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The goal of this clinical trial is to evaluate the efficacy of Fu's Subcutaneous Needling (FSN) in carpal tunnel syndrome (CTS). The main questions it aims to answer are:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| wrist splinting group | Experimental | wrist splinting at night for 2 weeks |
|
| FSN group | Experimental | The needle inserted at the midpoint of the anterior forearm of the affected side. Swaying movement (SM) frequency is 200 times in 2 minutes. Reperfusion approach (RA) was performed with slow repetitively grasping movement while SM. On the 1st, 2nd, and 4th days, three times of FSN treatment were arranged. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| wrist splinting | Device | standard wrist splinting at night for 2 weeks |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Change of Boston Carpal Tunnel Questionnaire (BCTQ) | BCTQ | Change from baseline at one month after treatment. |
| Change of electrophysiology exam | Exam of motor latency | Change from baseline at one month after treatment. |
| Change of cross section area of median nerve in ultrasound | cross section area of median nerve | Change from baseline at one month after treatment |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Chih Ying Wu, MD | Contact | +886 4 2205 2121 | 5094 | zingwu1029@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Chih Ying Wu, MD | China Medical University, China | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| China Medical University Hsinchu Hospital | Recruiting | Zhubei | Hsinchu County | 302 | Taiwan |
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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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| FSN |
| Device |
FSN is a single-use disposable needle(Trocar Acupuncture Needle, Nanjing FSN Medical Co. , Ltd, China.). The needle body is solid, and covered with a plastic tube. The needle penetrates the skin with insertion device. Under the guidance of ultrasound, the needle enter the loose subcutaneous layer obliquely without penetrating into the muscle. This is the difference from traditional acupuncture. The insertion point is midpoint of the anterior forearm. The needle tip is toward the carpal tunnel. After the needle is inserted, SM and RA are performed. The frequency of SM is 200 times in two minutes. The method of SM is to make a horizontal fan swaying with the base of the needle as the fulcrum. RA is performed while SM-slowly make a fist for 10 seconds and then relax for 5 seconds. Eight times of RA in two minutes. After the FNS treatment, the needle was withdrawn. |
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| D009422 | Nervous System Diseases |
| D009408 | Nerve Compression Syndromes |
| D012090 | Cumulative Trauma Disorders |
| D013180 | Sprains and Strains |
| D014947 | Wounds and Injuries |