resting pain and the pain during movement on the scale.
Time frame
baseline, week 3 and week 122
The Boston Carpal Tunnel Syndrome Questionnaire
The Turkish version of the Boston Carpal Tunnel Questionnaire score. It is used to evaluate the symptom severity and functionality of the patients. BCTQ is a questionnaire consisting of 2 parts: symptom severity scale (SSS) and functional status scale (FSS). Each item in both sections has 5 different answers that score between 1 and 5. The mean score is obtained by dividing the total score by the number of questions and ranges from 1 to 5, with a higher score indicating severe symptom.
Time frame
baseline, week 3 and week 12Secondary outcomes
1
Hand grip strength
Following the definitions outlined in the literature, HGS will be measured using Jamar hand dynamometers. The patients will be asked to squeeze the dynamometer three times with maximum strength, allowing 30-60 seconds of rest between each attempt. The average force (in pounds/kg) will then be recorded.
Time frame
baseline, week 3 and week 122
Finger pinch strength
Following the definitions outlined in the literature, FGS will be measured using Baseline pinch dynamometers. The patients will be asked to squeeze the dynamometer three times with maximum strength, allowing 30-60 seconds of rest between each attempt. The average force (in pounds/kg) will then be recorded.
Time frame
baseline, week 3 and week 123
Ultrasonographic evaluation of the median nerve
Ultrasonographic evaluation of the median nerve will be performed with a LA2-14A transducer /superficial linear probe (Samsung). The cross-sectional areas (CSA) of the median nerve at the proximal inlet of the carpal tunnel will be recorded. To identify the entrance of the carpal tunnel, measurements will be taken at the level of the distal wrist crease, at the scaphoid and pisiform bones. The assessments were conducted with the patients seated, facing the clinician, with their elbow bent at approximately 90˚, forearm in a supine position, and fingers in a semiflexed posture. Measurements were obtained using the manual tracing feature of the ultrasound device, excluding the hyperechoic nerve sheathThe CSA (mm2) will be determined. The average of the three measurements will be recorded.
Time frame
baseline, week 3 and week 124
Douleur Neuropathique 4
The DN4 is a short and simple screening test designed to help distinguish neuropathic pain from other types of pain, such as nociceptive pain. Neuropathic pain is assessed with four questions. The first two questions are based on the patient interview and the other two questions are based on the clinical examination.
Time frame
baseline, week 3 and week 12Sponsors and contacts
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Source ClinicalTrials.gov