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IRCT20201201049565N1 IRCT 2020-12-15 Ahvaz University of Medical Sciences The effects of neck manual therapy on the carpal tunnel syndrome The effects of conventional physical therapy with and without neck manual therapy on clinical outcomes in people with carpal tunnel syndrome 2020-12-20 anticipated 40 Complete https://irct.ir/trial/52699 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Individuals who met the inclusion criteria were randomly allocated to Group A (conventional physiotherapy) or Group B (combination of conventional physiotherapy treatments with neck manual therapy) using Block randomization (size: 4 and 6) prepare by an independent statistician with no clinical involvement in the trial. The allocation will be concealed in opaque, sealed envelope. A research assistant opens the envelopes to reveal group allocation before starting the intervention, Blinding description: This is a double-blind clinical trial in which patients are evaluated by another physiotherapist who is unaware of assigning individuals to groups. Patients and data analysts will also be unaware of group assignments. N/A Carpal Tunnel Syndrome. Intervention 1: Intervention group: Combined conventional physical therapy including wrist splints, electrical stimulation, phonophoresis, and wrist manual therapy and neck manual therapies. Intervention 2: Control group: Conventional physical therapy including wrist splints, electrical stimulation, phonophoresis. No - There is not a plan to make this available Justification or reason for not sharing IPD is The person's information will be confidential and the results will be as collective statistics

public Zarrin Milad

Physical therapy Department, Rehabilitation School, opposite the MRI Building, Jundishapour University of Medical Sciences, Ahvaz

Ahvaz Iran (Islamic Republic of) 6135733133 +98 61 3374 3101 miladzarrin.pt1995@gmail.com Ahvaz University of Medical Sciences scientific Saadat Maryam

Physical therapy Department, Rehabilitation School, opposite the MRI Building, Jundishapour University of Medical Sciences, Ahvaz

Ahvaz Iran (Islamic Republic of) 6135733133 +98 61 3374 3101 maryamsaadat2008@yahoo.com Ahvaz University of Medical Sciences Iran (Islamic Republic of) Tingling, numbness, burning or pain in at least 2 of digits 1, 2 or 3 Ages 18-60 years Positive Phalen sign or Tinnel sign over the carpal tunnel or carpal compression test CTS symptoms present for greater than twelve weeks Pain intensity at least a 4/10 on a Visual Analog Scale scale over the past 24 h Electrodiagnostic findings indicate mild to moderate damage to the median nerve 18 years 60 years Both Any sensory or motor deficit in either the ulnar or radial nerve History of surgery or injection in the wrist area Presence of systemic diseases such as rheumatoid arthritis, fibromyalgia A history of systemic disease associated with carpal tunnel syndrome (such as diabetes mellitus or hyperthyroidism or hypothyroidism) The presence of conditions that might cause numbness in the hand, including cervical radiculopathy, cervical ribs, plexopathy, and polyneuropathy Pregnancy History of neck, shoulder or upper extremity trauma G56.0 Carpal tunnel syndrome Rehabilitation Rehabilitation Intervention group: Combined conventional physical therapy including wrist splints, electrical stimulation, phonophoresis, and wrist manual therapy and neck manual therapies. Control group: Conventional physical therapy including wrist splints, electrical stimulation, phonophoresis Pain. Timepoint: One day before first session of treatment, two or three days after end of treatment. Method of measurement: Visual Analog Scale. Upper limb level of function. Timepoint: One day before first session of treatment, two or three days after end of treatment. Method of measurement: Disabilities of the arm, shoulder and hand (DASH) questionnaire. Symptoms and functional status of patients. Timepoint: One day before first session of treatment, two or three days after end of treatment. Method of measurement: Boston Carpal Tunnel(BCTQ) Questionnaire. Median sensory nerve conduction velocity. Timepoint: One day before first session of treatment, two or three days after end of treatment. Method of measurement: Tru trace 4 EMG system DEYMED electromyography device. Median nerve motor distal latency. Timepoint: One day before first session of treatment, two or three days after end of treatment. Method of measurement: Tru trace 4 EMG system DEYMED electromyography device. Ahvaz University of Medical Sciences Approved 2020-12-01 Ethics committee of Ahvaz University of Medical Sciences Deputy of Research and Technology, Jundishapur University of Medical Sciences, Ahvaz Ahvaz Khouzestan Iran (Islamic Republic of)