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To rule out the effects bone mobilization and neural mobilization in Carpal Tunnel Syndrome.
A Randomized control study of 3 month period will be conducted at Riphah International University Faisalabad. Patients will be enrolled by purposive sampling based on pre-defined inclusion and exclusion criteria. Patients were randomly allocated into groups. The Patients of group A will receive scaphoid, hamate mobilization with kinesio taping and group B will receive neural mobilization with kinesiotaping. Group A will receive neural mobilization and Group B will receive scaphoid and hamate moilization. The Patient's outcome will be distinguished by Visual Analogue scale and the data of the patients will be noted pre-treatment and post-treatment. Informed consent will be taken from each patient. Data entry and analysis will prepare through Statistical Package of Social Sciences Version 20.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Neural mobilization | Experimental | Neural mobilization will be given for 15 minutes with 3 repetitions. After mobilization, Kinesio taping will be applied and it will bandage till the next session. |
|
| Scaphoid, hamate mobilization | Experimental | Scaphoid and hamate mobilization for 20 minutes, at the end of session kinesio taping will bandage till the next session. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Neural mobilization | Other | Neural mobilization and bone are two common physical therapy interventions used for Carpal Tunnel Syndrome. Neural mobilization reinstates the plasticity of the nervous system and restoring the capacity of stretching. |
| Measure | Description | Time Frame |
|---|---|---|
| Visual analogue scale | A Visual Analogue Scale is a measurement instrument that tries to measure a characteristic or attitude that is believed to range across a continuum of values and cannot easily be directly measured. It is often used in epidemiologic and clinical research to measure the intensity or frequency of various symptoms. | 12th Week |
| Dynamometer | It is a small device that the examiner holds against the patient's limb as the patient exerts a maximal force. The examiner counters the force "make test", or tries to break the contraction "break test". | 12th Week |
| Boston questionnaire | The Boston Carpal Tunnel Score is a patient-reported questionnaire that examines symptom severity and overall functional status of patients with carpal tunnel syndrome. | 12th Week |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Muhammad Kashif | Riphah International University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ripah International University | Faisalabad | Punjab Province | 38000 | Pakistan |
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| ID | Term |
|---|---|
| D002349 | Carpal Tunnel Syndrome |
| ID | Term |
|---|---|
| D020423 | Median Neuropathy |
| D020422 | Mononeuropathies |
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
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The study will be single blinded as assessors of the study would be kept blind of the treatment group to which patient will allocated.
| Scaphoid , hamate mobilization | Other | Bone mobilization in Carpal Tunnel Syndrome involves gliding at scaphoid and hamate. |
|
| D009422 | Nervous System Diseases |
| D009408 | Nerve Compression Syndromes |
| D012090 | Cumulative Trauma Disorders |
| D013180 | Sprains and Strains |
| D014947 | Wounds and Injuries |