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Efficacy of Laser Acupuncture on Carpal Tunnel Syndrome Following Hand Flexor Tendon Repair

ConditionsLaser AcupunctureFlexor Tendon RepairHand SurgeryCarpal Tunnel Syndrome (CTS)
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age20-40
SponsorCairo University

About this trial

The purpose of this study is to determine the efficacy of laser acupuncture in alleviating CTS symptoms following flexor tendon repair in the hand.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adults aged 20-40 years who have undergone flexor tendon repair surgery.

Patients who have undergone primary or secondary repair of flexor tendons in the hand at zone 4 (zone of carpal tunnel as it often be complicated by postoperative adhesions due to close quarters and synovial sheath of the carpal tunnel) (Fulchignoni C et al., 2020).

Surgery occurred within a specific timeframe, often within 6-12 weeks prior to inclusion (Peters SE, Jha B, Ross M., 2021).

Patient have clinical and electro diagnostic evidence of CTS.

Disqualifiers

Pre-existing neurological disorders.

Systemic illnesses affecting nerve function (e.g., diabetes).

Contraindications to laser therapy.

Pregnancy or breastfeeding.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Laser acupuncture

    Device

    Laser acupuncture is a modern, non-invasive approach to acupuncture that uses low-level laser therapy (LLLT) instead of traditional needles to stimulate acupuncture points. This technique combines the principles of traditional Chinese medicine with modern technology to provide pain relief and promote healing (Chon et al., 2019). * Device: UNIPHY PHYACTION 740, made in EEC device. * Laser type: Gallium aluminum arsenide laser. * Wavelength: 808 nm. * Power Output: 200 mW. * Dose/energy density: 4J/point. * Frequency of treatment: Three times weekly for 8 weeks. * Duration: 12 min. * Cumulative dose: 48J/point. * Target Acupuncture Points: Key points for CTS: PC4 (Ximen), PC6 (Neiguan), PC7 (Daling), PC8 (Laogong), LI4 (Hegu), LI10 (Shousanli), LI11 (Quchi), HT-2 (Qingling), HT7 (Shenmen), HT-8 (Shaofu), LU9 (Taiyuan) and LU10 (Yuji)

  • Traditional Therapy

    Other intervention

    * Splinting/Bracing: Patients in the two groups will advised to wear a static wrist splint locked at 0\_ wrist flexion for at least 8 h at night throughout the entire length of the study as the primary management which reduce pressure on the median nerve. * Physical Therapy: Engaging in specific exercises, such as nerve glide exercises and wrist stretches, can improve mobility and reduce symptoms. These exercises aim to restore normal movement of the median nerve and alleviate compression

Treatment groups

60 Participants
are divided into 2 treatment groups
Group A: Laser acupunctureExperimental treatment 2 interventions
Group B: Traditional therapyActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Symptom Relief:

Measured by the Visual Analog Scale (VAS) for pain, numbness, and tingling.

Time frame
At baseline and after 8 weeks

Secondary outcomes

1

- Grip Strength:

Measured with a hand dynamometer to assess the strength of hand muscles.

Time frame
Measured at baseline and at the end of the intervention (8 weeks).
2

- Nerve Conduction Velocity (NCV):

Measured to assess median nerve conduction before and after the intervention

Time frame
baseline and 8 weeks.

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Cairo University

Lead sponsor

Source ClinicalTrials.gov

This trial is not recruiting at the moment. You can still explore other options: