Clinical trial NCT06464809: Treatment Intervention of Patients With Carpal Tunnel Syndrome (CTS)
Official title: Treatment Effects of Transcutaneous Electrical Nerve Stimulation and Kinesio Taping on Hand Functions for Patients With Carpal Tunnel Syndrome
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Carpal Tunnel Syndrome
Keywords: Carpal tunnel syndrome
home-based treatment program
kinesio taping
paresthesia
thenar eminence
Lead sponsor: China Medical University Hospital
Sponsor class: OTHER
Collaborators: name: Ministry of Science and Technology, Taiwan
First posted: 2024-06-18
Enrollment: 30
Sex: ALL
Minimum age (years): 30
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: This was a prospective, randomized-controlled trial.
Primary purpose: TREATMENT

Brief summary: The purpose of this study was to investigate the effectiveness of KT versus TENS combining self-myofascial stretching in treatment of CTS through clinical, functional assessment and sensory measurements.

Primary hypothesis The KT group has a more substantial improvement in hand grip, pain relief, enhancing proprioceptive sensitivity and dexterity compare to the TENS group. treatment program,

Detailed description: Objective: To compare the effectiveness of a home-based treatment program involving Kinesio taping (KT) or transcutaneous electrical nerve stimulation (TENS) among carpal tunnel syndrome (CTS) patients.

Methods:

30 participants with CTS were enrolled, age range, 30 to 60 years. The participants who met the inclusion criteria were randomized into one of two treatment groups: KT group and TENS group. Participants were blinded to the treatments used in the other group.

Patients with CTS received aforementioned treatments compared with reliable qualitative and quantitative evaluation tools before and after 4-week treatment, as well as at a additional 4-week follow-up. The main parameters include the Symptom Severity Scale (SSS) and Functional Status Scale (FSS), hand grip and key pinch strengths, two-point discrimination (2PD), Modified Moberg pick-up test (MMPUT), and Pain assessment (visual analog scale, VAS).

Eligibility criteria: Inclusion Criteria:

* numbness and tingling in the median nerve territory of the hand.
* nocturnal paresthesia.
* induction test (Tinel's sign and Phalen's test) showing a positive finding.,
* is defined as mild and moderate CTS according to nerve conduction studies (NCSs).

Exclusion Criteria:

* is defined severe CTS symptoms.
* are currently pregnant or have any secondary entrapment neuropathy (e.g., diabetes, inflammatory arthritis, hypothyroidism, previous wrist trauma).
* cervical radiculopathy or polyneuropathy.
* previous history of carpal tunnel decompression surgery.
* corticosteroid injection into the carpal tunnel.

Primary outcomes:
measure: The SSS and FSS of the Boston Carpal Tunnel Questionnaire (BCTQ)
timeFrame: pre-intervention, 4-week intervention, and 4-week follow-up.
measure: Hand grip and key pinch strengths
timeFrame: pre-intervention, 4-week intervention, and 4-week follow-up.
measure: Two-point discrimination (2PD)
timeFrame: pre-intervention, 4-week intervention, and 4-week follow-up.
measure: Modified Moberg pick-up test (MMPUT)
timeFrame: pre-intervention, 4-week intervention, and 4-week follow-up.
measure: The visual analog scale (VAS)
timeFrame: pre-intervention, 4-week intervention, and 4-week follow-up.
Secondary outcomes:
Other outcomes:
Locations:
city: Taichung
country: Taiwan
facility: China Medical University
Study officials:
affiliation: China Medical University, Taiwan
name: Wei-Hsien Hong, PhD
role: PRINCIPAL_INVESTIGATOR
References: