Impact of Walking Aids on the Occurrence of Carpal Tunnel Syndrome in Rehabilitation

Study Overview
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Brief Summary
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The purpose of this study is to assess the impact of the use of technical walking aids in the adult population undergoing rehabilitation by evaluating clinical, electrophysiological, and iconographic parameters before and after the use of these devices.

Official Title
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Impact of Technical Aids in the Occurrence of Carpal Tunnel Syndrome in Patients Undergoing Rehabilitation

Conditions
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Carpal Tunnel Syndrome

Intervention / Treatment
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* Diagnostic Test: nerve conduction study
* Diagnostic Test: ultrasonography wrists
* Diagnostic Test: Boston carpal tunnel questionnaire
* Diagnostic Test: clinical provocative tests for carpal tunnel syndrome


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: admitted into an in-patient rehabilitation unit Functional Ambulation Category ≥ 1 de novo need for a walking aid at least one functional upper limb expected duration of need for walking aid at least one month Exclusion Criteria: less than 18 years old current use of walking aid or use of a walking aid less than 6 months ago) difficulty filling out questionnaires or understanding instructions in French medical contraindications to the use of walking aids refusal to sign the consent form.

Ages Eligible for Study
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Minimum Age: 18 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: Screening
Intervention Model: Single Group Assignment
Interventional Model Description: cohort study
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: patient<br>Rehabilitation patients using a technical walking aid will be followed up for development of carpal tunnel syndrome | Diagnostic Test: nerve conduction study<br>* sensory and motor nerve conduction study of both median nerves and ulnar nerves<br>Diagnostic Test: ultrasonography wrists<br>* assess the cross-sectional area of the median nerves and the ulnar nerves<br>Diagnostic Test: Boston carpal tunnel questionnaire<br>* assess the severity of symptoms and the functional impact related to carpal tunnel syndrome<br>Diagnostic Test: clinical provocative tests for carpal tunnel syndrome<br>* Tinel and Phalen's test to evaluate the presence of carpal tunnel syndrome<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Boston Carpal Tunnel Questionnaire | total score and subscores: symptom severity scale and functional scale | one month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| PADUA score | Describes the electrophysiological status of sensory and motor conduction of the median nerve | one month | 
| cross-sectional area of median nerve on ultrasound | Describes the diameter of the median nerve | one month | 
| clinical provocative tests of the median nerve | Tinel and Phalen's sign | one month | 
| Need for treatment of carpal tunnel syndrome | number of injections in the carpal tunnel/splinting of the wrist | one month | 
| cross-sectional area of ulnar nerve on ultrasound | describes the diameter of the ulnar nerve | one month | 
| amplitude of sensory nerve potential of the ulnar nerve | describes the functional status of the sensory ulnar nerve | one month | 

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