To assess the effectiveness of a combined physical and psychological intervention in reducing pain and improving function in carpal tunnel syndrome patients with nociplastic pain.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
64
Physical therapy components will include splinting, tendon and nerve gliding exercises. Psychological components will include cognitive-behavioral therapy (CBT), delivered in individual sessions, targeting pain catastrophizing and fear of movement. Participants will attend 2 physical therapy sessions and one CBT session per week. for a period of 12 weeks
Participants will be asked to wear a prefabricated wrist splint during the night and during strenuous activity. Also, they will receive tendon and nerve gliding exercises
Outpatient clinic of faculty of physical therapy, Ahram Canadian University
Al Ḩayy Ath Thāmin, Giza Governorate, Egypt
RECRUITINGPain intensity using the Numeric Pain Rating Scale (NPRS)
Time frame: Changes in pain intensity at baseline, 6 weeks, 12 weeks.
Functional ability using the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire
Time frame: Changes in Functional ability at baseline, 6 weeks, 12 weeks.
Median nerve motor distal latency
Time frame: Changes in Median nerve motor distal latency at baseline, 6 weeks, 12 weeks.
Median nerve sensory distal latency
Time frame: Changes in Median nerve sensory distal latency at baseline, 6 weeks, 12 weeks.
Pain catastrophizing using the Pain Catastrophizing Scale (PCS)
Time frame: Changes in Pain Catastrophizing Scale (PCS) at baseline, 6 weeks, 12 weeks.
Fear of movement using the Tampa Scale for Kinesiophobia (TSK)
Time frame: Changes in Tampa Scale for Kinesiophobia (TSK) at baseline, 6 weeks, 12 weeks.
Grip strength measured using a hand dynamometer
Time frame: Changes in Grip strength at baseline, 6 weeks, 12 weeks.
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