Comparative Effects of Sensory Re-education and Neural Mobilization in CTS Patients

Comparative Effects of Sensory Re-education and Neural Mobilization in Carpal Tunnel Syndrome Patients

The aim of study is to compare the effects of sensory re-education and neural mobilization in CTS patients.

This study will be randomized clinical trial that will be conducted at Services Hospital Lahore and Government Teaching Hospital Shahdara. In this study 48 participants with CTS will be included as per sample size calculation through non-probability convenience sampling technique. Participants that achieve the required standards of inclusion and exclusion criteria will be randomly allocated using online randomization tool into two groups. Group A will receive Sensory Re-education therapy, strengthening exercises and Kinesio taping for 60 minutes, Group B will be given neural mobilization techniques, strengthening exercises and Kinesio taping for 60 minutes with short rest intervals. Both treatments will be given 3 days per week for 12 weeks.

Inclusion Criteria:

• Patients of both genders age 20-50 years with mild and moderate carpal tunnel syndrome.
• Patients having positive score on CTS specific test (Phalen's test and Tinel's test).
• Patients with pain, paresthesia and hyperesthesia at the course of median nerve.
• Patients that are clinically diagnosed with carpal tunnel syndrome by physician. Patients having BMI >25 (kg/m2).

Exclusion Criteria:

• Patients with polyneuropathies.
• Patients with carpal tunnel syndrome due to any systemic illness (diabetes mellitus, thyroid diseases and R.A).

Patients having cervical radiculopathy.

Patients with history of wrist fracture.

Patients getting steroid injections and after CTS surgery.

Obese and pregnant female with carpal tunnel syndrome.

Patients with any cognitive or neurological problems are excluded from study.