Evaluation of the Acute Effect of Kinesio Taping by Ultrasonography
Condition: Carpal Tunnel Syndrome
MeSH terms: Carpal Tunnel Syndrome; Syndrome
Study type: Interventional

Summary: 
      The design of our study is a randomized, controlled, double-blind study. It is planned to be
      completed in twenty-four weeks with 34 participants. The main purpose of this study is to
      examine and compare the acute effects of two different kinesio tape applications on the
      carpal tunnel in patients with carpal tunnel syndrome by ultrasonographic method.
    

Detailed description: 
      Methodology of the Study:

      This study will make on 15.09.2022 and within 15.01.2023 in the Department of Physical
      Medicine and Rehabilitation of Mersin University Faculty of Medicine Hospital. Patients who
      have been diagnosed with carpal tunnel syndrome and whose treatment is planned and who meet
      the inclusion and exclusion criteria will participate.

      Anthropometric measurements:

      On the day of arrival for the test, Dr. Figen Dağ (PhD, PT) will measure their height and
      weight and calculate their body mass index within the scope of anthropometric measurements.
      The height measurement will be measured by a height meter fixed to the wall. For this,
      volunteers will be asked to take off their shoes, stand upright and face the other side. BMI
      values will be calculated by dividing body weights by the square of height (kg/m2). With the
      bioelectric impedance method (Tanita BC-418 MA, Tanita Corporation, Tokyo, Japan), the body
      composition (lean body mass, fat mass, fat percentage, etc.) of all individuals will be
      determined. For this measurement, volunteers will be asked to take off their shoes and weigh
      in light clothes.

      Kinesio taping applications:

      Two different kinesio taping applications will be applied to the patients by Dr. Figen Dağ.
      For both groups, first of all, the skin will be thoroughly cleaned of oil and moisture by
      means of alcohol cotton. As a result of the randomization, the group in which the 34 people
      to be included in the study was made from the web site (www.randomizer.org) . Patients will
      be blinded to the kinesio taping methods they will receive.

      Pain and Ultrasonographic Evaluation:

      Just before the kinesio taping application and immediately after the kinesio taping
      application (after 48 hours) after the bands are removed, the pressure pain assessment and
      the condition of the structures at the wrist level are blinded to the taping applications. It
      will be evaluated by Dr. Orhan GÜVENER (MD) by ultrasonography (US).

      Pressure pain assessment will be carried out through a carpal tunnel with a mechanical
      algometer (J Tech Medical, Salt Lake City, UT, USA).

      US measurements are carried out bidirectionally with linear probes (5-13 MHz Logiq P5; GE
      Medical Systems). Carpal tunnel evaluations will be performed while patients are seated with
      their hands in a neutral position. By avoiding compression of the probe on the tissue by
      using abundant gel, skin-subcutaneous tissue thickness, vertical, horizontal axle length and
      diameter of the median nerve, carpal ligament thickness, distance of carpal ligament and
      median nerve to the skin will be measured from proximal and distal carpal tunnel levels.

      Presentation of Results and Statistical Methods to be used in the Study:

      Statistical analyses will be made in a computer environment. The suitability of the variables
      to the normal distribution will be examined using visual (histogram and probability graphs)
      and analytical methods (Kolmogorov-Smirnov/Shapiro-Wilk tests). Demographic data, the results
      of the parameters to be evaluated will be evaluated by descriptive analyzes and will be given
      as mean (Average) ±standard deviation (SD), median, and/or interval. In the evaluation of
      intra-group differences, the paired-t-test will be used if the data show the normal
      distribution and Wilcoxon tests will be used if they do not show normal distribution. The
      differences between the groups will be determined by the independent t-test if the normal
      distribution of the data stops and by the Mann-Whitney U test if the normal distribution is
      not stopped. The relationships between the parameters will be examined using the Pearson
      test. For statistical analyses, the significance level will be considered to be 0.05.

      Intergroup, 1st, and 2nd According to Cohen, at least 34 people were planned to be enrolled
      in the study to determine the significant difference between the measurements with 80% power
      and 5% type I error at 0.5 (moderate) effect size. The calculation was done in G*Power
      3.1.9.4.
    

Intervention name(s): Kinesio taping
Intervention type(s): Device
Intervention description(s): We planned to perform two different taping applications to evaluate the acute effect of kinesio taping application on the carpal tunnels of individuals with carpal tunnel syndrome.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary purpose: Treatment
Keywords: Carpal Tunnel Syndrome,; Ultrasound; Kinesio taping