Effects of Pain Neuroscience Education and Standard Rehabilitation Regime in Patients of Carpal Tunnel Syndrome

Riphah International University30 enrolled

Overview

The aim of this study is to check the effects of Pain Neuroscience education and standard rehabilitation regime in patients of carpal tunnel syndrome.

In 2017 a stud assessed effectiveness of standard conservative protocol of CTS and nerve mobilization along with and without PNE and documented that standard conservative care seems to be the most appropriate option for pain relief, although neuroscience education might be a complementary option to accelerate recovery of function. More high-quality research is still necessary to determine its effectiveness and the subgroups of patients who may respond better to this treatment. In 2019 a study was done to assess the effect of PNE and standard rehabilitation exercises on the 41 patients of CTS. The experimenting group was given one session of PNE plus exercises and the control group was given exercise therapy only. Patients were randomly allocated and double blinded. The analysis of study showed better results with experimental group rather than control group. Many studies have found the effects of standard rehabilitation of Carpal Tunnel syndrome and their results in controlling pain and dysfunction. However as per researchers' knowledge little literature is available on effects of pain neuroscience education and standard rehabilitation regime in carpal tunnel syndrome. Therefore, this study6 is going to determine the effects of effectiveness of Pain Neuroscience education and standard rehabilitation regime in patients of carpal tunnel syndrome.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Wrist Injuries Carpal Tunnel Syndrome

Interventions

Pain Neuroscience education and standard rehabilitation regimeOTHER

Median nerve gliding exercises, wrist and forearm muscle stretches, wrist mobilizations and finger joint mobilizations

standard Rehabilitation regimeOTHER

standard Rehabilitation regime

Eligibility

Sex: FEMALEMin age: 20 YearsMax age: 50 Years

Medical Language ↔ Plain English

Inclusion Criteria: * age between 20\_40 years old. * Medical diagnosis of moderate to severe CTS. * Symptoms of CTS since 1month * Unilateral or bilateral symptoms * Availability and access to the hospital. Exclusion Criteria: * Inability to understand instructions, neurological conditions of the central nervous system (e.g. stroke, spinal cord injury) * Patients on treatment with alternative therapies * Previous participation in a research program * Previous surgery on the affected upper limb

Locations (1)

Absaar medical center

Lahore, Punjab Province, Pakistan

RECRUITING

Outcomes

Primary Outcomes

Numeric pain rate scale (NPRS)

Patient level of pain will be assessed using this scale. This scale ranges from 0 to 10. 0 indicates "no pain" and 10 indicates "worst pain.

Time frame: 4th week

Secondary Outcomes

Pain Catastrophizing Scale (PCS)

The Pain Catastrophizing Scale (PCS) was used to measure catastrophic thinking in response to pain through 13 statements with four possible options, from 1 "not at all" to 4 "all the time".

Time frame: 4th week

Central Contacts

Imran Amjad

CONTACT

03324390125 Imran.amjad@riphah.edu.pk

Data from ClinicalTrials.gov

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