Efficiency of Mirror Therapy After Carpal Tunnel Surgery
Condition: Carpal Tunnel Syndrome; Physiotherapy; Rehabilitation
MeSH terms: Carpal Tunnel Syndrome; Syndrome
Study type: Interventional

Summary: 
      In the randomized controlled study with patients who appropriate the inclusion criteria are
      divided into two groups by simple drawing method. In the control group, the classical
      physiotherapy program is being applied when the post-operative immobilization period ended,
      MT is applied to the mirror group in addition to this treatment for 20 minutes and a total of
      10 sessions in the immobilization period. Patients who are scheduled for operation due to CTS
      evaluated that pain (VAS), sense (monofilament test), function (BCTQ, 9-hole peg test) before
      surgery, 3 weeks and 6 weeks after surgery.
    

Detailed description: 
      PURPOSE: The aim of this study is to investigate the efficacy of mirror therapy (MT).

      METHOD: In the randomized controlled study with patients who appropriate the inclusion
      criteria are divided into two groups by simple drawing method. In the control group, the
      classical physiotherapy program is being applied when the post-operative immobilization
      period ended, MT is applied to the mirror group in addition to this treatment for 20 minutes
      and a total of 10 sessions in the immobilization period. Patients who are scheduled for
      operation due to CTS evaluated that pain (VAS), sense (monofilament test), function (BCTQ,
      9-hole peg test) before surgery, 3 weeks and 6 weeks after surgery. The SPSS 21.0 statistical
      program will be used in the data analysis of the study and the level of significance wiil be
      accepted as p<0,05.
    

Intervention name(s): Mirror Therapy; Convantional Physiotherapy
Intervention type(s): Other; Other
Intervention description(s): Mirror therapy is the treatment method in which mental performance of movements is performed by observing the movements of the healthy extremities. In the case of mirror treatment, the mirror box is placed on a fixed floor. The mirror is positioned so that the patient's body can be fully centered and the mirror image can be seen. While the affected limb is placed on the rear side of the mirror, the firm extremity is opposite to the mirror. The patient focuses on the mirror image of the moving healthy hand and, through artificial visual feedback, perceives the affected limb as moving. The exercises are as follows: flexor tendon gliding exercises, median motor exercises, wrist and forearm ROM exercises and function-oriented exercises.; The first two weeks involve only immobilisation with plaster. The next 4 weeks, patients do the exercises which follows: 15 minutes water bath, scar tissue massage, flexor tendon gliding exercises, median motor exercises, wrist flexion-extention, median nerve gliding exercise (in addition, one week after plaster removal), hand wrist stretching exercise (in addition, 2 weeks after plaster removal).
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Randomized Controlled Study
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: carpal tunnel syndrome; mirror therapy; postoperative rehabilitation; physical therapy modalities; median nerve