Comparison of Flexor Retinaculum Stretch and Carpal Mobilizations in Patients With Carpal Tunnel Syndrome.

Study Overview
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Brief Summary
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Comparison of flexor retinaculum stretch and carpal mobilizations in carpal tunnel syndrome patients.

Detailed Description
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Carpal Bones Mobilization tends to improve the symptoms of carpal tunnel syndrome. Manual stretching of the flexor retinaculum effective in CTS patients. As there are no studies available to compare the effectiveness of flexor retinaculum stretch and carpal bone mobilization for the treatment of CTS, hence the purpose of this study is to find the effectiveness of carpal bone mobilization and flexor retinaculum stretch in improving Pain, ROM and Functional Status in patient with CTS.

Official Title
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Comparison of Flexor Retinaculum Stretch and Carpal Mobilizations in Patients With Carpal Tunnel Syndrome on Pain, ROM and Functional Status

Conditions
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Carpal Tunnel Syndrome

Intervention / Treatment
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* Other: Carpal bone mobilization
* Other: Flexor retinaculum stretch
* Other: Carpal bone mobilization and flexor retinaculum stretch


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Females Age between 18-40 years Unilateral CTS Already diagnosed patients of CTS. Exclusion Criteria: Fracture of wrist Dislocation Congenital abnormalities Rheumatoid arthritis Osteoarthritis Liver failure Pregnancy Bilateral CTS Systemic neurological condition e.g.: GB syndrome, multiple sclerosis.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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Female

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: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Carpal bone mobilization<br>Carpal bone mobilization will be done | Other: Carpal bone mobilization<br>* Carpal bone mobilization 5 repetition/1 set lasted for 15 secs followed by 10 secs of rest- 3 sessions on alternate days per week for 04 weeks. Total of 12 sessions will be given, each consisting of 45 mins.<br>|
| Experimental: Flexor retinaculum stretch<br>Flexor retinaculum stretch will be given. | Other: Flexor retinaculum stretch<br>* Flexor retinaculum stretch 5 repetitions/ 1 set held for 60 secs at a time,-3 sessions on alternate days per week for 04 weeks. Total of 12 sessions will be given, each consisting of 45 mins.<br>|
| Experimental: Carpal bone mobilization and flexor retinaculum stretch<br>Carpal bone mobilization and flexor retinaculum stretch will be given together | Other: Carpal bone mobilization and flexor retinaculum stretch<br>* Carpal bone mobilization 5 repetition/1 set lasted for 15 secs followed by 10 secs of rest.3 sessions on alternate days per week for 04 weeks. Flexor retinaculum stretch 5 repetitions/ 1 set held for 60 secs at a time-3 sessions on alternate days per week for 04 weeks. Total of 12 sessions will be given, each consisting of 45 mins.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Numeric Pain Rating Scale (NPRS) | Changes from baseline. NPRS is an 11 point numeric scale scored from 0-10. The maximum pain value is 10. 0 means no pain whereas 10 means most intense pain imaginable | 4th week | 
| Boston Carpal Tunnel Questionnaire (BCTQ) scale (SSS, FSS) | Changes from baseline. The Boston Carpal Tunnel Score is a patient-reported questionnaire that examines symptom severity and overall functional status. It has two subscales. The Symptom Severity Scale (SSS) with 11 questions is scored on a Likert scale from 1-5 where 1 means no symptom and 5 means most severe symptom. The maximum score is 55. The Functional Status Scale (FSS) with 8 questions is scored from 1-5 with 1 as no difficulty and 5 as cannot do at all due to hand or wrist symptoms. The maximum score is 40. | 4th week | 
| 6-item CTS symptoms scale (CTS-6) | Changes from baseline.The CTS-6 was scored with conventional scoring (similar to that used for the 11-item symptom severity scale) each item was scored on a scale of 1 (no symptom) to 5 (most severe symptom). | 4th week | 
| ROM wrist flexion | Changes from baseline ROM range of motion of wrist flexion was taken by using Goniometer | 4th week | 
| ROM wrist extenion | Changes from baseline ROM range of motion of wrist extension was taken by using Goniometer | 4th week | 
| ROM radial deviation | Changes from baseline ROM range of motion of radial deviation was taken by using Goniometer | 4th week | 
| ROM ulnar deviation | Changes from baseline ROM range of motion of ulnar deviation was taken by using Goniometer | 4th week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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median neuropathy, thenar muscle atrophy, compression neuropathy, flexor retinaculum