The carpal tunnel syndrome (CTS) is the most common entrapment neuropathy in the general population.The focus extracorporeal shock wave (fEWST) is a non invasive treatment for various diseases. FESWT is new and potential treatment for peripheral nerve entrapment/ peripheral neuropathy . But there is still little known about the effects and long term effects of fESWT in the treatment of CTS.
The aim of this study is to determine the effectiveness of fESWT in patients with carpal tunnel syndrome compared to participants receiving only night splint. Therefore 40 patients with mild to moderate CTS (verified by nerve conduction velocity) will be randomized to receive either fESWT (1-session a week for 3 weeks) or sham fESWT(1-session a week for 3 weeks). All subjects will be asked to wear night splints. Evaluation will be performed at baseline (VAS, hand grip, electrodiagnostic parameters, questionnaires), 3 weeks (VAS, hand grip, questionnaires), 12 and 24 weeks (VAS, hand grip, electrodiagnostic parameters, questionnaires) after treatment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
40
40 Patients with mild to moderate CTS will be randomized to receive either fESWT (1-session a week for 3 weeks) or sham fESWT(1-session a week for 3 weeks). All subjects will be asked to wear night splints.
40 Patients with mild to moderate CTS will be randomized to receive either fESWT (1-session a week for 3 weeks) or sham fESWT(1-session a week for 3 weeks). All subjects will be asked to wear night splints.
40 Patients with mild to moderate CTS will be randomized to receive either fESWT (1-session a week for 3 weeks) or sham fESWT(1-session a week for 3 weeks). All subjects will be asked to wear night splints.
Medical University of Vienna, Department of Physical Medicine, Rehabilitation and Occupational Medicine
Vienna, Austria
RECRUITINGVAS
Visual Analog Scale: Change from baseline of pain 3th,12th and 24th weeks after treatment.
Time frame: baseline, 3th,12th and 24th weeks after treatment
hand grip strength
hand grip strength:
Time frame: baseline, 3th,12th and 24th weeks after treatment
distal motor latency of the median nerve
electrophysiological parameter, using nerve conduction velocity to measure distal motor latency and antidromic sensory nerve conduction velocity of the median nerve. Change from baseline in conduction velocity of median nerve on 12th and 24th weeks after treatment.
Time frame: baseline,12th and 24th weeks after treatment
sensory conduction velocity of the median nerve
electrophysiological parameter, using nerve conduction velocity to measure distal motor latency and antidromic sensory nerve conduction velocity of the median nerve. Change from baseline in conduction velocity of median nerve on 12th and 24th weeks after treatment.
Time frame: baseline, 12th and 24th weeks after treatment
SF-36
36-item Short Form Health Survey: Change from baseline in quality of life 3th,12th and 24th weeks after treatment.
Time frame: baseline, 3th,12th and 24th weeks after treatment
Boston Scale
Boston Symptom Severity Score: Change from baseline in severity of symptoms and functional status 3th,12th and 24th weeks after treatment.
Time frame: baseline, 3th,12th and 24th weeks after treatment
Christina Gesslbauer
CONTACT
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.