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IRCT20220530055032N1 IRCT 2022-07-27 Shiraz University of Medical Sciences Evaluation of the effect of dry needling of scapular and shoulder muscles painful points on pain and function of patients with carpal tunnel syndrome The effects of dry needling on painful myofascial points of scapular and shoulder muscles on pain and function of patients with carpal tunnel syndrome 2022-08-06 anticipated 40 Complete https://irct.ir/trial/63942 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: The patients will be randomly divided into two equal groups of routine physical therapy and routine physical therapy plus dry needling via Block randomization method, with a block size of 4 by using of random allocation software, Blinding description: The treatment will be performed by a physiotherapist and the variables will be measured by another physiotherapist who is unaware of the allocated groups, and the data will be analyzed by a statistician who is unaware of the group assignments. N/A Carpal tunnel syndrome. Intervention 1: Intervention group: patients will receive 10 sessions of routine physical therapy at the wrist area: therapeutic continuous ultrasound (for 5 min with 3.0 MHz applicator, ERA = 5 cm2, intensity= 1.5 W/cm2); Burst TENS on median nerve (frequency 100Hz, pulse width 80 ms, electrode size 4* 6 for 20 min); hot pack on wrist area; median nerve mobilization technique; Dry needling technique in the muscles around the scapula and shoulder. Intervention 2: Control group: patients will receive 10 sessions of routine physical therapy at the wrist area: therapeutic continuous ultrasound (for 5 min with 3.0 MHz applicator, ERA = 5 cm2, intensity= 1.5 W/cm2); Burst TENS on median nerve (frequency 100Hz, pulse width 80 ms, electrode size 4* 6 for 20 min); hot pack on wrist area; median nerve mobilization technique. Yes - There is a plan to make this available What will be shared: After coordination with the Research Ethics Committee for approval of the ethics committee, participants data file will be provided In complete secrecy and for research purposes only. When: 6-12 month after acceptance of the article by the journal. To whom: In addition to the principal researcher and the supervisor of the project, upon request, access to information can be reviewed by the Ethics Committee. Conditions: Preferably it is only used for the subject of my research, but if research is to be done in order to use the statistical population, the main project executor and the student's main collaborator will make a decision with the permission of the ethics committee. Where to obtain: Executors of the project can first be referred to through Dr. Zahra Rojhani Shirazi (09171127108), and the main colleague and student collaborator Ms Fatemeh Panahi (09183571646). How to obtain: 6 months after article publication, referring the request to the executor of the project, an official letter from the ethics committee will be commented on in order to obtain a license, and if the ethics committee approves, emphasizing the confidentiality of the information, the requested information will be provided to the applicant. Comments:
public Sedighe Rezaeyan
School of Rehabilitation, Abiverdi 1 St., Chamran Blvd., Shiraz, Fars, Iran
Shiraz Iran (Islamic Republic of) 7194733669 +98 71 3631 7233 sedigherezaeyan73@gmail.com Shiraz University of Medical Sciences scientific Sedighe Rezaeyan
School of Rehabilitation, Abiverdi 1 St., Chamran Blvd., Shiraz, Fars, Iran
Shiraz Iran (Islamic Republic of) 71947-33669 +98 71 3631 7233 sedigherezaeyan73@gmail.com Shiraz University of Medical Sciences Iran (Islamic Republic of) Patients with mild to moderate carpal tunnel syndrome Aged between 30 and 60 years Pain and paresthesia in hand (especially thumb, index and middle fingers) Having symptoms for more than one month Positive Phalen’s test Positive Tinel’s test Painful myofascial points at least in two muscles around scapula (Upper Trapezius, Supraspinatus, Infraspinatus, Subscapularis, Teres minor and major) and at least in one muscle around shoulder (Biceps and Deltoid) Normal BMI to overweight 30 years 60 years Female Cervical disc protrusion Cervical radiculopathy Cervical vertebral degeneration Double crush syndrome Upper limb fracture Sensory or motor defects of the ulnar or radial nerves History of wrist or cervical spine severe injury Previous wrist, upper limb or cervical vertebrae surgeries History of steroid injection into the wrist History of systemic disease causing carpal tunnel syndrome such as diabetes, rheumatoid arthritis and fibromyalgia Pregnancy Thenar muscles atrophy Use of blood thinner drugs Tumor Epilepsy G56.0 Carpal tunnel syndrome Rehabilitation Rehabilitation Intervention group: patients will receive 10 sessions of routine physical therapy at the wrist area: therapeutic continuous ultrasound (for 5 min with 3.0 MHz applicator, ERA = 5 cm2, intensity= 1.5 W/cm2); Burst TENS on median nerve (frequency 100Hz, pulse width 80 ms, electrode size 4* 6 for 20 min); hot pack on wrist area; median nerve mobilization technique; Dry needling technique in the muscles around the scapula and shoulder. Control group: patients will receive 10 sessions of routine physical therapy at the wrist area: therapeutic continuous ultrasound (for 5 min with 3.0 MHz applicator, ERA = 5 cm2, intensity= 1.5 W/cm2); Burst TENS on median nerve (frequency 100Hz, pulse width 80 ms, electrode size 4* 6 for 20 min); hot pack on wrist area; median nerve mobilization technique. Pain. Timepoint: Before treatment, after the last treatment session, 1 month after the last treatment sessions. Method of measurement: Visual analogue scale. Grip power. Timepoint: Before treatment, after the last treatment session, 1 month after the last treatment sessions. Method of measurement: Hand-held dynamometer. Functional disability. Timepoint: Before treatment, after the last treatment session, 1 month after the last treatment sessions. Method of measurement: DASH questionnaire. Severity and functional ability. Timepoint: Before treatment, after the last treatment session, 1 month after the last treatment sessions. Method of measurement: Boston questioner. Two point discrimination. Timepoint: Before treatment, after the last treatment session, 1 month after the last treatment sessions. Method of measurement: Two point discriminator. Shiraz University of Medical Sciences Approved 2022-05-11 Research Ethics Committee of Shiraz University of Medical Sciences School of Rehabilitation, Abiverdi 1 St., Chamran Blvd., Shiraz, Fars, Iran Shiraz Fars Iran (Islamic Republic of)