Comparison of flexor retinaculum stretch and carpal mobilizations in carpal tunnel syndrome patients.
* Carpal Bones Mobilization tends to improve the symptoms of carpal tunnel syndrome. * Manual stretching of the flexor retinaculum effective in CTS patients. * As there are no studies available to compare the effectiveness of flexor retinaculum stretch and carpal bone mobilization for the treatment of CTS, hence the purpose of this study is to find the effectiveness of carpal bone mobilization and flexor retinaculum stretch in improving Pain, ROM and Functional Status in patient with CTS.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
34
Carpal bone mobilization 5 repetition/1 set lasted for 15 secs followed by 10 secs of rest- 3 sessions on alternate days per week for 04 weeks. Total of 12 sessions will be given, each consisting of 45 mins.
Flexor retinaculum stretch 5 repetitions/ 1 set held for 60 secs at a time,-3 sessions on alternate days per week for 04 weeks. Total of 12 sessions will be given, each consisting of 45 mins.
1. Carpal bone mobilization 5 repetition/1 set lasted for 15 secs followed by 10 secs of rest.3 sessions on alternate days per week for 04 weeks. 2. Flexor retinaculum stretch 5 repetitions/ 1 set held for 60 secs at a time-3 sessions on alternate days per week for 04 weeks. Total of 12 sessions will be given, each consisting of 45 mins.
Rawal Institute of Health Sciences
Rawalpindi, Punjab Province, Pakistan
Islamabad physiotherapy rehabilitation centre
Rawalpindi, Punjab Province, Pakistan
Numeric Pain Rating Scale (NPRS)
Changes from baseline. NPRS is an 11 point numeric scale scored from 0-10. The maximum pain value is 10. 0 means no pain whereas 10 means most intense pain imaginable
Time frame: 4th week
Boston Carpal Tunnel Questionnaire (BCTQ) scale (SSS, FSS)
Changes from baseline. The Boston Carpal Tunnel Score is a patient-reported questionnaire that examines symptom severity and overall functional status. It has two subscales. 1. The Symptom Severity Scale (SSS) with 11 questions is scored on a Likert scale from 1-5 where 1 means no symptom and 5 means most severe symptom. The maximum score is 55. 2. The Functional Status Scale (FSS) with 8 questions is scored from 1-5 with 1 as no difficulty and 5 as "cannot do at all due to hand or wrist symptoms". The maximum score is 40.
Time frame: 4th week
6-item CTS symptoms scale (CTS-6)
Changes from baseline.The CTS-6 was scored with conventional scoring (similar to that used for the 11-item symptom severity scale) each item was scored on a scale of 1 (no symptom) to 5 (most severe symptom).
Time frame: 4th week
ROM wrist flexion
Changes from baseline ROM range of motion of wrist flexion was taken by using Goniometer
Time frame: 4th week
ROM wrist extenion
Changes from baseline ROM range of motion of wrist extension was taken by using Goniometer
Time frame: 4th week
ROM radial deviation
Changes from baseline ROM range of motion of radial deviation was taken by using Goniometer
Time frame: 4th week
ROM ulnar deviation
Changes from baseline ROM range of motion of ulnar deviation was taken by using Goniometer
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: 4th week