Clinical trial NCT06358326: Dry Needling and Rehabilitatin Carpal Tunnel Syndrome
Official title: Dry Needling in Patients With Carpal Tunnel Syndrome
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Dry Needling
Carpal Tunnel Syndrome
Myofacial Pain
Lead sponsor: Karabuk University
Sponsor class: OTHER
First posted: 2024-04-10
Enrollment: 78
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Parallel Assignment
Primary purpose: TREATMENT

Brief summary: Dry needling is used for myofascial release. However, its effectiveness in carpal tunnel syndrome (CTS) is not well known. It is thought that dry needling may also be an effective treatment for CTS by providing relaxation in the fascial tissue. Therefore, this study will examine the effects of dry needling treatment on pain, function, range of motion, proprioception and disability in patients with CTS.

Detailed description: Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy in the society, which develops due to compression of the median nerve in the carpal tunnel. With the compression of the median nerve, a pain, numbness and tingling sensation spreading to the hand and wrist affects daily living activities and reduces the quality of life. Thickening and myofascial restriction in the carpal tunnel area also contribute to this situation. For this reason, various treatment methods have been developed for CTS, ranging from conservative treatment to surgery. Dry needling is also an alternative treatment method that can be used for CTS. Dry needling allows the fascial tissue to loosen and re-enter the healing process, leading to a decrease in pain and an increase in quality of life. However, its effectiveness in patients with CTS is unknown. This study aimed to examine the effectiveness of dry needling in patients with CTS.

Eligibility criteria: Inclusion Criteria:

1. Volunteering to participate in the study.
2. Being between the ages of 18-65.
3. Being diagnosed with mild or moderate stage CTS as a result of the electroneurophysiological test.

Exclusion Criteria:

1. Having additional neurological, rheumatological and orthopedic disorders.
2. Having had previous hand surgery.
3. Having an additional acute neck, shoulder, elbow and hand problem.
4. Having a BMI of 40 kg/m2 and above.
5. Being pregnant.
6. As a result of the electroneurophysiological test, the data related to the median nerve are at a severe level.

Primary outcomes:
measure: Pain severity
timeFrame: Baseline and 3 weeks post-intervention
measure: Wrist range of motion
timeFrame: Baseline and 3 weeks post-intervention
measure: Position sense
timeFrame: Baseline and 3 weeks post-intervention
measure: Severity of symptoms
timeFrame: Baseline and 3 weeks post-intervention
measure: Functional status
timeFrame: Baseline and 3 weeks post-intervention
measure: Hands activity level
timeFrame: Baseline and 3 weeks post-intervention
measure: neuropathic pain severity
timeFrame: Baseline and 3 weeks post-intervention
measure: Nerve cross-sectional area
timeFrame: Baseline and 3 weeks post-intervention
Secondary outcomes:
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Pursaklar State Hospital
Study officials:
affiliation: Pursaklar State Hospital
name: Fidan Yılmaz, MsC
role: PRINCIPAL_INVESTIGATOR
affiliation: Pursaklar State Hospital
name: Emime EMİRMAHMUTOĞLU, Bachelors
role: PRINCIPAL_INVESTIGATOR
affiliation: Pursaklar State Hospital
name: Banu Gökçen BAYDOĞAN TAN, MD
role: STUDY_DIRECTOR
References: