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| Name | Class |
|---|---|
| Badr University | OTHER |
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PURPOSE: To investigate the effect of adding Shock wave therapy to kinesio taping on relieving carpal tunnel syndrome symptoms in physical therapist females.
BACKGROUND: shockwave therapy is a popular non-invasive therapeutic modality in the medical field for the treatment of numerous musculoskeletal disorders. Shockwaves can generate interstitial and extracellular responses, producing many beneficial effects such as: pain relief, vascularization, protein biosynthesis, cell proliferation, neuro and chondroprotection, and destruction of calcium deposits in musculoskeletal structures. shockwave combined with conventional physiotherapy is an effective noninvasive treatment for mild-to-moderate carpal tunnel syndrome that produces greater and longer-lasting results than conventional physiotherapy alone HYPOTHESES: Adding Shock wave therapy to kinesio taping has positive effects on carpal tunnel syndrome in physical therapist females.
RESEARCH QUESTION: Does adding Shock wave therapy to kinesio taping has positive effects on carpal tunnel syndrome in physical therapist females?
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Shockwave | Experimental | One group received shock wave therapy with the conventional physical therapy program including kinesio taping |
|
| conventional | Active Comparator | conventional physical therapy program including kinesio taping without shock wave therapy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Shockwave | Device | Shockwave therapy |
| |
| Kinesio taping |
| Measure | Description | Time Frame |
|---|---|---|
| Pain Visual Analog Scale | It is a self reported outcome which is a 10 cm line with zero at one end indicating no pain and 10 at the other end indicating maximum pain. Patient will be asked to mark the current pain on the scale and the distance from the starting point (0) will be measured | 1 and 12 week |
| Measure | Description | Time Frame |
|---|---|---|
| Numbness Visual Analog Scale | It is self reported outcome, which is a 10 cm line with zero at one end indicating no numbness and 10 at the other end indicating maximum numbness.Patient will be asked to mark the current numbness on the scale, and the distance from the starting point (0) will be measured | 1 and 12 week |
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Inclusion Criteria:
Exclusion Criteria:
- Having any systemic diseases such as renal failure, peptic ulcer, diabetes mellitus, hypothyroidism, coagulopathy, inflammatory rheumatic disease, having a cardiac pacemaker, cervical radiculopathy, polyneuropathy or brachial plexopathy, systemic corticosteroid use, fracture or trauma history in the forearm and wrist pregnancy and lactation, having received a carpal tunnel syndrome surgery, thoracic outlet syndrome or severe carpal tunnel syndrome.
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| Name | Affiliation | Role |
|---|---|---|
| Omnya samy Abdallah Ghoneim, PhD | Department of Physical Therapy for Pediatrics and Pediatric Surgery, Faculty of Physical Therapy, Badr University in Cairo, Egypt. | Study Chair |
| Mina Magdy Wahba, PhD | Department of Physical Therapy for Orthpedics, Suez University | Principal Investigator |
| Fatma Said Zidan Hamed, PhD | Department of Physical therapy for Neuromuscular Disorders & its Surgery, Faculty of Physical Therapy, Badr University in Cairo, Egypt | Study Chair |
| Hanaa Samir Mohamed Abd el fatah, PhD | Faculty of Physical therapy, Modern University for Technology and Information, Egypt. | Study Director |
| Doha Hamed Moustafa Al-Afify, PhD | Basic Sciences Department, Faculty of Physical Therapy, Badr University in Cairo, Egypt | Study Chair |
| Doaa Saeed | Department of Physical Therapy for Women's Health, Faculty of Physical Therapy, Badr University in Cairo, Cairo, Egypt | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Badr University in Cairo (BUC) | Cairo | Cairo Governorate | 12311 | Egypt |
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A total of 100 females patients ( two groups each group 50 females) who were diagnosed as having mild or moderate carpal tunnel syndrome were included in the study. One group received shock wave therapy with the conventional physical therapy program including kinesio taping, the second group received the conventional physical therapy program including kinesio taping without shock wave therapy. The patients were evaluated using a Visual Analog Scale-pain, a Visual Analog Scale-numbness, the Boston Symptom Severity Scale, the Boston Functional Status Scale, and handgrip strength tests and Nerve conduction study before treatment 1 and 12 wks after the treatment.
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| Other |
Kinesio taping application |
|
| conventional physical therapy | Other | conventional physical therapy |
|
| Boston Carpal Tunnel Questionnaire |
a Questionnaire widely used for assessing function and/or symptoms in patients with carpal tunnel syndrome. It consists of 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. |
| 1 and 12 week |
| handgrip strength | hand grip strength will be measured by a hand held dynamometer Participants will be instructed to grip the dynamometer as strongly as they possibly can, using their affected hand. Three measurements will be taken and the highest value will be used in the analysis | 1 and 12 week |
| electrodiagnostic study for median nerve | Sensory distal latency and motor distal latency of the median nerve will be measured by electromyography device according to standard protocol ( sensory distal latency stimulated at wrist and recorded 14cm at middle finger) and motor distal latency was stimulated at wrist and recorded from abductor pollicis brevis muscle. | 1 and 12 week |