Effect of Sensory Training on Activity Limitation, Functional Use of Hand and Quality of Life After Wrist Surgery

Study Overview
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Brief Summary
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The aim of this study is to determine the benefits of sensory training for participants who are included in rehabilitation after carpal tunnel surgery.

Official Title
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Investigation of the Effect of Proprioceptive Sensory Training on Activity Limitation, Functional Use of Hand and Quality of Life in Individuals Undergoing Open Carpal Tunnel Relaxation

Conditions
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Proprioception

Intervention / Treatment
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* Procedure: Sensory Training
* Other: classical hand therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: SANKO University Health Practice and Research Center, Orthopedics and Traumatology Unit underwent open carpal tunnel loosening surgery. Exclusion Criteria: The presence of nerve entrapment other than the median nerve (any sensory / motor deficits in the ulnar or radial nerve), Wrist injury history (fractures, carpal instabilities), Previous surgery in the hand or wrist region, Traumatic and recurrent Carpal Tunnel Syndrome, inflammation of the tendon sheath or the presence of general active inflammation

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

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: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Hand Therapy Group<br> | Other: classical hand therapy<br>* classical hand therapy<br>|
| Experimental: Sensory Training Group<br> | Procedure: Sensory Training<br>* The sensory training group includes sensory-oriented interventions and exercises unlike the other classical hand therapy group.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Joint Position Matching | In our study, the wrist joint's range of motion will be evaluated in 2 different directions (flexion / extension and radial / ulnar deviation) for proprioception evaluation. For evaluations of all directions, the individual will be required to bring the wrist to the end of the movement, then to perform half the normal range of motion, while the wrist is in a hanging position from the table edge to allow full movement. The difference between the angular value and the angular value created by the individual will be noted by looking at the angular value on the fixed goniometer. | Baseline (First day) | 
| Purdue Pegboard Test | The Purdue Pegboard Test is a neuropsychological test of manual dexterity and bimanual coordination. | Baseline (First day) | 
| Activity Limitation | The Patient-Specific Functional Scale is a self-reported, patient-specific outcome measure, designed to assess functional change, primarily in patients presenting with musculoskeletal disorders. The scale was developed by Stratford et al 1995 as a self-report measure of function that could be used in patients with varying levels of independence. It was designed to provide clinicians with a valid, reliable, responsive, and efficient outcome measure that would be easy to use and applicable to a large number of clinical presentations. | Baseline (First day) | 
| Health-Related Quality of Life | The EuroQoL-five-dimension (EQ-5D) is one of the most commonly used questionnaires to elicit health state utilities, having both a youth and an adult version. For general populations of adults two versions of the questionnaire have been developed, 3L and 5L, with the latter offering a more detailed description of health status. In order to use the EQ-5D to estimate quality-adjusted life-years, a value set to reflect people's preferences for different health states is needed. | Baseline (First day) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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sensory, carpal tunnel syndrome