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The aim of this study is to examine the effect of transcutaneous pulsed radiofrequency current in the treatment of carpal tunnel syndrome.
Carpal tunnel syndrome (CTS) is the most common peripheral neuropathy. Wrist splint is the first-line treatment option for CTS. Pulsed radiofrequency therapy is used in the treatment of chronic pain.
60 carpal tunnel syndrome patients diagnosed with electroneuromyelography will be included in the study. 30 patients will wear wrist splints for 1 month. In the other 30 patients, pulsed radiofrequency current will be given through the wrist median nerve trace. RF current will be applied through transcutaneous pads. It will be applied once a week for a total of 2 sessions, 8 minutes each. Boston carpal tunnel syndrome questionnaire with visual analog scale (VAS) will be applied to all patients before and after the treatment at 1 week and 1 month.
Our aim is to compare the effectiveness of wrist splint and pulsed rf therapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Wrist splint group | Active Comparator | The group to be treated with a wrist splint |
|
| Transcutaneous pulsed RF group | Active Comparator | The group to be treated with transcutaneous pulsed RF |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Wrist splint | Device | A wrist splint is a It stabilizes your wrist. Wearing a wrist splint minimizes pressure on the median nerve. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Pain on the Visual Analog Scale (VAS) at Week 2 and 4 | The visual analog scale (VAS) is a validated, subjective measure for acute and chronic pain. Scores are recorded by making a handwritten mark on a 10-cm line that represents a continuum between "0=no pain" and "10=worst pain. | Baseline, Week 2 and 4 |
| Boston Carpal Tunnel Syndrome Questionnaire before treatment | The Boston Carpal Tunnel Questionnaire (BCTQ) is a disease-specific measure of self-reported symptom severity and functional status. It is frequently used in the reporting of outcomes from trials into interventions for carpal tunnel syndrome. ıncluding Symptom Severity Scale is 11: no symptoms, 55: worst symptoms and Functional Disability Scale (FDS) no difficulties:8, worst difficulties: 40 | Before treatment |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| mehlika panpallı ateş | Diskapi TRH | Study Chair |
| ömer taylan akkaya | Diskapi TRH | Study Director |
| Hüseyin Alp Alptekin | Diskapi TRH | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Diskapi Yildirim Beyazıt Teaching and Research Hospital | Ankara | Dişkapi | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D010523 | Peripheral Nervous System Diseases |
| D059350 | Chronic Pain |
| D002349 | Carpal Tunnel Syndrome |
| ID | Term |
|---|---|
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
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| Pulsed radiofrequency current | Other | Pulsed rf current is delivered to the median nerve trace via transcutaneous pads. Pain expression is suppressed in the dorsal horn of the spinal cord. |
|
| D012816 |
| Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D020423 | Median Neuropathy |
| D020422 | Mononeuropathies |
| D009408 | Nerve Compression Syndromes |
| D012090 | Cumulative Trauma Disorders |
| D013180 | Sprains and Strains |
| D014947 | Wounds and Injuries |