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To assess the effectiveness of a combined physical and psychological intervention in reducing pain and improving function in carpal tunnel syndrome patients with nociplastic pain.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention group | Experimental | Participants will receive a twelve-week combined physical and psychological intervention. |
|
| Control group | Active Comparator | Participants will receive a twelve-week of standard care of splinting, tendon and nerve gliding exercises. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Combined physical and psychological intervention | Other | Physical therapy components will include splinting, tendon and nerve gliding exercises. Psychological components will include cognitive-behavioral therapy (CBT), delivered in individual sessions, targeting pain catastrophizing and fear of movement. Participants will attend 2 physical therapy sessions and one CBT session per week. for a period of 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Pain intensity using the Numeric Pain Rating Scale (NPRS) | Changes in pain intensity at baseline, 6 weeks, 12 weeks. | |
| Functional ability using the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire | Changes in Functional ability at baseline, 6 weeks, 12 weeks. | |
| Median nerve motor distal latency | Changes in Median nerve motor distal latency at baseline, 6 weeks, 12 weeks. | |
| Median nerve sensory distal latency | Changes in Median nerve sensory distal latency at baseline, 6 weeks, 12 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Pain catastrophizing using the Pain Catastrophizing Scale (PCS) | Changes in Pain Catastrophizing Scale (PCS) at baseline, 6 weeks, 12 weeks. | |
| Fear of movement using the Tampa Scale for Kinesiophobia (TSK) | Changes in Tampa Scale for Kinesiophobia (TSK) at baseline, 6 weeks, 12 weeks. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mohamed M ElMeligie, Ph.d | Contact | +201064442032 | mohamed.elmeligie@acu.edu.eg | |
| Amal Fawzy, Ph.d | Contact | +201159880001 | dr.amalfawzy@acu.edu.eg |
| Name | Affiliation | Role |
|---|---|---|
| Amal Fawzy, Ph.d | Faculty of Physical Therapy, Ahram Canadian University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Outpatient clinic of faculty of physical therapy, Ahram Canadian University | Recruiting | Al Ḩayy Ath Thāmin | Giza Governorate | 3221405 | Egypt |
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| ID | Term |
|---|---|
| D002349 | Carpal Tunnel Syndrome |
| D059350 | Chronic Pain |
| ID | Term |
|---|---|
| D020423 | Median Neuropathy |
| D020422 | Mononeuropathies |
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
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| ID | Term |
|---|---|
| D000083626 | Psychosocial Intervention |
| D059039 | Standard of Care |
| ID | Term |
|---|---|
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
| D019984 | Quality Indicators, Health Care |
| D011787 | Quality of Health Care |
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| Standard care | Other | Participants will be asked to wear a prefabricated wrist splint during the night and during strenuous activity. Also, they will receive tendon and nerve gliding exercises |
|
| Grip strength measured using a hand dynamometer | Changes in Grip strength at baseline, 6 weeks, 12 weeks. |
| D009422 | Nervous System Diseases |
| D009408 | Nerve Compression Syndromes |
| D012090 | Cumulative Trauma Disorders |
| D013180 | Sprains and Strains |
| D014947 | Wounds and Injuries |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D006298 | Health Services Administration |
| D017530 | Health Care Quality, Access, and Evaluation |