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| ID | Type | Description | Link |
|---|---|---|---|
| 2023/17JAN/025 | Other Identifier | Comité d'éthique hospitalo-facultaire Saint-Luc -UCLouvain |
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The purpose of this study is to assess the impact of the use of technical walking aids in the adult population undergoing rehabilitation by evaluating clinical, electrophysiological, and iconographic parameters before and after the use of these devices.
The current evidence indicates that the short-term use of walking aids elicits pressure-induced anatomical changes of the median nerve and that long-term use of walking aids leads to a significant percentage of stroke patients developing clinical symptoms of carpal tunnel syndrome. We will investigate the consequences of using technical walking aids for gait in a broader population of rehabilitation patients. The rehabilitation setting per se may be considered a useful clinical 'human pathological model' for peripheral nerve entrapment. Recruited patients will be naïve to previous use of walking aids and de novo will start using them for gait rehabilitation, regardless of the underlying disease. This intervention model will allow us to identify clinical, electrophysiological, and anatomical changes of the median nerve due to the daily direct pressure elicited by walking aids. We consider that a one-month duration of use of walking aids is needed to observe detectable changes in electrophysiological and ultrasonographical assessment to elicit entrapment neuropathies in patients prone to developing them.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| patient | Other | Rehabilitation patients using a technical walking aid will be followed up for development of carpal tunnel syndrome |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| nerve conduction study | Diagnostic Test | sensory and motor nerve conduction study of both median nerves and ulnar nerves |
|
| Measure | Description | Time Frame |
|---|---|---|
| Boston Carpal Tunnel Questionnaire | The Boston Carpal Tunnel Questionnaire comprises two separate scales: the Symptom Severity Scale (SSS), which consists of 11 questions, and the Functional Status Scale (FSS), which consists of 8 items and requires respondents to score the difficulty of each item on a five-point scale. A final score is calculated for each scale (the sum of the individual scores divided by the number of items) and ranges from 1 to 5, with a higher score indicating a more severe handicap. | one month |
| Measure | Description | Time Frame |
|---|---|---|
| PADUA score | The PADUA score is a classification of the neurophysiological severity of median neuropathy across the wrist. It is scored in 6 classes (1 to 6) with a higher score indicating greater neurophysiological damage to the median nerve | one month |
| cross-sectional area of median nerve on ultrasound |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Guillaume Parein, MD | Centre Hospitalier Valida | Principal Investigator |
| Patricia Dessart, MD | Centre Hospitalier Valida | Study Director |
| Samar M Hatem, MD,¨PhD | Centre Hospitalier Valida | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre Hospitalier Valida | Brussels | 1082 | Belgium |
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| ID | Term |
|---|---|
| D002349 | Carpal Tunnel Syndrome |
| D020423 | Median Neuropathy |
| ID | Term |
|---|---|
| D020422 | Mononeuropathies |
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D000092184 | Nerve Conduction Studies |
| ID | Term |
|---|---|
| D003943 | Diagnostic Techniques, Neurological |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D004568 | Electrodiagnosis |
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cohort study
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| ultrasonography wrists | Diagnostic Test | assess the cross-sectional area of the median nerves and the ulnar nerves |
|
| Boston carpal tunnel questionnaire | Diagnostic Test | assess the severity of symptoms and the functional impact related to carpal tunnel syndrome |
|
| clinical provocative tests for carpal tunnel syndrome | Diagnostic Test | Tinel and Phalen's test to evaluate the presence of carpal tunnel syndrome |
|
Describes the diameter of the median nerve |
| one month |
| clinical provocative tests of the median nerve | Tinel and Phalen's sign | one month |
| Need for treatment of carpal tunnel syndrome | number of injections in the carpal tunnel/splinting of the wrist | one month |
| cross-sectional area of ulnar nerve on ultrasound | describes the diameter of the ulnar nerve | one month |
| amplitude of sensory nerve potential of the ulnar nerve | describes the functional status of the sensory ulnar nerve | one month |
| D009408 | Nerve Compression Syndromes |
| D012090 | Cumulative Trauma Disorders |
| D013180 | Sprains and Strains |
| D014947 | Wounds and Injuries |