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The aim of this study is to compare the effectiveness of Percutaneous Needle Electrolysis (PNE) versus surgical treatment in the treatment of Carpal Tunnel Syndrome (CTS).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PNE group | Experimental | Patients received 4 sessions, separated one week between them. The treatment consisted the application of a galvanic current through an acupuncture needle (0,30x30mm). The approach were performed with a transverse axis with a needle in plane, being superficial and deep interface of medium nerve the target tissue. The parameters will be 2 mA (milliamps), 10 seconds, 3 impacts (3: 3: 3). |
|
| Surgery group | Experimental | Patients received surgery for median nerve release. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PNE | Other | Percutaneous Needle Electrolysis: the application of galvanic current through an acupuncture needle. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Changes of the Boston Questionnaire for Carpal Tunnel Syndrome | 11-question patient-administered survey that rates the severity of the patient's carpal tunnel syndrome-specific symptoms on a scale of 1 (no symptoms) to 5 (worst symptoms) | Baseline and after treatments: 6 weeks, 3 months, 6 months and 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Changes of the Clinical Symptoms Carpal Tunnel Syndrome Scale | Describe the symptoms of the hand and wrist (pointing to them in a drawing), and using scales of 1 to 5 (1= No difficulty to do it; 5= I can“t do it), measure the difficulty of performing certain activities (writing, buttoning, holding a book ...) | Baseline and after treatments: 6 weeks, 3 months, 6 months and 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Direct and indirect health cost measures | Number of visits to the specialist, number of hospitalization days, number of physiotherapy sessions, prescribed medication, days of work absenteeism | 12 months after treatments |
Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D002349 | Carpal Tunnel Syndrome |
| D009408 | Nerve Compression Syndromes |
| ID | Term |
|---|---|
| D020423 | Median Neuropathy |
| D020422 | Mononeuropathies |
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
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| ID | Term |
|---|---|
| D013514 | Surgical Procedures, Operative |
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| Surgery for CTS | Procedure | Median nerve release |
|
| Change of pain level | Visual Analogue Scale (VAS: 0=no pain; 100= pain as bad as can be) | Baseline and after treatments: 6 weeks, 3 months, 6 months and 12 months |
| Change of Semmes Weinstein Mini monofilament kit | Contact threshold, to assess if there is a decrease in sensitivity | Baseline and after treatments: 6 weeks, 3 months, 6 months and 12 months |
| Change of the Hand Dynamometer | Hand grip force | Baseline and after treatments: 6 weeks, 3 months, 6 months and 12 months |
| Changes of the Muscles strength by Kendall“s scale | Muscular strength of Opponens pollicis and Abductors policies. Scale of 0 to 5 (0=No visible or palpable contraction; 5=Full ROM against gravity, maximum resistance) | Baseline and after treatments: 6 weeks, 3 months, 6 months and 12 months |
| Changes of the SF-12 Questionnaire (Short Form 12 Questionnaire) | 12 questions self-administered. Assess quality of life, general health and well-being using scales of 1 to 5 (1= Ever; 5= Never) | Baseline and after treatments: 6 weeks, 3 months, 6 months and 12 months |
| D009422 | Nervous System Diseases |
| D012090 | Cumulative Trauma Disorders |
| D013180 | Sprains and Strains |
| D014947 | Wounds and Injuries |