Effect of Kinesiotaping and Night Splinting in Patients With Carpal Tunnel Syndome

Study Overview
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Brief Summary
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Carpal tunnel syndrome (CTS) which is defined as a symptomatic compression neuropathy of the median nerve at the level of the wrist. Different types of splints are used for improving the function and decreasing the pain intensity and symptoms in the rehabilitation of patients with CTS. However effectiveness of treatment by taping has never been investigated in physiotherapy and rehabilitation. The aim of this study was to compare the short-term effect of conventional physiotherapy only, and also kinesio taping and night splinting in patients with CTS.

Detailed Description
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Carpal tunnel syndrome (CTS) which is defined as a symptomatic compression neuropathy of the median nerve at the level of the wrist.It is considered as the most common disabling neuromuscular condition of the upper extremities. Night splints are used in conjunction with the conservative intervention to improve the function and decrease the pain intensity and paresthesia in the rehabilitation of patients with carpal tunnel syndrome. However effectiveness of treatment by kinesiotaping has never been investigated. The aim of this study was to compare the short-term effect of conventional physiotherapy only, and also kinesio taping and night splinting in addition to conventional physiotherapy in the rehabilitation of patients with CTS.

Official Title
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Comparison of Short-term Effect of the Kinesiotaping and Night Splinting in Patients With Carpal Tunnel Syndrome

Conditions
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Carpal Tunnel Syndrome

Intervention / Treatment
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* Other: Kinesiotaping
* Other: Night Splinting
* Other: Control Group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: This study included patients with moderate CTS, confirmed by electroneurographic examination. did not recruit any treatment (including physiotherapy or surgical release) Exclusion Criteria: Patients suffer from the thenar muscle atrophy. Patients with mild CTS.

Ages Eligible for Study
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Minimum Age: 30 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Kinesiotaping<br>A total of 20 sessions physiotherapy sessions including hot pack, ultrasound and exercise program (tendon and nerve gliding exercises=2 times per day 3sets of ten repetitions) will be applied. Additionally for this group, kinesiotaping will be applied by using carpal tunnel technique including button hole and I band technique of space correction; and with 25-50% tension in center of tape over dorsal carpal tunnel at the end of the each session. Patients will request to keep kinesiotaping at nights throughout the study. | Other: Kinesiotaping<br>* A total of 20 sessions physiotherapy sessions including hot pack, ultrasound, kinesiotaping and exercise program (tendon and nerve gliding exercises=2 times per day 3 sets of ten repetitions) will be applied.times per day 3sets of ten repetitions) will be applied.<br>|
| Experimental: Night splinting<br>A total of 20 sessions physiotherapy sessions including hot pack, ultrasound and exercise program (tendon and nerve gliding exercises=2 times per day 3sets of ten repetitions) will be applied. Additionally, night splinting will be advised. Patients will request to keep their splints at nights throughout the study. | Other: Night Splinting<br>* A total of 20 sessions physiotherapy sessions including hot pack, ultrasound, night splinting and exercise program (tendon and nerve gliding exercises=2 times per day 3 sets of ten repetitions) will be applied.<br>|
| Experimental: Control group<br>A total of 20 sessions physiotherapy sessions including hot pack, ultrasound and exercise program (tendon and nerve gliding exercises=2 times per day 3sets of ten repetitions) will be applied. | Other: Control Group<br>* A total of 20 sessions physiotherapy sessions including hot pack, ultrasound and exercise program (tendon and nerve gliding exercises=2 times per day 3 sets of ten repetitions) will be applied.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| functional impairment | functional impairment will be assessed by using Boston Carpal Tunnel Questionnaire. The score consisted of two sub-scales; The Symptom Severity Scale including 11 questions and The Functional Capacity Scale including 8 questions. Each scale score is calculated by the average values of the questions. The scores vary between 1-point to 5-point. High score indicates severe symptoms and impaired functional capacity. | functional impairment will be recorded at baseline and 4-week follow-up | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| pain intensity | pain intensity will be assessed by using Visual Analog Scale at rest, activity and at night. All patients were asked to mark their pain level that corresponds to their pain intensity on the line between 0=no pain and 100=the worst pain imaginable. | change from baseline to 4-week follow-up will be recorded | 
| paresthesia | Paresthesia will be assessed by using Visual Analog Scale at rest, activity and at night. All patients were asked to mark their paresthesia level that corresponds to their paresthesia intensity on the line between 0=no paresthesia and 100=the worst paresthesia imaginable. | change from baseline to 4-week follow-up will be recorded | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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carpal tunnel syndrome, night splinting, kinesiotaping, physiotherapy and rehabilitation