Continuous And Pulsed Ultrasound Treatments On Carpal Tunnel Syndrome

N/ACompletedNCT02054247

Eskisehir Osmangazi University46 enrolled

Overview

The aim of this placebo-controlled study was to evaluate the effects of pulsed and continuous ultrasound treatments combined with splint therapy on patients with mild and moderate idiopathic carpal tunnel syndrome

The study included 36 carpal tunnel syndrome patients who were randomly divided into 3 groups.The first group received 0 W/cm2 placebo ultrasound treatment. second group received 1.0 W/cm2 continuous ultrasound treatment and the third group received 1.0 W/cm2 1:4 pulsed ultrasound treatment 5 days a week for a total of 15 sessions. All patients were also treated with night splints during the treatment. Pretreatment and posttreatment Visual Analogue Scale scores, Symptom Severity Scale scores, Functional Status Scale scores, median nerve motor conduction velocity. and distal latency and sensory conduction velocity of median nerve in the 2nd finger and palm were compared.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Carpal Tunnel Syndrome

Interventions

ultrasoundDEVICE

a frequency of 1 megahertz and with an intensity of 1 W/cm2, 5 days a week for a total of 15 sessions

pulsed ultrasoundDEVICE

a frequency of 1 megahertz and with an intensity of 1 W/cm2 and a pulsed mode duty cycle of 1:4, 5 days a week for a total of 15 sessions

placebo ultrasoundDEVICE

same ultrasound device as described above seemed to be working but without delivering any output, 5 days a week for a total of 15 sessions

Eligibility

Sex: FEMALE

Medical Language ↔ Plain English

Inclusion Criteria: * Mild or moderate idiopathic carpal tunnel syndrome (without thenar atrophy or spontaneous activity on electrophysiological examination of the abductor pollicis brevis (APB) muscle) Exclusion Criteria: * Secondary entrapment neuropathies * Cervical radiculopathy * Systemic diseases with increased risk of the carpal tunnel syndrome * Gained surgical relief of the syndrome * Treated with ultrasound for the syndrome * A history of steroid injections into the carpal tunnel and of physical therapy within the last 3 months * Patients with either thenar atrophy or spontaneous activity (fibrillation potentials and positive sharp waves) on electrophysiological examination

Outcomes

Primary Outcomes

Change From Baseline in Symptom Severity With Symptom Severity Scale

Post treatment comparison of Symptom Severity Scale between three groups minimum score is 11, maximum score is 55. The clinic of patient worses when the score increases.

Time frame: three weeks

Secondary Outcomes

Change From Baseline in Pain With Visual Analogue Scale

Post treatment comparison of Visual Analogue Scale between three groups min score is 0, maximum score is 10. The clinic of patient worses when the score increases.

Time frame: Three weeks

Change From Baseline in Functional Status With Functional Status Scale

Post treatment comparison of Functional Status Scale between three groups min score is 8, maximum score is 40. The clinic of patient worses when the score increases.

Time frame: Three weeks

Changes From Baseline Nervus Medianus Motor Conduction Velocity

Post treatment comparison of Median motor nerve conduction velocity between three groups

Time frame: Three weeks

Data from ClinicalTrials.gov

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