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IRCT20221205056713N1 IRCT 2023-01-24 Rashid Latif Medical college Effects of nerve mobilization and active release technique in treatment of carpel tunnel syndrome Comparative effects of nerve mobilization and active release technique on pain range of motion and disability in carpel tunnel syndrome patients among pregnant women. 2023-01-31 anticipated 34 Complete https://irct.ir/trial/67793 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: The sample size of study is 34. Participants will allocate in two treatment groups by simple random sampling using lottery method. We will make 100 chits, each with the name of a participant written on it. The chits are placed in a container of some kind, give a good shake, and 30 chits will picked. Those whose names on the chits will selected for the respective treatment, Blinding description: The outcome asesser will not know which participant will allocated in group A or group B. So study will single blinded. N/A carpal tunnel syndrome. Intervention 1: Intervention group: nerve mobilization technique group, group A will consist of 17 patients which will randomly allocate. Patients will treat with median nerve mobilization and heating pad. The patient will be in sitting position, therapist standing by side of patient to straighten the arm extend the wrist and apply passive pressure on the fingers. Repeat this procedure three times a day (3 sets 10 rep) and two times per week for four weeks. Assessment of patient's symptom will take before and after treatment. Intervention 2: Intervention group: active release technique group, group B will also be included 17 patients. Patients will treated with active release technique and heating pad.The patient may sit or lie supine and therapist stand in front or the patient or at the side respectively. The therapist thumb is placed on the medial and lateral attachment of the transverse carpel ligament. As the therapist fingers wrap around the dorsal surface of the wrist. The therapist exert the tension on the carpel region ( especially the flexor retinaculum) by pressing the thumb into the volar surface of the base of the thumb and pushing the thumb apart. This position is held for 20-60 sec and then release. 3 set with 5 to 6 repetition will be performed, two times per week. The treatment will be given for 4 week. Assessment of patient's symptom will take before and after treatment. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no further information
public Amna Batool
35-KM, Ferozepur Road. Lahore.
Lahore Pakistan 54900 +92 321 1185253 bamna8894@gmail.com Rashid Latif Medical College scientific Hafiza Nida Rasheed
35-KM, Ferozepur Road. Lahore
Lahore Pakistan 54900 +92 336 4535979 naddia.rasheed20@gmail.com Rashid Latif Medical College Pakistan Age between 20-40 years. Pregnant women with numbness in hands Subjects with diagnosed carpal tunnel syndrome and related symptoms that scored 3 or worse on the symptom severity and functional status questionnaire 20 years 40 years Female If subjects have a history of causes of carpal tunnel syndrome e.g. diabetes mellitus, rheumatoid arthritis, chronic renal failure treated by hemodialysis, sarcoidesis. If subjects have already been treated with wrist splint or have previous carpal tunnel release surgery G56.0 Carpal tunnel syndrome Treatment - Other Treatment - Other Intervention group: nerve mobilization technique group, group A will consist of 17 patients which will randomly allocate. Patients will treat with median nerve mobilization and heating pad. The patient will be in sitting position, therapist standing by side of patient to straighten the arm extend the wrist and apply passive pressure on the fingers. Repeat this procedure three times a day (3 sets 10 rep) and two times per week for four weeks. Assessment of patient's symptom will take before and after treatment. Intervention group: active release technique group, group B will also be included 17 patients. Patients will treated with active release technique and heating pad.The patient may sit or lie supine and therapist stand in front or the patient or at the side respectively. The therapist thumb is placed on the medial and lateral attachment of the transverse carpel ligament. As the therapist fingers wrap around the dorsal surface of the wrist. The therapist exert the tension on the carpel region ( especially the flexor retinaculum) by pressing the thumb into the volar surface of the base of the thumb and pushing the thumb apart. This position is held for 20-60 sec and then release. 3 set with 5 to 6 repetition will be performed, two times per week. The treatment will be given for 4 week. Assessment of patient's symptom will take before and after treatment. Symptom severity and functional status. Timepoint: Before intervention and 4 weeks after intervention. Method of measurement: Boston Carpal Tunnel Score questionnaire. Pain. Timepoint: Before intervention and 4 weeks after intervention. Method of measurement: Numeric pain rating scale will use to measure pain intensity. Range of motion. Timepoint: Before treatment and 4 weeks after treatment. Method of measurement: Goniometer. Rashid Latif Medical college Approved 2022-05-10 The institutional board of Rashid Latif Medical College, Lahore 35KM Ferozepur Road, Lahore. Lahore Punjab Pakistan