The aim of this study is to check the effects of Pain Neuroscience education and standard rehabilitation regime in patients of carpal tunnel syndrome.
age between 20_40 years old.
Medical diagnosis of moderate to severe CTS.
Symptoms of CTS since 1month
Unilateral or bilateral symptoms
Inability to understand instructions, neurological conditions of the central nervous system (e.g. stroke, spinal cord injury)
Patients on treatment with alternative therapies
Previous participation in a research program
Previous surgery on the affected upper limb
Parallel
Pain Neuroscience education and standard rehabilitation regime
Other interventionMedian nerve gliding exercises, wrist and forearm muscle stretches, wrist mobilizations and finger joint mobilizations
standard Rehabilitation regime
Other interventionstandard Rehabilitation regime
Numeric pain rate scale (NPRS)
Patient level of pain will be assessed using this scale. This scale ranges from 0 to 10. 0 indicates "no pain" and 10 indicates "worst pain.
Pain Catastrophizing Scale (PCS)
The Pain Catastrophizing Scale (PCS) was used to measure catastrophic thinking in response to pain through 13 statements with four possible options, from 1 "not at all" to 4 "all the time".
Boston Carpal Tunnel Questionnaire (BCTQ)
BCTQmeasures self reported functional status and severity of symptom. The BCTQ-SSS consists of 11 questions, each question provides 5 response choices, from 1 (no symptoms) to 5 (most severe/often).
Goniometer
The range of motions like flexion extension radial deviation and ulnar deviation of wrist will be measured by Goniometer.
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