Laser Acupuncture on Carpal Tunnel Syndrome .

Effect of Laser Acupuncture on Carpal Tunnel Syndrome Post Aromatase Inhibitors in Breast Cancer Patient .

The study will be carried out on a total number of fifty-four females with age ranged 40 - 60 years old suffering from CTS post mastectomy ,the patients will be randomly assigned into two groups equal in number (27 patients for each group from Damanhur Medical National institute).

1. -Group (A): This group will include 27 patients will receive laser acupuncture technique 3 times per week in addition to traditional physical therapy program (myofascial release, nerve flossing ex., Tendon gliding ex. strengthening ex., ROM ex. and night splint) for 8 weeks.
2. -Group (B): This group will include 27 patients will receive traditional physical therapy program (myofascial release, nerve flossing ex., Tendon gliding ex., strengthening ex., ROM ex. and night splint) for 8 weeks.

The study will be carried out on a total number of fifty-four females with age ranged 40 - 60 years old suffering from CTS post mastectomy , the patients will be randomly assigned into two groups equal in number (27 patients for each group from Damanhur Medical National institute).

1. -Group (A): This group will include 27 patients will receive laser acupuncture technique 3 times per week in addition to traditional physical therapy program (myofascial release, nerve flossing ex., Tendon gliding ex. strengthening ex., ROM ex. and night splint) for 8 weeks.
2. -Group (B): This group will include 27 patients will receive traditional physical therapy program (myofascial release, nerve flossing ex., Tendon gliding ex., strengthening ex., ROM ex. and night splint) for 8 weeks.

Equipment:

1. Measurement equipment:

   1. Nerve Conduction Studies (NCSs)
   2. Boston Carpal Tunnel Questionnaire (BCTQ)
   3. Hand-Held Dynamometer

2. Therapeutic equipment:

   1. Laser Acupuncture technique for group (A).
   2. Traditional Physical therapy program for both groups.

Inclusion Criteria:

• The subject selection will be according to the following criteria:

  • Patients' age will be ranged between 40-60 years old.
  • 54 Female patients had breast cancer will participate in this study.
  • All patients will have wrist pain and disability post AIS.
  • All patients will suffer from moderate to severe pain.
  • All patients will enroll to the study will have their informed consent

Exclusion Criteria:

• The potential participants will be excluded if they met one of the following criteria:

  • Patients with previous history of fracture at the wrist fracture.
  • History of any arthritis related to wrist.
  • Rheumatoid arthritis wrist secondary to fracture, dislocation,
  • Reflex sympathetic dystrophy and neurological disorder, Malignancy.
  • Epilepsy or any psychological disorders.